A nurse is caring for a client who has hyperlipidemia and a 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 known adverse effect of colesevelam. It is primarily used to lower cholesterol levels and does not significantly impact blood glucose levels.
Choice B rationale
Stomatitis, or inflammation of the mouth, is not commonly associated with colesevelam use. Adverse effects typically involve the gastrointestinal tract.
Choice C rationale
Fever is not a typical adverse effect of colesevelam. The medication mainly affects the digestive system and does not commonly cause systemic symptoms like fever.
Choice D rationale
Colesevelam can cause constipation by binding bile acids in the intestines, which may reduce bowel movements and lead to gastrointestinal discomfort. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale
Muscle weakness is a classic sign of hypokalemia, resulting from decreased neuromuscular excitability. Normal serum potassium levels range from 3.5 to 5.0 mEq/L, with hypokalemia typically defined as levels below 3.5 mEq/L.
Choice B rationale
Hyperactive bowel sounds are more indicative of hyperkalemia due to increased gastrointestinal motility. Hypokalemia generally results in diminished bowel sounds and constipation due to decreased gastrointestinal motility.
Choice C rationale
Tingling of fingers, or paresthesia, is a symptom of hypokalemia affecting the neuromuscular system. The altered potassium levels affect nerve function, leading to sensations such as tingling or numbness.
Choice D rationale
Peaked T waves are a hallmark sign of hyperkalemia, reflecting increased cardiac excitability. Hypokalemia typically presents with flattened or inverted T waves and the presence of U waves on an ECG.
Choice E rationale
Fatigue is a non-specific but common sign of hypokalemia. The reduced potassium levels impair muscle function and cellular processes, leading to generalized weakness and fatigue. .
Correct Answer is D
Explanation
Choice A rationale
Asthma is a respiratory condition affecting airways, not directly related to sumatriptan contraindications. Sumatriptan's primary concern is vascular effects, not respiratory involvement. Normal peak expiratory flow rates: 400-600 L/min.
Choice B rationale
Kidney disease impairs excretion and drug metabolism, but sumatriptan metabolism mainly occurs in the liver, not kidneys. Normal serum creatinine: 0.5-1.2 mg/dL.
Choice C rationale
Rheumatoid arthritis affects joints and immune response. Sumatriptan contraindications focus on vascular effects, unrelated to rheumatoid arthritis. Normal rheumatoid factor: less than 15 IU/mL.
Choice D rationale
Coronary artery disease involves narrowed blood vessels, increasing risk of vasospasm from sumatriptan. Normal blood pressure: 120/80 mmHg. Contraindications: ischemic heart disease, stroke history.
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