A teaching plan for a patient with hyperlipidemia would instruct ...

[Chloeellawright]

A teaching plan for a patient with hyperlipidemia would instruct the patient to avoid which food(s)? (Select all that apply.)
 
  a. Hard cheeses
  b. Egg whites
  c. Unsaturated vegetable oils
  d. Green vegetables
  e. Liver

Question 2

Which nutritional concept(s) is/are necessary to provide to patients receiving colestipol? (Select all that apply.)
 
  a. Take on an empty stomach to enhance absorption.
  b. Whole grains, raw fruits, and vegetables will minimize constipation.
  c. Drink eight to ten 8-ounce glasses of water daily to eliminate dehydration that results from frequent loose stools.
  d. Report signs of vitamin K deficiency, including bleeding gums, dark tarry stools, and coffee-ground emesis.
  e. Supplemental fat soluble vitamins may be necessary.

[rnehls]

Answer to Question 1

ANS: A, E
Patients with hyperlipidemia should avoid foods high in cholesterol, such as cheeses and organ meats. Egg whites, unsaturated vegetable oils, and green vegetables do not negatively affect hyperlipidemia.

Answer to Question 2

ANS: B, D, E
Adequate fluid and fiber in the diet will help prevent constipation, as well as additional expected GI adverse effects. High doses of resins may reduce absorption of fat soluble vitamins; this interaction is not usually significant in normally nourished patients. If these severe symptoms appear, they should be reported to the health care provider. Patients who are taking bile acid-sequestering resins may require supplemental fat soluble vitamin therapy (A, D, E, K). The recommended time of administration is with meals, but this may be modified to avoid interference with absorption of other medications. Constipation is a more likely adverse effect than loose stools.