A client with obesity is prescribed orlistat for weight loss. The client asks the nurse, "I understand the medication prevents digestion of fat, but what side effects does this cause?" Which of the following responses by the nurse are correct? SELECT ALL THAT APPLY
Oily stools are common, especially when excessive fat is consumed.
Many patients note having an increase of gas and flatus.
Constipation is a common side effect with this medication.
Some patients report the development of fecal incontinence.
This medication doesn't really have any side effects because you can buy it over the counter.
Correct Answer : A,B,D
Choice A reason: Oily stools are common, especially when excessive fat is consumed, because orlistat blocks the absorption of fat in the intestines. The undigested fat is then eliminated in the stool, making it oily, greasy, or foul-smelling.
Choice B reason: Many patients note having an increase of gas and flatus, because orlistat can also interfere with the digestion of carbohydrates and proteins, causing fermentation and gas production in the colon.
Choice C reason: Constipation is not a common side effect with this medication. In fact, orlistat may cause the opposite effect of diarrhea, as the unabsorbed fat can irritate the bowel and increase the motility.
Choice D reason: Some patients report the development of fecal incontinence, because orlistat can cause unpredictable bowel movements and difficulty in controlling the passage of stool, especially if the patient consumes a high-fat diet.
Choice E reason: This medication does have side effects, even though it can be bought over the counter. Orlistat is a prescription-strength drug that can cause serious adverse reactions, such as liver damage, kidney stones, gallbladder problems, and vitamin deficiencies. The over-the-counter version is a lower dose than the prescription one, but it still requires medical supervision and lifestyle changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The upper right quadrant is not the correct location for McBurney's point. This quadrant contains the liver, gallbladder, right kidney, and part of the colon. Pain in this area may indicate problems with these organs, such as hepatitis, gallstones, or kidney infection.
Choice B reason: The upper left quadrant is not the correct location for McBurney's point. This quadrant contains the stomach, spleen, left kidney, and part of the colon. Pain in this area may indicate problems with these organs, such as gastritis, splenomegaly, or kidney stones.
Choice C reason: The lower right quadrant is the correct location for McBurney's point. This quadrant contains the appendix, right ovary, and right fallopian tube. McBurney's point is a point on the abdomen that is one-third of the distance from the right anterior superior iliac spine to the umbilicus. Pain in this area may indicate appendicitis, ovarian cyst, or ectopic pregnancy.
Choice D reason: The lower left quadrant is not the correct location for McBurney's point. This quadrant contains the sigmoid colon, left ovary, and left fallopian tube. Pain in this area may indicate problems with these organs, such as diverticulitis, ovarian torsion, or pelvic inflammatory disease.
Correct Answer is C
Explanation
Choice A reason: Securing the drain to the client's bed sheet is not the best action for the nurse to take. This could cause the drain to be pulled or dislodged if the client moves or changes position. The nurse should secure the drain to the client's gown or abdominal binder, using a safety pin or a clip.
Choice B reason: Removing the JP drain when the drainage has ceased, covering the opening with sterile gauze, is not the correct action for the nurse to take. The nurse should not remove the drain without a physician's order, as this could cause complications such as infection, bleeding, or bile leakage. The nurse should monitor the amount and color of the drainage, and report any changes to the physician.
Choice C reason: Expelling the air from the JP bulb after emptying to re-establish suction is the correct action for the nurse to take. The JP drain works by creating a negative pressure that draws fluid from the surgical site. The nurse should empty the bulb when it is half full, and squeeze it until it collapses before closing the plug. This ensures that the suction is maintained and prevents the fluid from flowing back into the drain.
Choice D reason: Measuring the drainage every hour for the first 8 hr postoperative is not the correct action for the nurse to take. This is too frequent and unnecessary, as the drainage is expected to decrease over time. The nurse should measure the drainage every 8 to 12 hr, or as ordered by the physician, and record the volume and color. The nurse should also report any signs of infection, such as fever, pain, or foul odor.
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