A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Depression screening.
Daily calorie count.
Body mass index (BMI).
Serum protein levels.
The Correct Answer is C
Choice A Reason:
Depression screening is important for overall health and well-being, especially in weight management programs where mental health can significantly impact outcomes. However, it is not the primary measure for determining the effectiveness of orlistat. Orlistat works by inhibiting the absorption of fats from the diet, leading to weight loss. Therefore, while mental health monitoring is crucial, it does not directly measure the medication’s effectiveness.
Choice B Reason:
Daily calorie count is a useful tool in weight management programs to ensure that clients are adhering to a calorie-restricted diet. However, it is not a direct measure of the effectiveness of orlistat. While calorie counting can help manage weight, the primary goal of orlistat is to reduce fat absorption, which is better reflected in changes in body weight and BMI.
Choice C Reason:
Body mass index (BMI) is a key indicator of weight management and is directly related to the effectiveness of orlistat. BMI is calculated based on height and weight, providing a clear measure of changes in body weight over time. Monitoring BMI helps determine if the client is losing weight as expected, making it the most appropriate assessment for evaluating the effectiveness of orlistat.
Choice D Reason:
Serum protein levels are important for assessing nutritional status and overall health. However, they do not directly measure the effectiveness of orlistat in a weight management program. Orlistat’s primary function is to reduce fat absorption, and its effectiveness is better assessed through changes in body weight and BMI rather than serum protein levels.
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View Related questions
Correct Answer is A
Explanation
Choice A reason:
Rinsing the mouth with water after using an inhaler, especially one containing corticosteroids, is crucial to prevent oral thrush (a fungal infection) and reduce irritation in the mouth and throat. This practice helps maintain oral hygiene and ensures the medication does not linger in the mouth, which can cause side effects.
Choice B reason:
Using the inhaler during meals to mask the taste of the medication is not recommended. Inhalers should be used as prescribed, and the technique should not be altered to mask the taste. Proper inhaler technique is essential for the medication to reach the lungs effectively.
Choice C reason:
Limiting caffeinated beverages to two cups per day is generally good advice for overall health, but it is not directly related to the use of an inhaler. Caffeine can sometimes exacerbate symptoms of asthma or other respiratory conditions, but this is not a primary instruction for inhaler use.
Choice D reason:
Using the inhaler before bed at night may be part of a prescribed regimen, but it is not a general instruction that indicates understanding of inhaler use. The timing of inhaler use should follow the healthcare provider’s instructions, which may vary depending on the medication and the individual’s condition.
Correct Answer is C
Explanation
Choice A Reason:
Checking for the correct placement of the patch behind the client’s ear is important to ensure proper administration of the medication. However, this action does not address the client’s concern about pain relief. Scopolamine is used to prevent nausea and vomiting, not to manage pain. Therefore, while correct placement is necessary, it does not explain why the client is still experiencing pain.
Choice B Reason:
Offering to apply a new transdermal patch to relieve the pain is not appropriate because scopolamine is not intended for pain relief. Applying a new patch would not address the client’s pain and could lead to unnecessary medication use. The nurse should clarify the purpose of the medication instead.
Choice C Reason:
Explaining that the medication is not given to prevent pain is the correct action. Scopolamine is an anticholinergic medication used to prevent nausea and vomiting associated with motion sickness and recovery from anesthesia. It is not an analgesic and does not provide pain relief. The nurse should inform the client about the intended use of the medication and address pain management separately.
Choice D Reason:
Advising the client that the effects of the medication have worn off is incorrect. Scopolamine patches are designed to release medication over a period of up to 72 hours. The effects would not wear off within a few hours. This statement does not address the client’s misunderstanding about the purpose of the medication.