A client is starting cholestyramine therapy for the treatment of hyperlipidemia. When teaching the client about possible adverse reactions, which of the following would the nurse include? Select all that apply
A) Diarrhea
B) Malabsorption of vitamin K
C) Aggravation of hemorrhoids
D) Flatulence
E) Myopathy
Ans: B, C, D
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Adverse reactions reported with the use of bile acid resins, such as cholestyramine, include constipation (that can become severe), aggravation of hemorrhoids, abdominal cramps, flatulence, nausea, increased bleeding related to vitamin K malabsorption, and vitamin A and D deficiencies.
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An older patient is prescribed a thiazide diuretic as treatment for mild right heart failure. Which herbal supplements should the nurse instruct the patient to avoid while taking this medication? (Select all that apply.)
A) Green tea B) Kava-kava C) White willow D) Cascara sagrada E) Aloe barbadensis
A patient has returned to the unit after having a parathyroidectomy. What drug is kept at the bedside for emergency use?
A) Digitalis B) Ergocalciferol C) Amphojel D) Calcium gluconate
Work breaks serve very little purpose and should be omitted in times when there is a nursing shortage
Indicate whether the statement is true or false
A client at 39 weeks' gestation was assessed 2 hours ago as being 3 cm dilated, 40% effaced, and +1 station and experienced contractions every 5 minutes with duration 40 seconds and intensity 50 mmHg
Currently, the client is 4 cm dilated, 40% effaced, and +1 station with frequency of contractions every 3 minutes with 40 to 50 seconds' duration with intensity of 40 mmHg. What action should the nurse make a priority at this time? 1. Start oxygen at 8 L/min. 2. Give terbutaline to stop the preterm labor. 3. Have anesthesia provider give the client an epidural. 4. Begin oxytocin after assessing for cephalopelvic disproportion (CPD).