A patient is being discharged on cholestyramine (Questran). ...

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A patient is being discharged on cholestyramine (Questran). Patient teaching should include what about this medication?
 
  A) Should be administered with other medications
  B) Should be administered 1 hour before or 4 to 6 hours after other medications
  C) Should be administered 1 hour after other medications
  D) Should be administered on an empty stomach

Question 2

The home care nurse is taking care of a patient on IV vancomycin for cellulitis of the left calf. How would the nurse explain how microorganisms develop resistance to anti-infective medications?
 
  A) Microorganisms can alter the blood supply to the infection.
  B) Microorganisms can stop the cell from reproducing.
  C) Microorganisms produce a chemical that acts as an antagonist to the drug.
  D) Microorganisms change their cell membrane to make it look like the drug.

[tandmlomax84]

Answer to Question 1

B
Feedback:
Cholestyramine should be administered 1 hour before or 4 to 6 hours after other medications, because it may prevent the absorption of other drugs. Therefore, the other options are incorrect.

Answer to Question 2

C
Feedback:
Microorganisms develop resistance in a number of ways, including the following: changing cellular permeability to prevent the drug from entering the cell or altering transport systems to exclude the drug from active transport into the cell; altering binding sites on the membranes or ribosomes, which then no longer accept the drug; and producing a chemical that acts as an antagonist to the drug. Microorganisms do not alter the blood supply to the infection, stop a cell from reproducing, or change the appearance of the cell membrane.

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TYSM

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Excellent