Author Question: The patient is receiving cholestryamine (Questran), and complains of constipation. The physician ... (Read 60 times)

mynx · **on:** Jul 23, 2018

The patient is receiving cholestryamine (Questran), and complains of constipation. The physician orders bisacodyl (Ducolax) tablets. When is the best time for the nurse to administer the bisacodyl (Ducolax) tablets?

1. The drugs can be administered together.
2. Four hours after administration of cholestryamine (Questran)
3. Bisacodyl (Ducolax) can be given any time, but must be taken with food.
4. One hour after administration of cholestryamine (Questran)

Question 2

The nurse has completed nutritional teaching with the patient who has a high low density lipoprotein (LDL) level. The nurse recognizes that teaching has been effective when the patient makes which menu choice?

1. Beef tenderloin with gravy and noodles, fruit salad with apples and grapefruit, slice of rye bread, and apple pie
2. Grilled chicken salad with strawberries and pecans, baked macaroni and cheese, and low-fat brownie
3. Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced apples, slice of whole-wheat bread, and low-fat chocolate pudding
4. Low-fat hamburger with whole-wheat bun, tossed salad with walnuts and olive oil, and raisin-oatmeal cookie

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

Answer to Question 1

Correct Answer: 2
Rationale: Other drugs must be administered more than 2 hours before, or 4 hours after, the patient takes cholestryamine (Questran) because it can bind to other drugs and interfere with their absorption. These drugs cannot be administered together because cholestryamine (Questran) can bind to other drugs and interfere with their absorption. A minimum of 4 hours administration time between drugs is needed to be sure cholestryamine (Questran) does not interfere with absorption of other drugs. Bisacodyl (Ducolax) cannot be administered with cholestryamine (Questran) as it will not be absorbed; Bisacodyl (Ducolax) does not need to be given with food.

Answer to Question 2

Correct Answer: 3
Rationale: A lipid-reducing diet should include soluble fiber, plant sterols, and stanols in the diet. The best menu choice includes rice, broccoli, walnuts, apples, and whole-wheat bread. The menu that includes beef tenderloin has some healthy choices, but the gravy is too high in fat, as is the apple pie. The menu that includes low-fat hamburger has some healthy choices, but the low-fat hamburger is too high in fat, as is a raisin-oatmeal cookie. The menu that includes the grilled chicken salad has no healthy choices except for the pecans; the baked macaroni and cheese would be high in fat.