The nurse is engaged in patient teaching about a newly prescribed ...

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The nurse is engaged in patient teaching about a newly prescribed bile acid sequestrant that may be mixed with a carbonated beverage. What bile acid sequestrant is the nurse describing?
 
  A) Cholestyramine (Questran)
  B) Colesevelam (Welchol)
  C) Colestipol (Colestid)
  D) Ezetimibe (Zetia)

Question 2

The nurse instructs the patient with a new prescription to treat hyperthyroidism and includes the importance of regular lab studies to monitor for bone marrow suppression, which can be an adverse effect of this drug.
 
  What drug is the nurse teaching the patient about? A) Methimazole (Tapazole)
  B) Propylthiouracil (PTU)
  C) Sodium iodide I131 (Generic)
  D) Potassium iodide (Thyro-Block)

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Answer to Question 1

C
Feedback:
Colestipol can be mixed with a carbonated beverage. The mixture should be stirred and all of the liquid should be swallowed. Ezetimibe is a cholesterol absorption inhibitor and comes in tablet form. The other two options are bile acid sequestrants, but should not be taken with carbonated beverages. The carbonation interferes with the absorption of the drug.

Answer to Question 2

A
Feedback:
Methimazole is associated with bone marrow suppression, so the patient using this drug must have frequent blood tests to monitor for this effect. Propylthiouracil is associated with GI effects. The most common adverse effect of sodium iodide I131 and potassium iodide is hypothyroidism. Other effects of these two drugs include metallic taste and burning in the mouth, sore teeth and gums, diarrhea, cold symptoms, stomach upset, stained teeth, rash, and the development of goiter.

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