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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

Repeating up to four doses until pain is relieved is incorrect. The correct instruction is to take one tablet at the onset of pain and repeat every 5 minutes if needed, up to a maximum of three tablets in 15 minutes.

Choice B rationale

Storing unused tablets at room temperature is correct. Nitroglycerin tablets should be stored in their original container at room temperature, away from moisture and heat.

Choice C rationale

Taking two tablets at the onset of pain is incorrect. The correct instruction is to take one tablet at the onset of pain and repeat every 5 minutes if needed, up to a maximum of three tablets in 15 minutes.

Choice D rationale

Taking the medication two hours prior to exercise is incorrect. Nitroglycerin should be taken 5 to 10 minutes before an activity that may cause chest pain.

Correct Answer is C

Explanation

Choice A rationale

Metoclopramide is not used to suppress cough. It is primarily used to treat nausea, vomiting, and gastroparesis.

Choice B rationale

Metoclopramide does not have a primary effect on muscle relaxation. Its main action is to increase gastrointestinal motility.

Choice C rationale

Reduced nausea is a primary outcome for evaluating the effectiveness of metoclopramide. It is commonly prescribed to manage nausea and vomiting.

Choice D rationale

Metoclopramide is not typically used to decrease pain. Its primary indications are related to gastrointestinal symptoms.

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