Author Question: A patient with hyperlipidemia has a new order for colesevelam (Welchol). Which nursing action is ... (Read 56 times)

penza · **on:** Jun 25, 2018

A patient with hyperlipidemia has a new order for colesevelam (Welchol). Which nursing action is most appropriate when giving the medication?

a. Have the patient take this medication with an aspirin.
b. Administer the medication at the patient's usual bedtime.
c. Have the patient take the colesevelam with a sip of water.
d. Give the patient's other medications 2 hours after the colesevelam.

Question 2

A patient who is recovering from an acute myocardial infarction (AMI) asks the nurse about when sexual intercourse can be resumed. Which response by the nurse is best?

a. Most patients are able to enjoy intercourse without any complications.
b. Sexual activity uses about as much energy as climbing two flights of stairs.
c. The doctor will provide sexual guidelines when your heart is strong enough.
d. Holding and cuddling are good ways to maintain intimacy after a heart attack.

sierrahalpin · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
The bile acid sequestrants interfere with the absorption of many other drugs, and giving other medications at the same time should be avoided. Taking an aspirin concurrently with the colesevelam may increase the incidence of gastrointestinal side effects such as heartburn. An increased fluid intake is encouraged for patients taking the bile acid sequestrants to reduce the risk for constipation. For maximum effect, colesevelam should be administered with meals.

Answer to Question 2

ANS: B
Sexual activity places about as much physical stress on the cardiovascular system as most moderate-energy activities such as climbing two flights of stairs. The other responses do not directly address the patient's question or may not be accurate for this patient.