A nurse is educating a patient with binge eating disorder and morbid obesity who has been prescribed orlistat. Which of the following statements, if made by the patient, would indicate that they understand the teaching?
I will stop taking orlistat and call my doctor if my urine gets darker in color.
I will take my dose of orlistat every morning an hour before breakfast.
I will feel less hungry during meals while I am taking orlistat.
I will eat a no-fat diet to prevent side effects from the medication.
The Correct Answer is A
Choice A rationale
Orlistat works by inhibiting the absorption of dietary fats in the body, which are then excreted in the stool. One of the side effects of this process can be changes in bowel habits, including an increase in the frequency of bowel movements and an oily discharge. Dark urine can be a sign of liver damage, which is a rare but serious side effect of orlistat. Therefore, if a patient notices their urine getting darker in color while taking orlistat, they should stop taking the medication and call their doctor immediately.
Choice B rationale
Orlistat should be taken with a meal that contains fat, not necessarily before breakfast. If a meal is missed or contains no fat, the dose of orlistat should be skipped.
Choice C rationale
Orlistat does not directly affect hunger signals or the feeling of fullness. It works in the digestive system to block about one-third of the fat in the food you eat from being digested.
Choice D rationale
While it’s important to maintain a balanced, reduced-calorie diet while taking orlistat, a no-fat diet is not recommended. Orlistat works by blocking the absorption of some of the fat from meals. If a meal contains no fat, there is no fat for orlistat to block.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The patient has the right to withdraw their informed consent at any time, even after signing the consent form. This is a fundamental principle of patient autonomy and respect for the individual’s rights. The nurse should respect the patient’s decision and notify the surgeon that the patient wishes to withdraw informed consent for the procedure. This allows the healthcare team to reassess the situation, provide further information if necessary, and make appropriate adjustments to the care plan.
Choice B rationale
While informing the surgical team to cancel the surgery might be a subsequent step, it is not the immediate action the nurse should take. The first action should be to respect the patient’s autonomy and communicate their decision to the surgeon.
Choice C rationale
Proceeding with the preparation of the patient for the surgical procedure against their expressed wishes would be a violation of the patient’s rights. It is essential to respect the patient’s autonomy and their right to make decisions about their own healthcare.
Choice D rationale
Reminding the patient that a signed informed consent form is a legally binding document is incorrect. Informed consent is not a contract, and the patient has the right to withdraw consent at any time. The purpose of informed consent is to ensure that the patient understands the procedure, its risks and benefits, and alternatives, and makes an informed decision.
Correct Answer is D
Explanation
Choice A rationale
Glucocorticoid medications are not typically used in the treatment of diabetic ketoacidosis (DKA). These medications can actually increase blood glucose levels, which would not be beneficial in a situation where blood glucose is already significantly elevated.
Choice B rationale
Dextrose 5% in 0.45% sodium chloride is not typically used in the initial treatment of DKA. This solution contains glucose, which would add to the already high blood glucose levels in DKA5.
Choice C rationale
Oral hypoglycemic medications are not typically used in the treatment of DKA. These medications are generally used in the management of type 2 diabetes. In DKA, which is more common in type 1 diabetes, insulin is usually required to lower blood glucose levels.
Choice D rationale
A 0.9% sodium chloride IV bolus is often part of the initial treatment for DKA. This helps to replace the fluid lost through excessive urination, a common symptom of DKA5.
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