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Author Question: During discharge instruction, the nurse wants to assess the patient's understanding of treatment ... (Read 38 times)

cnetterville

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During discharge instruction, the nurse wants to assess the patient's understanding of treatment with cholestyramine (Questran). Which statement made by the patient best demonstrates a need for additional teaching?
 
  a. I will take cholestyramine (Questran) 1 hour before my other medications.
  b. I will increase fluids and fiber in my diet.
  c. I will weigh myself weekly.
  d. I will have my blood pressure checked weekly.

Question 2

Immediate postoperative assessment of a patient reveals a body temperature of 104 F. Select the nurse's first action.
 
  a. Administer acetaminophen as ordered and recheck in 1 hour.
  b. Apply a cooling blanket per the agency's protocol.
  c. Collaborate with the physician regarding the risk of malignant hyperthermia.
  d. Assess the patient for signs and symptoms of a wound infection.



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Loise Hard

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Answer to Question 1

C
Patients need not weigh themselves weekly when taking cholestyramine.
Cholestyramine should be taken at least 1 hour prior to other medications. When taken with other medications, cholestyramine can inhibit the absorption of the other drugs. No further teaching is needed.
Constipation is the principal complaint with cholestyramine. It can be minimized by increasing dietary fiber and fluids. No further teaching is needed.
Regular blood pressure checks are a good idea. The patient is taking cholestyramine because of high cholesterol, which contributes to hypertension. No further teaching is needed.

Answer to Question 2

c





 

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