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.
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Related Questions
Correct Answer is C
Explanation
A. Propranolol does not typically elevate potassium levels, and salt supplements are not contraindicated.
B. Yellow or blurred vision is not commonly associated with propranolol use but with digoxin toxicity.
C. Abrupt discontinuation of propranolol can lead to rebound hypertension, tachycardia, or exacerbation of angina, so it should be tapered off under medical supervision.
D. Grapefruit juice does not significantly interact with propranolol.
Correct Answer is A
Explanation
A. Lithium is a mood stabilizer commonly used to treat acute mania and stabilize mood in bipolar disorder.
B. Diazepam (Valium) is a benzodiazepine used for anxiety, not for acute mania.
C. Bupropion (Wellbutrin) is an antidepressant that is not typically used for treating mania.
D. Paroxetine (Paxil) is an antidepressant, and while it may be used for depression, it is not indicated for treating acute mania.
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