A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include?

Choice A reason:

The statement “I might experience harmless white patches in my mouth” could indicate the presence of oral thrush, a common fungal infection in immunocompromised individuals. However, this statement does not directly reflect an understanding of preventive measures or home care instructions for someone with immunodeficiency.

Choice B reason:

Expecting to have a mild, occasional fever is not a typical understanding of immunodeficiency care. While fevers can occur, they should not be considered normal or expected. Any fever in an immunocompromised person should be promptly evaluated by a healthcare provider as it could indicate an infection.

Choice C reason:

Avoiding people who have just received a live vaccine is a crucial preventive measure for individuals with immunodeficiency. Live vaccines contain a weakened form of the virus or bacteria, which can pose a risk to immunocompromised individuals. This statement shows an understanding of the need to avoid potential sources of infection.

Choice D reason:

Limiting the use of skin cream to once a week is not a standard recommendation for immunodeficiency care. Skin care is important, but the frequency of using skin cream should be based on individual needs and the type of cream used. This statement does not reflect a specific understanding of immunodeficiency management.

Choice A reason: Using a kitchen spoon to administer the medication is not recommended. Kitchen spoons can vary in size and may not provide an accurate dose. It is important to use a proper measuring device, such as an oral syringe or a medication cup, to ensure the correct dosage.

Choice B reason: Written information about the medication is crucial for the parents or caregivers. This information should include the name of the medication, the dosage, the frequency of administration, and any special instructions. Providing written information helps ensure that the medication is administered correctly and consistently.

Choice C reason: The reason why the child is taking the medication should be clearly explained to the parents or caregivers. Understanding the purpose of the medication helps ensure compliance and allows them to monitor the child’s response to the treatment.

Choice D reason: The adverse effects of the medication should be discussed with the parents or caregivers. Knowing the potential side effects allows them to recognize and respond to any adverse reactions promptly. This information is essential for the safe administration of the medication.

Choice E reason: Stopping the medication when the child feels better is incorrect. Antibiotics should be taken for the full prescribed course, even if the child starts to feel better before the medication is finished. Stopping the medication early can lead to incomplete treatment of the infection and contribute to antibiotic resistance.