A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam. The nurse should monitor the client for which of the following manifestations as an adverse effect of colesevelam?
Hyperglycemia.
Stomatitis.
Fever.
Constipation.
The Correct Answer is D
Choice A rationale
Hyperglycemia is not a common adverse effect of colesevelam. Colesevelam is primarily used to lower cholesterol levels and can also help control blood sugar levels in patients with type 2 diabetes.
Choice B rationale
Stomatitis, or inflammation of the mouth, is not typically associated with colesevelam. This medication works in the intestines and is not absorbed into the bloodstream, so it does not commonly cause systemic side effects.
Choice C rationale
Fever is not a known adverse effect of colesevelam. The medication’s side effects are generally limited to the gastrointestinal system.
Choice D rationale
Constipation is a common adverse effect of colesevelam. This medication binds to bile acids in the intestines, which can lead to gastrointestinal side effects such as constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Ipratropium inhalers can potentially increase heart rate and blood pressure, but this is not a common side effect. The concern about high blood pressure is valid but not as critical as an allergy to atropine.
Choice B rationale
Using albuterol with ipratropium is common practice for managing bronchospasm. There is no contraindication for using both medications together.
Choice C rationale
An allergy to atropine is significant because ipratropium is chemically related to atropine. This could lead to a severe allergic reaction.
Choice D rationale
There are no known interactions between ipratropium and alcohol. However, it is always best to consult with a healthcare provider regarding alcohol consumption while on medication.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
The nurse should first address the client’s elevated temperature followed by administering fluids.
So, the complete sentence would be: The nurse should first address the client’s elevated temperature followed by administering fluids.
Certainly! Let’s break down the situation and the rationale behind the priorities:
Elevated Temperature
The client’s temperature spiked significantly from 36.7°C (98.1°F) to 40.2°C (104.4°F) within a short period. This rapid increase is concerning for several reasons:
- Risk of Hyperthermia: A temperature of 40.2°C is dangerously high and can lead to hyperthermia, which can cause damage to body tissues and organs if not promptly addressed.
- Signs of Infection or Sepsis: Such a high fever could indicate a postoperative infection or sepsis, both of which require immediate attention.
- Physiological Stress: Elevated temperatures increase metabolic demands, which can exacerbate other symptoms like tachycardia (high heart rate) and hypotension (low blood pressure).
Administering Fluids
After addressing the elevated temperature, the next priority is to administer fluids. Here’s why:
- Hypotension (Low Blood Pressure): The client’s blood pressure dropped from 110/75 mm Hg to 90/60 mm Hg. This hypotension could be due to several factors, including dehydration, fever, or a systemic inflammatory response.
- Tachycardia (High Heart Rate): The client’s heart rate increased from 65/min to 125/min. This could be a compensatory mechanism for the low blood pressure or a response to the fever. Administering fluids can help stabilize the blood pressure and reduce the heart rate.
- Preventing Shock: Ensuring adequate fluid volume is crucial to prevent hypovolemic shock, which can occur if the body loses too much fluid or blood.
Immediate Actions Taken
The nurse already administered acetaminophen and applied ice packs to help reduce the fever, which are appropriate initial steps. However, continuous monitoring and additional interventions, such as fluid administration, are necessary to stabilize the client’s condition.
Summary
In summary, the nurse should first address the client’s elevated temperature to prevent potential complications from hyperthermia and then administer fluids to stabilize blood pressure and heart rate. This approach prioritizes the most immediate threats to the client’s health and ensures a comprehensive response to the symptoms presented.
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