The nurse teaches a patient about the medication orlistat ...

[ap345]

The nurse teaches a patient about the medication orlistat (Xenical). Which patient statement indicates the need for additional teaching?
 
  1. I should take this medication 30 minutes before eating.
  2. This medication will reduce the amount of fat my body absorbs.
  3. I will need to take supplements of vitamins A, D, E, and K daily.
  4. A low-calorie diet will need to be followed.

Question 2

A patient planning to begin a weight loss diet asks the nurse for suggestions as to how to balance her eating. What information should the nurse provide to the patient?
 
  1. The diet should reduce calories to 1,0001,600 per day, with less than 10 of the total calories coming from fat.
  2. The diet should be between 750 and 1,000 calories per day, with less than 15 of the total calories coming from fat.
  3. The diet should simply cut 500 calories per day from the normal intake.
  4. The best diet will be between 1,250 and 1,500 calories per day, with 15 of the calories being sources of protein.

[ankilker]

Answer to Question 1

Correct Answer: 1
Orlistat (Xenical) is a lipase inhibitor. The medication must be taken at mealtime or within the first hour of eating. It is used to reduce the amount of fat absorbed from dietary intake. Fat-soluble vitamins will be excreted, and must be replaced by supplements. To maximize results, the patient must incorporate a low-calorie, low-fat diet into the daily routine.

Answer to Question 2

Correct Answer: 1
The best diet is a balance of all nutrients. Ideally, it should consist of 1,0001,600 calories per day and consist of no more than 10 fat. A diet of 750 to 1000 calories per day is too rigid and could lead to physiologic health problems. Cutting 500 calories per day from the normal intake could also be too rigid for the patient. Excessive calorie restrictions can lead to failure to follow the prescribed diet, feelings of guilt, and overeating. Consuming a diet of 1250 to 1500 calories per day may not be enough to achieve weight loss.