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A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam. The nurse should monitor the client for which of the following manifestations as an adverse effect of colesevelam?

A.

Hyperglycemia.

B.

Stomatitis.

C.

Fever.

D.

Constipation.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Hyperglycemia is not a common adverse effect of colesevelam. Colesevelam is primarily used to lower cholesterol levels and can also help control blood sugar levels in patients with type 2 diabetes.

 

Choice B rationale

 

Stomatitis, or inflammation of the mouth, is not typically associated with colesevelam. This medication works in the intestines and is not absorbed into the bloodstream, so it does not commonly cause systemic side effects.

 

Choice C rationale

 

Fever is not a known adverse effect of colesevelam. The medication’s side effects are generally limited to the gastrointestinal system.

 

Choice D rationale

 

Constipation is a common adverse effect of colesevelam. This medication binds to bile acids in the intestines, which can lead to gastrointestinal side effects such as constipation.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Experiencing a rash while taking allopurinol is not harmless. It can be a sign of a serious allergic reaction, such as Stevens-Johnson syndrome or toxic epidermal necrolysis.

Choice B rationale

Increasing fluid intake is crucial when taking allopurinol. It helps to prevent kidney stones and ensures that uric acid is effectively excreted from the body.

Choice C rationale

Increasing dietary fiber intake is not specifically related to the use of allopurinol. While fiber is beneficial for overall health, it does not directly impact the effectiveness or safety of allopurinol.

Choice D rationale

Taking one dose every hour until the pain subsides is incorrect and dangerous. Allopurinol should be taken as prescribed by a healthcare provider, typically once or twice daily.

Correct Answer is B

Explanation

Choice A rationale

Weight gain is not a common side effect of pramlintide. Monitoring for hypoglycemia is more critical.

Choice B rationale

Pramlintide can cause hypoglycemia, especially within 3 hours after administration. Monitoring for hypoglycemia is essential.

Choice C rationale

Pramlintide should be injected into the abdomen or thigh, not the upper arm.

Choice D rationale

Pramlintide should be administered immediately before a meal, not 30 minutes prior.

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