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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. A patient who has streptococcal pharyngitis B. A patient who has scabies C. A patient who has measles D. A patient who has pertussis

Correct Answer is C

Explanation

Choice A rationale

Streptococcal pharyngitis, also known as strep throat, is a bacterial infection that causes inflammation and pain in the throat. This condition is spread through respiratory droplets, not through the air, and does not require airborne precautions.

Choice B rationale

Scabies is caused by a mite infestation, not an airborne pathogen. It is spread through direct skin-to-skin contact and does not require airborne precautions.

Choice C rationale

Measles is a highly contagious virus that lives in the nose and throat mucus of an infected person. It can spread to others through coughing and sneezing, and the measles virus can live for up to two hours in an airspace where the infected person coughed or sneezed. Therefore, a patient with measles requires airborne precautions.

Choice D rationale

Pertussis, also known as whooping cough, is a highly contagious respiratory disease caused by the bacterium Bordetella pertussis. It spreads through close contact with respiratory droplets when an infected person coughs or sneezes. It is typically managed with droplet precautions, not airborne precautions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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