Author Question: The nurse is preparing to teach the patient about diet therapy when beginning bile sequestrant ... (Read 33 times)

imanialler · **on:** Jul 23, 2018

The nurse is preparing to teach the patient about diet therapy when beginning bile sequestrant medication to lower lipid levels. What important teaching point will the nurse include in the teaching plan?

A) Increasing carbohydrate intake
B) Reducing protein intake
C) Increasing fiber intake
D) Reducing fluid intake

Question 2

The nurse is caring for a patient in the intensive care unit who has been receiving neuromuscular junction (NMJ) blockers, sedatives, and analgesics for the past 2 weeks.

The NMJ blocker therapy has been discontinued and the other medications are being reduced gradually. The patient is now alert and awake, communicating with his or her family by using paper and pencil. The family asks why the patient cannot sustain normal respirations. What is the nurse's best response? (Select all that apply.) A) His or her muscles need to get their strength back again.
B) This is a common occurrence in situations like this.
C) He or she is likely to breathe better each day.
D) The drugs created temporary muscle damage.
E) He or she will not be taken off the mechanical ventilator until he is ready.

stanleka1 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
The nurse would want to teach this patient to increase fiber intake to avoid constipation that often occurs with this medication. Protein intake does not need to be reduced, but the patient should be taught to avoid fatty protein and instead meet protein needs with vegetable proteins, fish, and lean poultry. Carbohydrate intake should be reduced if weight loss is needed, otherwise no change is needed. Fluid intake should be maintained or increased if there are no diagnoses that would contraindicate fluid intake to help avoid constipation.

Answer to Question 2

A, B, C, E
Feedback:
After 2 weeks of muscle paralysis, the muscles are weak and will take time to strengthen as the patient begins using them again. Profound and prolonged muscle paralysis is always possible; patients must be supported until they are able to resume voluntary and involuntary muscle movement. When the respiratory muscles are paralyzed, depressed respiration, bronchospasm, and apnea are anticipated adverse effects so the patient will remain ventilated until he or she can demonstrate adequate respiratory effort. The drugs did not damage the muscle, but lack of use has weakened them.