The nurse is providing patient education about colesevelam (Welchol), a bile acid sequestrant. Which statement made by the patient demonstrates a need for further teaching?
a. "Colesevelam will reduce my levels of low-density lipoprotein."
b. "Colesevelam will augment my statin drug therapy."
c. "I will not have to worry about having as many drug interactions as I did when I took cholestyramine."
d. "I may have diarrhea when taking colesevelam."
ANS: D
Colesevelam does not cause diarrhea, but it could predispose the patient to abdominal bloating, flatulence, and cramping.
Colesevelam reduces the LDL level, which is one of its therapeutic uses; no further teaching is needed.
Colesevelam augments statin therapy; no further teaching is needed.
Colesevelam does not significantly interact with or reduce the absorption of statins, digoxin, warfarin, or most other drugs; no further teaching is needed.
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