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The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL (10 mmol/L). The client is taking cholestyramine and the nurse teaches the client about the medication. Which statement, by the client, indicates the need for further teaching?

1. "Constipation and bloating might be a problem."
2."I'll continue to watch my diet and reduce my fats."
3."Walking a mile each day will help the whole process."
4."I'll continue my nicotinic acid from the health food store."

User Saugata
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Final answer:

The statement indicating the need for further teaching is the client's intent to continue using nicotinic acid without medical advice. Although nicotinic acid is used to manage lipid levels, it requires medical supervision, especially when taken with other medications like cholestyramine. Other statements show an understanding of important lifestyle changes and medication side effects.

Step-by-step explanation:

The statement made by the client that indicates the need for further teaching about the medication cholestyramine would be: "I'll continue my nicotinic acid from the health food store." Cholestyramine is a bile sequestrant used to lower high levels of cholesterol by binding to bile acids and removing them from the body, which in turn reduces cholesterol levels. However, nicotinic acid, or niacin, is another medication that can also be used to manage cholesterol and triglyceride levels.

It is crucial for the client to understand that medications intended to lower lipid levels often require careful monitoring and dosage adjustments, especially when being used in combination. Nicotinic acid can cause side effects and its use should be supervised by a healthcare provider to prevent potential complications. Therefore, the client should not decide to continue using any form of nicotinic acid without medical advice, as this could interact with the current medication regimen and potentially lead to adverse events.

Actions such as "Constipation and bloating might be a problem," recognizing the importance of "watching my diet and reducing fats," and the benefit of physical activity like "Walking a mile each day will help the whole process," show an understanding of the lifestyle changes that accompany treatment with cholestyramine. These methods are important for managing high triglyceride levels and maintaining healthy serum cholesterol levels.

User Sergey Demyanov
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