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A client newly prescribed niacin (Nicotinic Acid) presents to the healthcare setting with complaints of flushing following doses. Which of the following medications would the nurse anticipate being administered?

A.

Beta Blockers

B.

Calcium Channel Blockers

C.

NSAIDs

D.

Fibric Acid Derivatives

Answer and Explanation

The Correct Answer is C

A. Beta blockers are used to manage blood pressure and heart rate but are not effective in reducing niacin-induced flushing.  

 

B. Calcium channel blockers help to relax blood vessels but do not address the flushing side effect caused by niacin.  

 

C. NSAIDs, like aspirin, can help reduce the flushing associated with niacin. This flushing occurs due to prostaglandin release, which NSAIDs can inhibit.  

 

D. While fibric acid derivatives are used to lower cholesterol, they do not alleviate the flushing side effect of niacin.


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Correct Answer is D

Explanation

A. Paroxetine is an SSRI antidepressant used for depression and anxiety disorders, not for Parkinson's Disease.

B. Lisinopril is an ACE inhibitor primarily used for hypertension and heart failure, and it does not address symptoms of Parkinson's Disease.

C. Risperidone is an atypical antipsychotic that may be used in some cases for behavioral symptoms but is not a primary treatment for Parkinson's Disease.

D. Levodopa (Inbrija) is a medication specifically indicated for the management of Parkinson's Disease, as it helps to replenish dopamine levels, alleviating motor symptoms associated with the disease.

Correct Answer is B

Explanation

A. There is no established link between ciprofloxacin and endometrial cancers; this warning does not apply.

B. Ciprofloxacin has a black box warning for the risk of tendon rupture and tendinopathy, particularly in older adults and those concurrently taking corticosteroids.

C. Thromboembolic events are not specifically associated with ciprofloxacin; thus, this warning is not applicable.

D. Thrombocytopenia is a potential side effect of various medications but is not the primary concern associated with ciprofloxacin use.

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