A client with obesity is prescribed orlistat for weight loss. The client asks the nurse, "I understand the medication prevents digestion of fat, but what side effects does this cause?" Which of the following responses by the nurse are correct? SELECT ALL THAT APPLY

Oily stools are common, especially when excessive fat is consumed.

Many patients note having an increase of gas and flatus.

Constipation is a common side effect with this medication.

Some patients report the development of fecal incontinence.

This medication doesn't really have any side effects because you can buy it over the counter.

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: Oily stools are common, especially when excessive fat is consumed, because orlistat blocks the absorption of fat in the intestines. The undigested fat is then eliminated in the stool, making it oily, greasy, or foul-smelling.

Choice B reason: Many patients note having an increase of gas and flatus, because orlistat can also interfere with the digestion of carbohydrates and proteins, causing fermentation and gas production in the colon.

Choice C reason: Constipation is not a common side effect with this medication. In fact, orlistat may cause the opposite effect of diarrhea, as the unabsorbed fat can irritate the bowel and increase the motility.

Choice D reason: Some patients report the development of fecal incontinence, because orlistat can cause unpredictable bowel movements and difficulty in controlling the passage of stool, especially if the patient consumes a high-fat diet.

Choice E reason: This medication does have side effects, even though it can be bought over the counter. Orlistat is a prescription-strength drug that can cause serious adverse reactions, such as liver damage, kidney stones, gallbladder problems, and vitamin deficiencies. The over-the-counter version is a lower dose than the prescription one, but it still requires medical supervision and lifestyle changes.

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Correct Answer is D

Explanation

Choice A reason: This is not a correct statement because these medications do not coat the ulcer. They are not antacids or mucosal protectants, which can form a protective layer over the ulcer and neutralize the stomach acid.

Choice B reason: This is not a correct statement because these medications do not stop the acid production. They only reduce it by inhibiting the proton pump, which is responsible for secreting acid into the stomach.

Choice C reason: This is not a correct statement because these medications should be taken as prescribed, not as needed. They are not analgesics or anti-inflammatory drugs, which can relieve the pain and inflammation of the ulcer.

Choice D reason: This is a correct statement because these medications have two effects: they kill the bacteria that cause the infection and inflammation of the ulcer, and they reduce the acid production that aggravates the ulcer. This can help heal the ulcer and prevent complications.

A. You need to have your medications adjusted so you need to be admitted to the hospital for a complete workup. B. You build up too much urine in your bladder, which can cause you to get confused. C. Dehydration can cause changes that can result in confusion, so let's try to increase your fluid intake. D. Urinary tract infections are common and can cause confusion, so it's important not to urinate at night.

Correct Answer is C

Explanation

Choice A reason: This is not the best response because it is alarmist and does not address the client's concern. The nurse should not assume that the client needs to have their medications adjusted or be admitted to the hospital without further assessment.

Choice B reason: This is not the best response because it is inaccurate and does not explain the link between urine retention and confusion. The nurse should not imply that the client is causing their own confusion by not drinking enough water.

Choice C reason: This is the best response because it is accurate and educates the client on the effects of dehydration on the body. The nurse should encourage the client to drink more fluids throughout the day and offer strategies to make it easier for them to access the bathroom at night.

Choice D reason: This is not the best response because it is irrelevant and does not address the client's dehydration. The nurse should not suggest that the client has a urinary tract infection without evidence or testing. The nurse should also not discourage the client from urinating at night, as this can lead to other complications.

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A client with obesity is prescribed orlistat for weight loss. The client asks the nurse, "I understand the medication prevents digestion of fat, but what side effects does this cause?" Which of the following responses by the nurse are correct? SELECT ALL THAT APPLY

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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