The nurse is providing patient education to a group of obese patients. To minimize the risk of vitamin deficiency in patients taking orlistat (Xenical), the nurse should instruct the patients to
a. take Metamucil to reduce the GI effects of orlistat.
b. take a daily multivitamin 2 hours before or after taking orlistat.
c. eat vitamin-rich foods at the same time orlistat is taken.
d. take a daily multivitamin at the same time orlistat is taken.
ANS: B
In reducing fat absorption, orlistat can reduce the absorption of fat-soluble vitamins. To avoid deficiency, patients should take a daily multivitamin supplement 2 hours before or after taking orlistat.
The question does not concern minimization of GI effects, and Metamucil will not accomplish this.
If vitamin-rich foods are eaten at the same time orlistat is taken, the drug would also absorb those nutrients.
Taking a daily multivitamin at the same time as orlistat is not appropriate, because it would not be absorbed.
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