A nurse is teaching a client who has a seizure disorder about their medication. Which of the following client statements indicates an understanding of the teaching?
I will expect to have drowsiness while taking this medication.
I will take an extra dose of the medication if I miss one.
I will have my blood checked to monitor the medication level.
I will take this medication with an antacid to prevent indigestion.
The Correct Answer is C
Choice A rationale
Expecting to have drowsiness while taking this medication is a common side effect of many seizure medications. However, it is not an indication of understanding the teaching about seizure medication management.
Choice B rationale
Taking an extra dose of the medication if a dose is missed is incorrect. Patients should not take an extra dose if they miss one. They should follow their healthcare provider’s instructions on what to do if a dose is missed.
Choice C rationale
Having blood checked to monitor the medication level indicates an understanding of the teaching. Monitoring blood levels of seizure medications is important to ensure therapeutic levels and avoid toxicity.
Choice D rationale
Taking the medication with an antacid to prevent indigestion is incorrect. Antacids can interfere with the absorption of some seizure medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Hypercalcemia typically stems from hyperparathyroidism or bone malignancy; it is not a primary complication of acute gastrointestinal fluid loss from vomiting or diarrhea.
Choice B rationale: Hypertension is unlikely in this scenario; significant fluid loss through vomiting and diarrhea more commonly leads to hypovolemia, resulting in decreased blood pressure or hypotension.
Choice C rationale: Hypokalemia occurs because gastric contents and intestinal fluids are rich in potassium; excessive loss through vomiting and diarrhea directly depletes serum potassium levels, causing cardiac and muscular symptoms.
Choice D rationale: Hypernatremia can occur with dehydration, but in secretory diarrhea, sodium and water are often lost together, making the clinical focus on potassium replacement more urgent for cardiac stability.
Choice E rationale: Hypoglycemia is not the primary risk here; while oral intake may be low, the body's stress response to illness typically maintains or elevates blood glucose through gluconeogenesis.
Correct Answer is D
Explanation
Choice A rationale
Hyperglycemia is not a common adverse effect of colesevelam. Colesevelam is primarily used to lower cholesterol levels and can also help control blood sugar levels in patients with type 2 diabetes.
Choice B rationale
Stomatitis, or inflammation of the mouth, is not typically associated with colesevelam. This medication works in the intestines and is not absorbed into the bloodstream, so it does not commonly cause systemic side effects.
Choice C rationale
Fever is not a known adverse effect of colesevelam. The medication’s side effects are generally limited to the gastrointestinal system.
Choice D rationale
Constipation is a common adverse effect of colesevelam. This medication binds to bile acids in the intestines, which can lead to gastrointestinal side effects such as constipation.
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