The patient is receiving cholestyramine (Questran). When assessing for side effects, what will be the primary focus of the nurse?
1. Auscultation of heart sounds
2. Auscultation of bowel sounds in all four abdominal quadrants
3. Assessment of 24-hour urine output
4. Palpation for peripheral edema in the lower extremities
2
Rationale 1: Cholestyramine (Questran) does not affect cardiac status.
Rationale 2: Assessment of bowel sounds is a priority because cholestyramine (Questran) could cause obstruction of the intestines.
Rationale 3: Cholestyramine (Questran) does not cause rhabdomyolysis, so the nurse would not assess for 24-hour urine output.
Rationale 4: Cholestyramine (Questran) does not cause peripheral edema.
Global Rationale: Assessment of bowel sounds is a priority because cholestyramine (Questran) could cause obstruction of the intestines. Cholestyramine (Questran) does not affect cardiac status. Cholestyramine (Questran) does not cause peripheral edema. Cholestyramine (Questran) does not cause rhabdomyolysis, so the nurse would not assess for 24-hour urine output.
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