A patient prescribed niacin extended action (Niaspan)reports all of the following new onset problems.For which problem does the nurse notify the prescriber?

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One adverse reaction to niacin is an increase in uric acid crystals and calcium that can precipitate in joints and cause gout.The great toe is one of the most common sites of gout.The condition is painful and reduces mobility.Usually,the patient can continue the niacin therapy along with another drug that reduces uric acid production.Drinking plenty of water can also reduce the precipitation of uric acid.

A Patient Prescribed Niacin Extended Action (Niaspan)reports All of the Following