A nurse is providing discharge teaching for a patient who will be going home on cyclobenzaprine (Flexeril) prescribed for his acute musculoskeletal pain.
The nurse will stress that the patient should avoid what?

Choice A rationale

Taking medication at the first sign of nausea may be too late to prevent motion sickness as it takes time for the medication to be absorbed and take effect.

Choice B rationale

Taking medication just prior to takeoff might not give the drug enough time to be absorbed and start working effectively.

Choice C rationale

Taking medication just prior to boarding the flight may not provide sufficient time for the drug to reach its peak effectiveness.

Choice D rationale

Taking the medication at 0700 before leaving for the airport allows enough time for the drug to be absorbed and reach its peak effect, which is essential for preventing motion sickness during the flight.

Choice A rationale

Asking the patient what time of day the medication is taken can help identify if taking it at a different time might alleviate sleep disturbances. SSRIs like sertraline can cause insomnia if taken later in the day.

Choice B rationale

Recommending a weekly dosage is inappropriate and could potentially disrupt the therapeutic effect. SSRIs should be taken daily, as prescribed.

Choice C rationale

Counseling the patient to take the medication at bedtime could worsen sleep disturbances, as sertraline may cause insomnia in some individuals. Timing should be adjusted based on patient response.

Choice D rationale

Suggesting a lower dose without consulting the provider may not address the issue effectively and could reduce the efficacy of the medication. Dosage adjustments should be made based on clinical assessment and provider recommendation.