A nurse is providing discharge teaching to a female client who has neuropathy and a new prescription for gabapentin. Which of the following statements should the nurse include in the teaching?
"You may experience drowsiness while taking this medication."
"You may continue to breastfeed while taking this medication."
"Take this medication with an antacid to reduce gastric irritation."
"You should take this medication with meals."
The Correct Answer is A
Rationale:
A. Gabapentin commonly causes central nervous system effects such as drowsiness, dizziness, and fatigue. Patients should be cautioned about activities requiring alertness, such as driving.
B. Gabapentin can be excreted in breast milk, and its safety in infants is not well established. Breastfeeding is generally not recommended while taking this drug.
C. Antacids can reduce gabapentin absorption and should be avoided within 2 hours of taking the medication.
D. Gabapentin may be taken with or without food, so meals are not required for effectiveness.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Gabapentin commonly causes central nervous system effects such as drowsiness, dizziness, and fatigue. Patients should be cautioned about activities requiring alertness, such as driving.
B. Gabapentin can be excreted in breast milk, and its safety in infants is not well established. Breastfeeding is generally not recommended while taking this drug.
C. Antacids can reduce gabapentin absorption and should be avoided within 2 hours of taking the medication.
D. Gabapentin may be taken with or without food, so meals are not required for effectiveness.
Correct Answer is A
Explanation
Rationale:
A. Nalbuphine is an opioid agonist-antagonist. Like other opioids, it can cause central nervous system effects such as sedation, dizziness, and miosis (pupillary constriction).
B. Nalbuphine does not typically affect renal function or urinary output.
C. Joint pain is not an expected adverse effect of nalbuphine.
D. Opioids usually cause constipation rather than diarrhea due to decreased gastrointestinal motility.
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