The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dl/ The client is taking cholestyramine. Which statement by the client indicates a need for further teaching:.1. Constipation and bloating might be a problem.2. I will continue to watch my diet and continue to reduce fats.3. Walking a mile each day will help to solve the process.4. I will continue my nicotinic acid from the health food store.

4. I will continue my nicotinic acid from the health food store.

Explanation:

Cholestyramine is a drug which is used to lower the level of high cholesterol in the blood. This has the ability to lower down the lipoprotein and cholesterol.

The nicotine is a stimulating alkaloid that is the chief component of the tobacco. The nicotine is responsible for decreasing the high density cholesterol levels and promotes the increase in the low density lipoproteins in the blood. It also increases the level of the triglycerides in the blood serum. The increase in the cholesterol and the triglycerides in the blood vessels may cause atherosclerosis.

According to the given situation, the nicotinic acid intake is likely to nullify the effect of the cholestyramine. Thus the client must need further teaching if the client continue to take nicotinic acid.