The nurse is caring for a patient diagnosed with epilepsy who is prescribed antiepileptic medications. The nurse would identify the need for further teaching when the patient states:
"I should discuss all over the counter drugs with my healthcare provider."
"I cannot discontinue medication abruptly."
"If I miss a dose, I can double up on the next dose."
"I should take my medications exactly as ordered."
The Correct Answer is C
A. Discussing over-the-counter drugs with the healthcare provider is essential, as they can interact with antiepileptic medications.
B. Discontinuing antiepileptic medications abruptly can lead to rebound seizures and is unsafe, so this statement is correct.
C. Doubling up on doses can lead to toxicity and adverse effects; missed doses should not be made up by doubling the next dose. This response indicates the need for further teaching.
D. Taking medications exactly as prescribed is necessary to maintain therapeutic levels and manage seizure control effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Penicillins are generally safe but are not specific for ototoxicity considerations.
B. Aminoglycosides are avoided in cases of tympanic membrane rupture due to their ototoxic potential, which can lead to hearing loss.
C. Fluoroquinolones, particularly those formulated for otic use, are preferred for tympanic membrane ruptures as they are not ototoxic and are safe for middle ear exposure.
D. Cephalosporins are not typically ototoxic but are less commonly used for tympanic membrane ruptures compared to fluoroquinolones.
Correct Answer is B
Explanation
A. Appetite changes are a possible side effect but are not as critical to report immediately.
B. Severe abdominal pain may indicate pancreatitis or liver issues, both serious side effects of valproic acid that require prompt medical attention.
C. Mild indigestion can be a common, non-serious side effect of valproic acid and does not typically require urgent attention.
D. Weight gain is another common side effect of valproic acid but does not necessitate immediate reporting unless it becomes significant.
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