A nurse is teaching a patient who is about to begin drug therapy with orlistat [Xenical]. The patient, whose BMI is 28, has hypertension and type 2 diabetes mellitus. Which statement by the patient indicates understanding of the teaching?
a. "Dark urine and light-colored stools are expected side effects with this drug."
b. "I should stop taking this drug once my blood pressure and serum glucose have stabilized."
c. "I will need to take a multivitamin con-taining fat-soluble vitamins every day."
d. "If I have fatty or oily stools or fecal in-continence I should stop taking this drug."
C
Because orlistat works by reducing fat absorption, fat-soluble vitamins are not absorbed as well. Patients should take a multivitamin containing vitamins A, D, E, and K. The increased fat is lost in stools, resulting in fatty, oily stools and fecal incontinence. These are expected side effects but are not dangerous and can be managed with bulk-forming laxatives. Orlistat is used for long-term weight loss and should be given up to 2 years to sustain weight loss. Dark urine and light-colored stools indicate possible liver damage and the need to discontinue the drug until liver damage has been ruled out.
You might also like to view...
The component of the peripheral nervous system (PNS) that carries the impulse to the central nervous system (CNS) is the ____________ impulse
Fill in the blank(s) with correct word
When people express anxiety through physical symptoms, they are experiencing:
A) Compensation B) Conversion C) Regression D) Introjection
Andy has a persistent cough. Which property of cough-and-cold remedies would help?
A. antitussive 1 B. sedative C. decongestant D. antipyretic
A peace officer may take a person into custody without a warrant if the officers has reason to believe that the person has a mental illness, there is substantial risk of serious harm to the person or others unless the person is immediately restrained, or
a. a magistrate orders the custody. b. the county judge verbally agrees that custody is in the best interest of the patient. c. the sheriff consents to the custody. d. there is not sufficient time to obtain a warrant.