A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?

Depression screening.

Body mass index.

Daily calorie count.

Serum protein levels.

Answer and Explanation

The Correct Answer is B

Choice A reason: Depression screening is not directly related to the effectiveness of orlistat, which is a medication that blocks the absorption of fat from the diet and helps to reduce weight. Depression screening may be important for the overall mental health of the client, but it is not an ongoing assessment for orlistat.

Choice B reason: Body mass index (BMI) is a measure of body fat based on height and weight, and it is used to assess the risk of obesity-related health problems. BMI is an ongoing assessment for orlistat, because it can indicate the progress and outcome of the weight management program. The goal of orlistat therapy is to achieve and maintain a healthy BMI.

Choice C reason: Daily calorie count is not an ongoing assessment for orlistat, because it does not reflect the amount of fat absorbed by the body. Orlistat works by blocking the action of lipase, an enzyme that breaks down fat in the intestine. Therefore, even if the client consumes a high-calorie diet, orlistat can prevent some of the fat from being absorbed and reduce weight. However, daily calorie count may be useful for monitoring the overall nutritional intake and energy balance of the client.

Choice D reason: Serum protein levels are not an ongoing assessment for orlistat, because they are not affected by the medication. Orlistat only blocks the absorption of fat, not protein or carbohydrates. Serum protein levels may be important for evaluating the nutritional status and organ function of the client, but they are not an indicator of orlistat effectiveness.

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Correct Answer is B

Explanation

Choice A reason: Hard candy can be used for a dry mouth, which is a common side effect of St. John's wort.

Choice B reason: Another form of contraception is needed, because St. John's wort can reduce the effectiveness of oral contraceptives and increase the risk of unplanned pregnancy. This information requires further instruction from the nurse.

Choice C reason: Insomnia may occur while taking the medication, which is another possible side effect of St. John's wort. The client should be advised to take the medication in the morning or afternoon, and avoid caffeine and alcohol.

Choice D reason: Sensitivity to the sun can develop, which is a rare but serious side effect of St. John's wort. The client should be instructed to wear sunscreen and protective clothing when exposed to sunlight.

A. Cheese and crackers. B. Toasted wheat bread and jelly. C. Fruit-flavored yogurt. D. Cold cereal with skim milk.

Correct Answer is B

Explanation

Choice A reason: Cheese and crackers are not a good snack to take with tetracycline, because cheese contains calcium, which can interfere with the absorption of tetracycline and reduce its effectiveness.

Choice B reason: Toasted wheat bread and jelly are a suitable snack to take with tetracycline, because they do not contain any dairy products or iron, which can also affect the absorption of tetracycline. Toasted bread may also help to settle the stomach and prevent nausea.

Choice C reason: Fruit-flavored yogurt is not a good snack to take with tetracycline, because yogurt is a dairy product that contains calcium, which can interfere with the absorption of tetracycline and reduce its effectiveness.

Choice D reason: Cold cereal with skim milk is not a good snack to take with tetracycline, because skim milk is a dairy product that contains calcium, which can interfere with the absorption of tetracycline and reduce its effectiveness.

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A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?

Correct Answer is B

Explanation

A client who is taking an oral dose of a tetracycline reports gastrointestinal (GI) upset. Which snack should the nurse instruct the client to take with the tetracycline?

Correct Answer is B

Explanation

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A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?

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