A nurse is educating a patient with binge eating disorder and morbid obesity who has been prescribed orlistat. Which of the following statements, if made by the patient, would indicate that they understand the teaching?

I will stop taking orlistat and call my doctor if my urine gets darker in color.

I will take my dose of orlistat every morning an hour before breakfast.

I will feel less hungry during meals while I am taking orlistat.

I will eat a no-fat diet to prevent side effects from the medication.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Orlistat works by inhibiting the absorption of dietary fats in the body, which are then excreted in the stool. One of the side effects of this process can be changes in bowel habits, including an increase in the frequency of bowel movements and an oily discharge. Dark urine can be a sign of liver damage, which is a rare but serious side effect of orlistat. Therefore, if a patient notices their urine getting darker in color while taking orlistat, they should stop taking the medication and call their doctor immediately.

Choice B rationale

Orlistat should be taken with a meal that contains fat, not necessarily before breakfast. If a meal is missed or contains no fat, the dose of orlistat should be skipped.

Choice C rationale

Orlistat does not directly affect hunger signals or the feeling of fullness. It works in the digestive system to block about one-third of the fat in the food you eat from being digested.

Choice D rationale

While it’s important to maintain a balanced, reduced-calorie diet while taking orlistat, a no-fat diet is not recommended. Orlistat works by blocking the absorption of some of the fat from meals. If a meal contains no fat, there is no fat for orlistat to block.

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Correct Answer is A

Explanation

Choice A rationale

Finasteride, a medication used to treat benign prostatic hypertrophy, can cause several side effects, including a decrease in libido or sexual desire.

Choice B rationale

There’s no specific interaction between finasteride and grapefruit juice. Therefore, patients don’t need to avoid grapefruit juice when taking this medication.

Choice C rationale

Finasteride can actually cause a decrease in PSA (prostate-specific antigen) levels. If a patient is having a PSA test, they should tell their doctor they are taking finasteride because it can affect the results.

Choice D rationale

It may take up to six months or more to see the full effects of finasteride. Therefore, patients should not expect to see a response within one week.

A. The patient’s blood pressure is 80/56 mm Hg. B. The patient reports lower extremity weakness. C. The patient’s temperature is 38.2°C (100.8 F). D. The patient reports severe itching.

Correct Answer is A

Explanation

Choice A rationale

The patient’s blood pressure is significantly low, which could indicate hypotension, a serious side effect of epidural analgesia. This should be the nurse’s priority as it can lead to complications such as decreased perfusion to vital organs.

Choice B rationale

Lower extremity weakness can be a side effect of epidural analgesia, but it is not as immediately life-threatening as hypotension.

Choice C rationale

A slight increase in temperature may not be an immediate concern unless it continues to rise or is accompanied by other signs of infection.

Choice D rationale

Severe itching can be a side effect of epidural analgesia, but it is not as immediately life- threatening as hypotension.

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A nurse is educating a patient with binge eating disorder and morbid obesity who has been prescribed orlistat. Which of the following statements, if made by the patient, would indicate that they understand the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a patient with benign prostatic hypertrophy who has been newly prescribed finasteride. What should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a patient receiving epidural analgesia for pain during labor. Which of the following observations should be the nurse’s priority?

Correct Answer is A

Explanation

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