Pharmacology Cholesterol Lowering Agents #4

Question

The healthcare provider recommends the client with border-line hypercholesterolemia to consider intake of which over-the-counter vitamin?

Answers

  1. Vitamin B3
    • Rationale:

      This answer is correct because vitamin B3 is niacin. Studies have shown niacin or vitamin B3 can increase the good HDL cholesterol and decrease triglycerides. If the healthcare provider recommends this, the nurse should make the client aware of the common occurrence of redness and flushing of the face. Also, since it is a water-soluble vitamin, it should be taken daily and the client should expect their urine to be more yellow.

  2. Vitamin B6
    • Rationale:

      This answer is not correct because vitamin B6 is pyridoxine. It does not lower cholesterol but it’s function includes significance to metabolism of fat, protein, and carbohydrates. It also is part of the formation of red blood cells and neurotransmitters.

  3. Vitamin B9
    • Rationale:

      This answer is not correct because vitamin B9 is also known as folate. Folate is given to treat certain anemias. It is also important for women who are pregnant or plan to be pregnant to take this to prevent neural tube defects.

  4. Vitamin B12
    • Rationale:

      This answer is not correct because vitamin B12 is also known as cobalamin. It is significant to the body’s nerves and blood cells and makes the genetic part of each cell, DNA.

Overview

Niacin, also known as vitamin B3, is sometimes recommended by healthcare providers to help reduce cholesterol lab levels. The vitamin is available over-the-counter or online.

Explanation

Learning Outcomes

Niacin (vitamin B3) has long been used to increase the good HDL cholesterol and decrease triglycerides. The vitamin therapy is available online and over-the-counter which makes it readily available to the public. If the healthcare provider recommends this, the nurse should make the client aware of the common occurrence of redness and flushing of the face. This can be very concerning to clients if they are not informed of this benign occurrence.

Test Taking Tip

When the answers in an NCLEX-style question all look the same and everything starts running together:

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