After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent faty stools and flatus. Which action should the nurse take?
Advise the client to stop taking the drug and contact the healthcare provider.
Ask the client to describe her dietary intake history for the last several days.
Instruct the to increase her intake of saturated fats over the next week.
Obtain a stool to evaluate occult blood and fat content.
Obtain a stool to evaluate occult blood and fat content.
The Correct Answer is B
Orlistat works by inhibiting the absorption of dietary fat in the intestines. The side effects of faty stools and flatus can be managed by reducing the intake of dietary fat. The nurse should ask the client to describe her dietary intake history for the last several days to determine if she has been consuming a diet high in fat.
Based on this information, the nurse can provide appropriate dietary advice to help manage these side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Lactulose is a medication commonly used in the management of hepatic encephalopathy. It works by reducing the absorption of ammonia in the gut, which is a toxin that can accumulate in the blood in patients with liver dysfunction.
Monitoring serum electrolytes and ammonia levels can help the nurse evaluate the effectiveness of lactulose therapy. Elevated ammonia levels can indicate that the medication is not effectively reducing ammonia absorption and may require adjustment in dose or frequency. Additionally, monitoring electrolyte levels can help detect any imbalances that may occur because of lactulose therapy.
Fingerstick glucose levels (option A) are not relevant to evaluating the therapeutic response of lactulose in hepatic encephalopathy.
Stool color and character (option C) may be monitored to assess the side effects of lactulose, such as diarrhea, but are not the best assessments to evaluate therapeutic response.
Serum hepatic enzymes (option D) may be useful in assessing the severity of liver disease but are not the best assessment to evaluate the therapeutic response of lactulose in hepatic encephalopathy.
Correct Answer is C
Explanation
Oxybutynin is a medicine used to treat symptoms of an overactive bladder. One of the side effects of oxybutynin is that it can cause dry mouth, constipation, and dry skin21. These side effects can increase the risk of dehydration. Additionally, oxybutynin can cause flushing and heat stroke. Therefore, it is important for the client to take measures to avoid dehydration and over-heating while training for a marathon.
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