history of epilepsy with tonic-clonic seizures controlled by penguin (Dilantin). Which information is most significant in planning this client's care? (((answer))) C. she ran out of her medication ... 4 days ago Rationale: abruptly stopping anticonvulsant medications can precipitate seizures or the development of status epilepticus) -An emergency department triage nurse is interviewing a female client who has a -The nurse should instruct a client to avoid which product while taking carisoprodol (Soma) for muscle spasms? (((answer))) C. alcoholic beverages Rationale: Soma is a centrally-acting muscle relaxant that can cause CNS depression, and can have an additive effect when taken with other CNS depressants, such as alcohol.) -A client calls the clinic and states that she forgot to take her oral contraceptives for the past two days. Which instruction is best or the nurse to provide to t his client? (((answer))) A. take 2 pills a day for 2 days and use an alternate method of contraception for 7 days Rationale: if two pills are missed the client should implement (A).) -A 48-year-old client is experiencing a severe anaphylactic reaction to an injection of contrast media. What pharmacologic agent is of greatest use in this situation? (((answer))) D. Epinephrine (Adrenalin) Rationale: Epinephrine is the drug of choice in treating hypotension and circulatory failure associated with anaphylaxis because it is a potent vasoconstrictor. An anaphylactic reaction is an acute systemic hypersensitivity reaction that occurs within minutes of antigen exposure (such as with contrast material containing iodine) that can result in peripheral vascular collapse.) -A resident of a long-term care facility is taking lithium carbonate (Eskalith) to treat bipolar disorder. Which instruction should the nurse provide to this client's caregivers? (((answer))) D. Report symptoms of hypothyroidism such as fatigue and constipation [Show More]
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