While giving discharge instructions to a patient who will be ...

[bb]

While giving discharge instructions to a patient who will be taking cholestyramine Questran, the nurse wants to assess the patient's understanding of the treatment.
 
  Which statement made by the patient best demonstrates a need for additional teaching? a. I will take cholestyramine Questran 1 hour before my other medications.
  b. I will increase fluids and fiber in my di-et.
  c. I will weigh myself weekly.
  d. I will have my blood pressure checked weekly.

Question 2

A patient is diagnosed with a lung infection caused by P. aeruginosa. The culture and sensitivity report shows sensitivity to all aminoglycosides. The nurse knows that the rate of resistance to gentamicin is common in this hospital.
 
  The nurse will expect the provider to order which medi-cation? a. Amikacin Amikin
  b. Gentamicin
  c. Paromomycin
  d. Tobramycin

[nyrave]

Answer to Question 1

C
Patients need not weigh themselves weekly when taking cholestyramine. Cholestyramine should be taken at least 1 hour before other medications. When taken with other medications, cholesty-ramine can inhibit the absorption of the other drugs. Constipation is the principal complaint with cholestyramine. It can be minimized by increasing dietary fiber and fluids. Regular blood pres-sure checks are a good idea. The patient is taking cholestyramine because of high cholesterol, which contributes to hypertension.

Answer to Question 2

A
When resistance to gentamicin and tobramycin is common, amikacin is the drug of choice for initial treatment of aminoglycoside-sensitive infections. Gentamicin would not be indicated, be-cause resistance is more likely to develop. Paromomycin is used only for local effects within the intestine and is given orally. Tobramycin is not indicated, because organisms can more readily develop resistance.

[bb]

Excellent

TYSM