A 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 will need to take supplements of fat-soluble vitamins."
D
Colesevelam [Welchol] does not reduce absorption of fat-soluble vitamins as do other bile acid sequestrants, so supplements are not needed. Colesevelam reduces the LDL cholesterol level, which is one of its therapeutic uses. Colesevelam augments statin therapy. Colesevelam does not significantly interact with or reduce the absorption of statins, digoxin, warfarin, or most other drugs.
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