A nurse is teaching a client who has a new prescription for colesevelam powder for oral suspension. The nurse should include which of the following instructions?
"Take the medication on an empty stomach.”.
"Increase fiber in your diet.”.
"Discard the oral suspension if it is cloudy after mixing.”.
"Avoid drinking grapefruit juice.".
The Correct Answer is C
Choice A rationale:
Taking colesevelam on an empty stomach is not necessary. This medication can be taken with food to reduce gastrointestinal side effects.
Choice B rationale:
Increasing fiber in the diet is generally beneficial for bowel health, but it is not specific to the use of colesevelam powder for oral suspension.
Choice C rationale:
This is the correct answer because if the oral suspension of colesevelam is cloudy after mixing, it indicates that the medication may have degraded or is not suitable for consumption. Discarding the cloudy suspension ensures that the client receives the appropriate dose and effectiveness of the medication.
Choice D rationale:
Avoiding grapefruit juice is important for some medications, but it is not relevant to colesevelam. Grapefruit juice can interfere with the metabolism of certain drugs, but it does not have a significant effect on colesevelam.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Applying clean gloves when removing the old dressing from the catheter site is essential to prevent infection and maintain an aseptic technique during peritoneal dialysis catheter care. Gloves protect both the nurse and the patient from potential contamination.
Choice B rationale:
Cleansing the area by using a circular motion beginning at the catheter site and moving outward is not the correct technique. When caring for a dialysis catheter, the nurse should cleanse the site using an outward, circular motion starting from the insertion site to minimize the risk of contamination.
Choice C rationale:
Using warm water to cleanse the catheter site is not recommended. The peritoneal dialysis catheter site should be cleaned with an appropriate antiseptic solution or disinfectant, as warm water alone may not effectively remove bacteria or prevent infections.
Choice D rationale:
Placing an occlusive dressing over the catheter site after cleaning is not the standard practice for peritoneal dialysis catheter care. Typically, a clean, dry dressing is applied to the catheter site after cleaning to keep it clean and dry, but it should not be occlusive.
Correct Answer is B
Explanation
Choice A rationale:
The nurse should not instruct the client to administer enoxaparin to the leg muscle. Enoxaparin is a low molecular weight heparin that should be administered subcutaneously, typically in the abdomen or thigh, but not into the muscle.
Choice B rationale:
This is the correct choice because before administering enoxaparin, the nurse should instruct the client to expel the excess air from the syringe. Leaving air bubbles in the syringe can result in incorrect dosing and potential harm to the client.
Choice C rationale:
The nurse should not advise the client to insert the entire needle into the skin to administer the medication. Enoxaparin is given subcutaneously, which means the needle should only be inserted into the subcutaneous tissue, not entirely through the skin.
Choice D rationale:
The nurse should not tell the client to take ibuprofen for fever following the administration of enoxaparin. Enoxaparin is an anticoagulant used to prevent blood clots and is not related to fever management.
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