A client is prescribed a bile acid resin and has been taking this therapy long term. The primary health care provider has prescribed vitamins A and D in water-soluble form. Which nursing diagnosis would be most likely?

Question

A) Risk for Impaired Skin Integrity
B) Constipation
C) Risk for Injury
D) Risk for Imbalanced Nutrition: Less Than Body Requirements

Answer 1

Ans: D
Feedback:
Bile acid resins may interfere with the digestion of fats and prevent the absorption of the fat-soluble vitamins (vitamins A, D, E, and K) and folic acid. Therefore, the nursing diagnosis of Risk for Imbalanced Nutrition: Less Than Body Requirements would be most appropriate. Adverse reactions associated with nicotinic acid such as flushing would suggest a risk for impaired skin integrity. Constipation would be associated with statin therapy. Risk for Injury may be appropriate for clients taking fibrates or statins.