The nurse is preparing instructions for a client with a new prescription for colesevelam [Welchol]. Which of the following will the nurse include in medication teaching?
Diarrhea is a common side effect.
Take with a multivitamin.
Dosage can be repeated every 2 to 4 hours as desired with meals.
Take at least 4 hours after other medications.
The Correct Answer is D
A. Constipation, not diarrhea, is a more common side effect of colesevelam.
B. Although colesevelam may interfere with the absorption of fat-soluble vitamins, this is not the priority teaching point.
C. Colesevelam should be taken as prescribed, not repeatedly within short intervals.
D. Colesevelam can interfere with the absorption of other medications; therefore, it should be taken at least 4 hours after other medications to avoid interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased activity tolerance is a sign of improved red blood cell production and better management of iron-deficiency anemia.
B. Ferrous sulfate does not directly affect blood glucose levels.
C. Ferrous sulfate does not impact low density lipoprotein (LDL) levels.
D. Increased urinary output is not a therapeutic effect of ferrous sulfate.
Correct Answer is D
Explanation
A. Adding another drug is premature; fluoxetine may need more time to show effects.
B. While some antidepressants may show effects in 1-3 weeks, fluoxetine typically requires a full 4-6 weeks to demonstrate its therapeutic effects.
C. Switching to another antidepressant after only one week may be premature; fluoxetine often takes longer to be effective.
D. Antidepressants like fluoxetine generally take 4-6 weeks to show significant effects, so patience is necessary for the medication to reach its full potential.
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