A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?
Grapefruit juice inactivates this medication.
It is important to avoid foods that contain tyramine.
This medication must be swallowed whole.
Diazepam can cause drowsiness.
The Correct Answer is D
A. Grapefruit juice inactivates this medication - Grapefruit juice is known to interact with certain medications, but it does not affect the metabolism of diazepam. Therefore, this statement is incorrect.
B. It is important to avoid foods that contain tyramine - Tyramine is typically associated with interactions with monoamine oxidase inhibitors (MAOIs), not benzodiazepines like diazepam. Therefore, this statement is incorrect.
C. This medication must be swallowed whole - While it is generally recommended to swallow diazepam tablets whole with a full glass of water, this instruction does not encompass the full range of information necessary for safe medication use.
D. Diazepam can cause drowsiness - This statement is correct. Diazepam, like other benzodiazepines, has sedative effects and can cause drowsiness. Patients should be advised to avoid activities that require mental alertness, such as driving, until they know how the medication affects them. This is an essential aspect of patient education regarding diazepam.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Lithium is a mood stabilizer commonly prescribed for bipolar disorder, but it has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Therefore, it's crucial for the client to recognize the signs of lithium toxicity. Here's the rationale for each option:
A. "Vomiting is an indication of toxicity.": This statement is correct. Vomiting is one of the early signs of lithium toxicity and should be reported to the healthcare provider immediately.
B. "I will report any loss of appetite.": While loss of appetite can be a symptom of lithium toxicity, it is not one of the most common or specific signs. Other symptoms, such as vomiting, diarrhea, tremors, and confusion, are more indicative of lithium toxicity.
C. "I will call my provider if I experience any headaches.": Headaches are not typically associated with lithium toxicity. Symptoms such as severe diarrhea, tremors, confusion, and decreased coordination are more indicative of lithium toxicity.
D. "Increased flatulence is an indication of toxicity.": Increased flatulence is not a typical manifestation of lithium toxicity. Symptoms such as gastrointestinal upset, tremors, confusion, and changes in coordination are more common signs of toxicity.
Correct Answer is D
Explanation
D. Wernicke-Korsakoff psychosis is a neurological disorder caused by thiamine (vitamin B1) deficiency, often resulting from chronic alcohol use disorder. Thiamine deficiency can lead to significant neurological impairments, including confusion, ataxia, and memory deficits characteristic of Wernicke's encephalopathy and Korsakoff's psychosis.
The primary intervention for Wernicke-Korsakoff psychosis is the administration of thiamine supplementation. Thiamine replacement therapy is essential to prevent further neurological deterioration and to potentially reverse some of the cognitive deficits associated with the disorder.
The other options are not directly related to Wernicke-Korsakoff psychosis:
A. Monitoring for the presence of esophageal varices is more relevant to complications of chronic liver disease, such as cirrhosis, commonly seen in individuals with alcohol use disorder, but not specific to Wernicke-Korsakoff psychosis.
B. Placing the client in protective isolation is not indicated for Wernicke-Korsakoff psychosis. Protective isolation is typically used for clients with compromised immune systems to reduce the risk of infection.
C. Laboratory analysis of cardiac enzymes is typically performed to assess for myocardial injury or infarction, which is not directly associated with Wernicke-Korsakoff psychosis.
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