The nurse is preparing instructions for a client with a new prescription for colesevelam [Welchol]. Which of the following will the nurse include in medication teaching?

Diarrhea is a common side effect.

Take with a multivitamin.

Dosage can be repeated every 2 to 4 hours as desired with meals.

Take at least 4 hours after other medications.

Answer and Explanation

The Correct Answer is D

A. Constipation, not diarrhea, is a more common side effect of colesevelam.
B. Although colesevelam may interfere with the absorption of fat-soluble vitamins, this is not the priority teaching point.
C. Colesevelam should be taken as prescribed, not repeatedly within short intervals.
D. Colesevelam can interfere with the absorption of other medications; therefore, it should be taken at least 4 hours after other medications to avoid interactions.

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Correct Answer is A

Explanation

A. Zolpidem [Ambien] is a medication specifically used for short-term management of insomnia by helping with sleep initiation.
B. Fluoxetine [Prozac] is an SSRI used primarily for depression and anxiety, not for short-term sleep issues.
C. Morphine is an opioid analgesic, not indicated for sleep management and could exacerbate insomnia or cause additional issues.
D. Aspirin is used for pain relief and anti-inflammatory purposes, not for managing sleep difficulties.

A. "We need to add another drug with this one to help." B. "This drug could take 1-3 weeks to begin working." C. "Let me call the provider to switch to a different antidepressant." D. "This drug could take 4-6 weeks to begin working."

Correct Answer is D

Explanation

A. Adding another drug is premature; fluoxetine may need more time to show effects.
B. While some antidepressants may show effects in 1-3 weeks, fluoxetine typically requires a full 4-6 weeks to demonstrate its therapeutic effects.
C. Switching to another antidepressant after only one week may be premature; fluoxetine often takes longer to be effective.
D. Antidepressants like fluoxetine generally take 4-6 weeks to show significant effects, so patience is necessary for the medication to reach its full potential.

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The nurse is preparing instructions for a client with a new prescription for colesevelam [Welchol]. Which of the following will the nurse include in medication teaching?

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Correct Answer is D

Explanation

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