Which statement by a patient about to begin taking orlistat [Xenical] for weight loss therapy indicates an understanding of this drug's actions?
a. "I can eat as much as I want and still lose weight."
b. "I should avoid fat-soluble vitamin sup-plements while taking this drug."
c. "If I take a bulk-forming laxative, I can reduce the incidence of fecal inconti-nence."
d. "If I take the drug 4 times daily instead of twice daily, I will lose weight faster."
C
Because orlistat reduces fat absorption, stools often are fatty or oily, and fecal incontinence can occur. Bulk-forming laxatives can help with this side effect. For orlistat to be effective, patients still need to adopt a reduced-calorie diet with a 30% fat content. Patients should take fat-soluble vitamin supplements to replace those lost in stools. Taking the drug more often does not increase weight loss.
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The nurse is assessing a client with a history of heart failure. What priority question assists the nurse to assess the client's activity level?
a. "Do you have trouble breathing or chest pain?" b. "Are you able to walk upstairs without fatigue?" c. "Do you awake with breathlessness during the night?" d. "Do you have new-onset heaviness in your legs?"
The recommended carbohydrate content of total dietary intake (% total calories) is ____%
Fill in the blank(s) with correct word
On the third week of hospitalization following a spinal cord injury, an adolescent calls you because his face is bright red, and he is sweating profusely. Your first action for him would be to
A) administer mouth-to-mouth resuscitation. B) lower his head to increase cerebral circulation. C) massage his lower extremities to cause vasodilation. D) assess if his retention catheter is blocked.
In orienting new staff nurses to a pediatric intensive care unit, the nurse manager asks the staff nurses to answer the following question: "What is an important consideration in providing information to parents of a critically ill child?"
a. Making sure that they receive complete information during each encounter with a member of the nursing staff b. Assessing parents' preferences for the amount of information desired c. Allowing parents to observe key aspects of their child's nursing care d. Making sure that patient education brochures explaining ICU protocols are readily available