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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 ["A","F"]

Explanation

Choice A rationale

Thrombocytopenia, a low platelet count, increases the risk of bleeding and hemorrhage when receiving heparin.

Choice B rationale

Neutropenia, a low white blood cell count, does not directly increase the risk of hemorrhage. It is more related to infection risk.

Choice C rationale

Hypokalemia, low potassium levels, does not directly indicate a risk for hemorrhage. It can cause other complications but not specifically bleeding.

Choice D rationale

Fever is not a direct indicator of hemorrhage risk. It may indicate infection or other inflammatory processes.

Choice E rationale

Hyperglycemia, high blood sugar levels, does not indicate a risk for hemorrhage. It is more related to diabetes management.

Choice F rationale

Dark stools can indicate gastrointestinal bleeding, which is a sign of hemorrhage.

Correct Answer is C

Explanation

Choice A rationale

Crushing hydroxychloroquine tablets can alter the drug’s release and absorption, potentially leading to suboptimal therapeutic effects or increased side effects.

Choice B rationale

Discontinuing hydroxychloroquine when symptoms subside can lead to a flare-up of rheumatoid arthritis symptoms. It is important to continue the medication as prescribed to maintain disease control.

Choice C rationale

Regular eye exams are necessary while taking hydroxychloroquine because the medication can cause retinal toxicity, which can lead to vision changes or loss if not monitored and managed appropriately.

Choice D rationale

Taking a double dose of hydroxychloroquine can increase the risk of side effects and toxicity. It is important to take the medication as prescribed and not to double up on doses.

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