A client is being discharged after a hospital admission for chest pain with a multidrug regimen that includes a new prescription for cholestyramine (Questran)
It is most important for the nurse to include which information in discharge teaching about this drug?
1. "You must carefully follow instructions for mixing this drug with liquid."
2. "If you experience bloating or constipation, you should stop taking this drug."
3. "We will monitor your kidney function while you are taking this drug."
4. "Do not take vitamin supplements while taking cholestyramine."
Correct Answer: 1
Rationale 1: Failure to mix the powdered form of this drug adequately can cause gastrointestinal tract obstruction.
Rationale 2: Gastrointestinal effects such as bloating and constipation are common side effects of cholestyramine. Since this drug binds with many other drugs in the gastrointestinal tract, suddenly stopping the drug could increase absorption of other drugs and lead to drug toxicity.
Rationale 3: Bile acid sequestrants such as cholestyramine are not systemically absorbed, and do not threaten kidney function.
Rationale 4: Cholestyramine can reduce absorption of fat-soluble vitamins, so supplementation with vitamins A and D might be necessary.
Global Rationale: Failure to mix the powdered form of this drug adequately can cause gastrointestinal tract obstruction. Gastrointestinal effects such as bloating and constipation are common side effects of cholestyramine. Since this drug binds with many other drugs in the gastrointestinal tract, suddenly stopping the drug could increase absorption of other drugs and lead to drug toxicity. Bile acid sequestrants such as cholestyramine are not systemically absorbed, and do not threaten kidney function. Cholestyramine can reduce absorption of fat-soluble vitamins, so supplementation with vitamins A and D might be necessary.
You might also like to view...
Vulnerable populations are groups of people that are subgroups of a community with certain characteristics. Which of the following is not necessarily one of the criteria for vulnerable population groups?
a. powerless c. enfranchised b. marginalized d. experiencing health disparities
Elizabeth, an RN with approximately 15 years of service on your unit, walks away from one of the learning sessions on IV care and you overhear her telling a colleague that she thought the session was a waste of time because "the unit has been using
heparin for years and there has never been any adverse effects." According to Havelock (1973), this comment may originate from failure in which phase of the six phases of planned change? a. Generating self-renewal b. Choosing the solution c. Diagnosing the problem d. Building a relationship
Minerals are similar to vitamins in that both:
1. Provide no energy 2. Are organic substances 3. Become part of the structure of the body 4. Enter into chemical reactions in the body
A student is rushed to the school health clinic because of a nosebleed. The towel being held to the student's nose is saturated with blood. When the towel is removed, the bleeding continues in large quantities and is deep red
Which is the priority for the nurse to determine during the assessment process? 1) Whether the classroom environment is particularly dry 2) History of sinusitis symptoms or exposure 3) History of trauma before the onset of bleeding 4) Family history of nosebleeds