A patient who has been prescribed orlistat (Alli) for control of obesity has ordered dry toast, jelly, and orange juice for breakfast. What adjustment should the nurse make, if any, in the dose of orlistat?
1. Reduce the dose by half
2. Hold the pre-breakfast dose
3. Double the pre-breakfast dose
4. Give the normal dose
2
Rationale 1: The dose will not be reduced by half.
Rationale 2: Orlistat should be held if the meal does not contain fat.
Rationale 3: The dose should not be doubled.
Rationale 4: An adjustment of dose is necessary.
Global Rationale: Orlistat should be held if the meal does not contain fat. The dose will not be reduced by half or doubled. The normal dose will not be given.
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