The nurse is assessing a patient who reports taking cholestyramine (Questran) mixed with diet cola twice per day. What is an appropriate nursing diagnosis for this patient?
A) Acute pain related to central nervous system and GI effects
B) Constipation related to GI effects
C) Noncompliance related to how the drug is taken
D) Deficient knowledge regarding drug therapy
D
Feedback:
Cholestyramine should be mixed with water or other noncarbonated fluids so the nurse now recognizes the need for medication teaching and chooses the nursing diagnosis related to deficient knowledge. Nothing in this question indicates that the patient is experiencing any adverse effects from the drug so that pain and constipation would not be optimal nursing diagnoses. Until the nurse assesses the patient's understanding of how to take the drug, it would be incorrect to assume noncompliance when it may actually be lack of understanding.
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