Which nutritional concept(s) is/are necessary to provide to patients receiving colestipol? (Select all that apply.)
a. Take on an empty stomach to enhance absorption.
b. Whole grains, raw fruits, and vegetables will minimize constipation.
c. Drink eight to ten 8-ounce glasses of water daily to eliminate dehydration that results from frequent loose stools.
d. Report signs of vitamin K deficiency, including bleeding gums, dark tarry stools, and coffee-ground emesis.
e. Supplemental fat soluble vitamins may be necessary.
ANS: B, D, E
Adequate fluid and fiber in the diet will help prevent constipation, as well as additional expected GI adverse effects. High doses of resins may reduce absorption of fat soluble vitamins; this interaction is not usually significant in normally nourished patients. If these severe symptoms appear, they should be reported to the health care provider. Patients who are taking bile acid-sequestering resins may require supplemental fat soluble vitamin therapy (A, D, E, K). The recommended time of administration is with meals, but this may be modified to avoid interference with absorption of other medications. Constipation is a more likely adverse effect than loose stools.
You might also like to view...
The nurse is assessing the tympanic membrane of a client and notes the presence of a darkened area. Based on this assessment data, which does the nurse suspect?
1. Acute otitis media. 2. Recent trauma. 3. Blocked Eustachian tubes. 4. History of frequent middle ear infections.
Which of the following statements best describes full thickness burns?
a. They usually heal within 5 to 10 days without scarring. b. They are essentially the same as a first-degree burn and are very painful. c. They involve the epidermis, dermis, and extend into subcutaneous tissues. d. The skin is moist, bright red, painful, and extremely sensitive to cold air.
The nurse is assessing a client's right lower extremity and notes an area of redness. Which part of the hand will the nurse use to further assess the client's skin?
A. Ulnar surface. B. Metacarpophalangeal joints. C. Dorsal surface. D. Fingertips.
What relationship does Ca have to serum albumin?