210) ANSWER
C) Vitamins A and D
RATIONALE
Clients who are taking cholestyramine (which is a bile resin) should be monitored for fat-soluble vitamin deficiencies (Vitamins A, D, E, and K), as the gastrointestinal side effects of the medication can lead to reduced absorption. Niacin, thiamine, folic acid, cyanocobalamin, and Vitamin C (options 1, 2, and 4) are all examples of water-soluble vitamins. The core issue of the question is knowledge that cholestyramine places the client at risk for deficiency of fat-soluble vitamins. Use the process of elimination and reason that this answer is correct because the action of cholestyramine is to bind onto cholesterol (fat) and prevent its absorption into the GI tract.
C) Vitamins A and D
RATIONALE
Clients who are taking cholestyramine (which is a bile resin) should be monitored for fat-soluble vitamin deficiencies (Vitamins A, D, E, and K), as the gastrointestinal side effects of the medication can lead to reduced absorption. Niacin, thiamine, folic acid, cyanocobalamin, and Vitamin C (options 1, 2, and 4) are all examples of water-soluble vitamins. The core issue of the question is knowledge that cholestyramine places the client at risk for deficiency of fat-soluble vitamins. Use the process of elimination and reason that this answer is correct because the action of cholestyramine is to bind onto cholesterol (fat) and prevent its absorption into the GI tract.
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