A client taking nitroglycerin (Nitrostat) complains of a headache. Which conclusion is most appropriate by the nurse?
The most common side effect of nitroglycerin is a headache
Nitroglycerin does not cause a headache
The client will not have a headache if the nitroglycerin is taken with a high-fat meal
A headache indicates a serious allergic reaction to nitroglycerin
The Correct Answer is A
Explanation:
A. Headache is a common side effect of nitroglycerin due to vasodilation and can often be managed with continued use.
B. Nitroglycerin is known to cause headaches as a common side effect.
C. Taking nitroglycerin with a high-fat meal is not likely to prevent headaches; it may, in fact, delay absorption and onset of action.
D. A headache alone is not indicative of a serious allergic reaction to nitroglycerin; other symptoms would typically be present.
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Related Questions
Correct Answer is C
Explanation
A. Orange juice does not interact with simvastatin and does not need to be avoided.
B. Coenzyme Q10 (CoQ10) supplements are sometimes taken by patients on statins to help alleviate the side effects like muscle pain, but they do not need to be avoided.
C. Grapefruit juice should be avoided while taking simvastatin because it contains compounds that interfere with the enzymes that metabolize statins, potentially leading to increased drug levels and greater risk of side effects such as muscle damage.
D. Not all fruit juices interact with simvastatin; the specific concern is with grapefruit juice.
Correct Answer is B
Explanation
A. Bile acid agents primarily work by binding to bile acids in the intestines, leading to increased excretion of bile acids and cholesterol, but they are not specifically indicated for reducing triglyceride levels.
B. Fibric acid agents, such as gemfibrozil and fenofibrate, are considered the drug of choice for decreasing triglyceride levels, primarily by increasing the breakdown of triglyceride-rich particles and reducing hepatic triglyceride production.
C. HMG-CoA reductase inhibitors (statins) primarily lower LDL cholesterol levels but may also have modest effects on triglyceride levels.
D. Statins primarily target LDL cholesterol levels and are not considered the first-line therapy specifically for reducing triglyceride levels.
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