Author Question: A patient who has been prescribed orlistat (Alli) for control of obesity has ordered dry toast, ... (Read 74 times)

bclement10 · **on:** Jul 23, 2018

A patient who has been prescribed orlistat (Alli) for control of obesity has ordered dry toast, jelly, and orange juice for breakfast. What adjustment should the nurse make, if any, in the dose of orlistat?

1. Reduce the dose by half
2. Hold the pre-breakfast dose
3. Double the pre-breakfast dose
4. Give the normal dose

Question 2

While providing comfort to a client on anticholinergics, what intervention should the nurse avoid?

1. Frequent oral hygiene
2. Hard candy
3. Oral rinses
4. Alcohol-containing mouthwash

matt95 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

2
Rationale 1: The dose will not be reduced by half.
Rationale 2: Orlistat should be held if the meal does not contain fat.
Rationale 3: The dose should not be doubled.
Rationale 4: An adjustment of dose is necessary.

Global Rationale: Orlistat should be held if the meal does not contain fat. The dose will not be reduced by half or doubled. The normal dose will not be given.

Answer to Question 2

4

Rationale 1: Frequent oral hygiene can help with dry mouth.
Rationale 2: Hard candy can help with dry mouth.
Rationale 3: Oral rinses can help with dry mouth.
Rationale 4: Alcohol-containing mouthwash should be avoided because it can increase dryness of the mouth.

Global Rationale: Alcohol-containing mouthwash should be avoided because it can increase dryness of the mouth. Frequent oral hygiene, hard candy, and oral rinses can help with dry mouth.