Kentucky Medication Aide (KMA) State Practice Exam

What is the main side effect commonly associated with Nitrates?

1. Dizziness

2. Nausea

3. Headache

4. Drowsiness

The correct answer is: Headache

Nitrates are commonly used medications, particularly for conditions like angina and other types of heart disease, and one of the primary side effects associated with their use is headache. This occurs due to the vasodilating effects of nitrates. They work by widening blood vessels, which can lead to increased blood flow and lower blood pressure. As blood vessels expand, it can cause engorgement of cerebral vessels, resulting in headaches. Understanding this side effect is crucial for anyone administering or receiving nitrates. Patients often report experiencing headaches shortly after starting treatment or when doses are increased. Managing this side effect might involve educating patients about the likelihood of headache and suggesting supportive measures, such as hydration or over-the-counter pain relief, after consulting a healthcare provider. In the context of other side effects listed, while dizziness, nausea, and drowsiness can occur with various medications, they are not as distinctly associated with nitrates as headaches are. Thus, identifying headache as the main side effect helps in better patient management and expectations when initiating nitrate therapy.