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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 E

Explanation

Choice A rationale

Hypercalcemia is not typically a risk in the emergency department unless the patient has a specific condition that causes elevated calcium levels.

Choice B rationale

Hypotension can occur in the emergency department, especially in cases of shock or severe dehydration, but it is not the most common risk.

Choice C rationale

Hypokalemia can occur, particularly in patients with certain medical conditions or those taking diuretics, but it is not the most common risk.

Choice D rationale

Hypernatremia can occur, especially in patients with dehydration or certain medical conditions, but it is not the most common risk.

Choice E rationale

Hypoglycemia is a common risk in the emergency department, especially in patients with diabetes or those who have not eaten for an extended period.

Correct Answer is ["C","E"]

Explanation

Choice A rationale

Monitoring glucose levels is not typically necessary for patients receiving gentamicin, as it does not significantly affect glucose metabolism.

Choice B rationale

Prothrombin time is not commonly affected by gentamicin, so routine monitoring is not required.

Choice C rationale

Serum creatinine levels should be monitored to assess kidney function, as gentamicin can cause nephrotoxicity.

Choice D rationale

Cardiac enzymes are not typically affected by gentamicin, so routine monitoring is not necessary.

Choice E rationale

Monitoring WBC count is important to detect any signs of infection or bone marrow suppression, which can occur with gentamicin use.

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