A nurse is providing teaching for a client who has binge-eating disorder and is morbidly obese. The client has been prescribed orlistat. Which of the following statements indicates to the nurse that the client understands the teaching?
"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"
"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"
The Correct Answer is C
A. "I will feel less hungry during meals while I am taking orlistat": Orlistat works by blocking the absorption of dietary fat in the intestines rather than suppressing appetite. Therefore, it does not typically reduce hunger during meals.
B. "I will eat a no-fat diet to prevent side effects from the medication": Orlistat can cause gastrointestinal side effects such as oily stools, fecal incontinence, and flatulence, particularly when consumed with high-fat meals. While reducing fat intake can help minimize these side effects, it is not necessary to eliminate fat entirely from the diet. The statement is partially correct but not the best response indicating full understanding.
C. "I will stop taking orlistat and call my doctor if my urine gets darker in color": Dark urine can indicate liver problems, which are a potential side effect of orlistat. Therefore, it is crucial for the client to monitor for this symptom and contact their healthcare provider if it occurs. This response indicates that the client understands the potential adverse effects of the medication.
D. "I will take my dose of orlistat every morning an hour before breakfast": Orlistat is typically taken with meals or up to one hour after eating. Taking it on an empty stomach before breakfast is not recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Requesting an order for an antiemetic may be necessary if the client continues to experience nausea, but it is not the first action the nurse should take. Before administering medication, the nurse should assess the client's vital signs and overall condition to determine the appropriate intervention.
B. While a dietitian consult may be beneficial to address the client's nutritional needs, it is not the first action the nurse should take in response to the client's symptoms of nausea and weakness. Assessing the client's vital signs and condition should be the priority.
C. Suggesting that the client rests before eating the meal may be helpful, but it does not address the underlying cause of the client's symptoms. The nurse should first assess the client's vital signs to determine the severity of the symptoms and any potential complications.
D. Checking the client's vital signs is the first action the nurse should take in response to the client's symptoms of nausea and weakness. Vital signs, including blood pressure, heart rate, respiratory rate, and temperature, can provide valuable information about the client's hemodynamic status and help identify any potential complications, such as dehydration or worsening heart failure. Based on the vital signs assessment, the nurse can then implement appropriate interventions, such as notifying the healthcare provider or providing symptomatic relief.
Correct Answer is D
Explanation
A. The AP's ability to complete the task without assistance: While it's important for the AP to be able to complete the task independently, this is not the only consideration when delegating tasks. The nurse should also consider whether the AP has the necessary knowledge and skill to perform the task safely and effectively.
B. The AP's rapport with clients: Although the AP's rapport with clients is valuable in providing care, it is not directly related to the ability to perform a delegated task. The nurse should prioritize delegation based on the AP's competency and skill level rather than their interpersonal skills.
C. The AP’s ability to prioritize: While the AP's ability to prioritize tasks is important in providing efficient care, it is not specifically related to the nurse's consideration when delegating tasks. Delegation decisions should primarily be based on the AP's knowledge and skill to perform the task safely and effectively.
D. The AP has the knowledge and skill to perform the task: This is the most appropriate consideration when delegating tasks. Ensuring that the AP has the necessary knowledge and skill to perform the delegated task safely and effectively is essential for patient safety and quality care. The nurse should assess the AP's competency and provide appropriate supervision and guidance as needed.
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