Question

a client with hyperlipidemia receives a prescription for niacin. which client teaching is most important for the nurse to provide?
a expected duration of flushing.
b comfort measures for pruritus.
c diets that minimize gi irritation.
d symptoms of hyperglycemia.

Explanation:

Niacin (vitamin B3) therapy for hyperlipidemia almost universally causes a transient, uncomfortable flushing reaction in patients shortly after dosing. This is the most common and immediate adverse effect patients will encounter, and teaching patients that this flushing is expected, typically lasts 30 to 60 minutes, and can be mitigated with aspirin 30 minutes prior to dosing is the highest priority education. Pruritus is a less common secondary effect of the flushing, GI irritation is a less frequent side effect, and hyperglycemia is a rare, long-term concern with high-dose niacin therapy.

Answer:

A. Expected duration of flushing.