Which finding for a patient who has been taking orlistat (Xenical) is most important to report to the health care provider?
a. The patient frequently has liquid stools.
b. The patient is pale and has many bruises.
c. The patient complains of bloating after meals.
d. The patient is experiencing a weight loss plateau.
b. The patient is pale and has many bruises.
Because orlistat blocks the absorption of fat-soluble vitamins, the patient may not be receiving an adequate amount of vitamin K, resulting in a decrease in clotting factors. Abdominal bloating and liquid stools are common side effects of orlistat and indicate that the nurse should remind the patient that fat in the diet may increase these side effects. Weight loss plateaus are normal during weight reduction.
You might also like to view...
A patient experienced a mild infusion reaction when amphotericin B was administered yesterday. What can the nurse do to decrease the next day's infusion reaction?
a. Administer meperidine 4 hours before the infusion. b. Pretreat the patient with acetaminophen. c. Administer dexamethasone simultaneously with the drug. d. Administer diphenhydramine after the infusion.
With regard to rubella and Rh issues, nurses should be aware that:
a. Breastfeeding mothers cannot be vaccinated with the live attenuated rubella virus. b. Women should be warned that the rubella vaccination is teratogenic and that they must avoid pregnancy for 1 month after vaccination. c. Rh immune globulin is safely administered intravenously because it cannot harm a nursing infant. d. Rh immune globulin boosts the immune system and thereby enhances the effec-tiveness of vaccinations.
The nurse explains to a preoperative class of six clients awaiting surgery that studies indicate the primary benefit of the class is to
a. distribute information to the most individuals in a short time. b. explain legal responsibilities. c. promote a less complicated postoperative course. d. provide uniform information.
A nursing instructor is explaining to a group of nursing students that in addition to facing the stigma associated with being mentally ill, forensic clients who are mentally ill also experience the stigma associated with being a criminal
One of the students asks the instructor how the stigma associated with criminality might influence nursing care. Which response by the instructor would be most appropriate? A) "Nurses may be reluctant to care for mentally ill criminals because of unrealistic fears for their own safety and that of their other clients." B) "Nurses may prefer to care for forensic clients because they do not believe criminals can be mentally ill." C) "An example would be volunteering to work only with forensic clients because of the belief that forensic clients experience only mild mental health problems." D) "An example would be unfounded fear of what such clients might do after they are discharged from treatment."