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 C
Explanation
Choice A rationale
Celery sticks are safe to consume while on a monoamine oxidase inhibitor (MAOI) medication. They do not contain tyramine, which can cause a hypertensive crisis if consumed while taking an MAOI8.
Choice B rationale
Sliced apples are also safe to consume while on an MAOI medication. They do not contain tyramine.
Choice C rationale
Bologna sandwiches should be avoided while on an MAOI medication. Bologna is a type of processed meat that can be high in tyramine.
Choice D rationale
A glass of whole milk is safe to consume while on an MAOI medication. It does not contain high levels of tyramine.
Correct Answer is A
Explanation
Choice A rationale
Negligence refers to conduct that falls below the standard established by law for the protection of others against unreasonable risk of harm. A nurse leaving her shift early without notifying the charge nurse could be considered negligent if it results in harm to a patient.
Choice B rationale
Battery refers to the intentional and offensive or harmful touching of another person without their consent. This does not apply to the scenario provided.
Choice C rationale
Slander involves making false spoken statements that damage a person’s reputation. This does not apply to the scenario provided.
Choice D rationale
Libel involves making false written statements that damage a person’s reputation. This does not apply to the scenario provided.
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