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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Free Nursing Study Resources

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale

Albuterol does not directly decrease coughing episodes. Coughing can be a symptom of an underlying condition like asthma, which albuterol can help manage by relaxing the muscles around the airways. However, the medication itself does not have a direct effect on coughing.

Choice B rationale

Albuterol helps prevent wheezing by relaxing the muscles around the airways, allowing them to open up and making it easier to breathe. Wheezing is a common symptom of conditions like asthma, which albuterol is often used to treat.

Choice C rationale

Albuterol works by opening the airways of the lungs, making it easier to breathe. It does this by relaxing the muscles around the airways, allowing more air to flow into the lungs.

Choice D rationale

Albuterol does not stimulate the flow of mucus. While it can help manage symptoms of conditions like asthma, it does not have a direct effect on mucus production.

Choice E rationale

Albuterol does not directly reduce inflammation. It works by relaxing the muscles around the airways, which can help alleviate symptoms of conditions characterized by inflammation, such as asthma. However, the medication itself does not have anti-inflammatory properties.

A. The patient has a history of migraine headaches. B. The patient has a history of hypothyroidism. C. The patient has a history of hypertension. D. The patient has a history of bronchial asthma.

Correct Answer is D

Explanation

Choice A rationale

Propranolol is sometimes used to prevent migraines, so a history of migraines would not typically be a contraindication.

Choice B rationale

Hypothyroidism is not typically a contraindication for propranolol. However, propranolol can affect the metabolism of thyroid hormones and may mask signs of hyperthyroidism.

Choice C rationale

Propranolol is often used to treat hypertension, so a history of hypertension would not typically be a contraindication.

Choice D rationale

Propranolol is a non-selective beta-blocker, which means it blocks beta receptors in both the heart and the lungs. This can potentially cause bronchoconstriction and exacerbate asthma symptoms, so it should be used with caution in patients with a history of bronchial asthma.

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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 caring for a patient who wants to know how albuterol aids his breathing. What should the nurse’s response be? (Select all that apply)

Correct Answer is ["B","C","E"]

Explanation

A nurse is reviewing the health history of a patient with angina pectoris who has a prescription for propranolol hydrochloride PO 40 mg twice daily.Which historical finding should the nurse report to the provider?

Correct Answer is D

Explanation

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