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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Intermittent claudication is a condition in which there is pain in the legs due to reduced blood ﬂow. Pentoxifylline is a medication that can improve blood ﬂow by reducing the viscosity of the blood. Therefore, to determine the eﬀectiveness of the medication in managing intermittent claudication, the nurse should monitor the client's pain level using a numeric pain scale. This will help to assess if the medication provides pain relief and improving the client's ability to walk without discomfort.

Options a, b, and c are not relevant to the assessment of the eﬀectiveness of pentoxifylline in managing intermittent claudication.

A. Consult a pharmacist about the scheduling of the dose one hour after the client eats. B. Assign unlicensed assistive personnel (UAP) to bring the client a glass of low-fat milk. C. Withhold the medication until the client’s breakfast tray is available on the unit. D. Instruct the client that it is necessary to take nothing but water with the medication.

Correct Answer is D

Explanation

Risedronate should be taken with plain water only. It should be taken on an empty stomach, at least 30 minutes before eating or drinking anything other than plain water. Taking risedronate with milk or other beverages can interfere with its absorption and reduce its eﬀectiveness.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a client with intermittent claudication who is receiving pentoxifylline. Which assessment should the nurse perform to determine the eﬀectiveness of the medication?

Correct Answer is D

Explanation

The nurse administers risedronate to a client with osteoporosis at 07:00. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?

Correct Answer is D

Explanation

A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

The home health nurse observes a client self-administering an epinephrine injection using an auto-injector pen. Which client action requires intervention by the nurse?

Which nursing action had the highest priority when administering a dose of codeine with acetaminophen to a client?

The nurse is preparing a client with Chronic Obstructive Pulmonary Disease (COPD) and a chronic productive cough for discharged home. Which prescribed medication should the nurse review with the client to manage this symptom?

A client is scheduled for a spiral computed topography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow-up by the nurse?

An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote the best absorption of the medication, which information should the nurse include in the discharge instructions?

The nurse is planning to discharge teaching for a client with diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse include in the discharge teaching?