Patient Teaching: Medication Instructions and Monitoring
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What is a key patient teaching point related to the administration of the medication?

  • Increase the dose if needed for faster results.
  • Take at bedtime. (correct)
  • Take on an empty stomach.
  • Combine with herbal sleep aids for better effect.

    • What is a cautionary measure regarding the patient's food intake while on this medication?

  • Consume more processed meats.
  • Include St. John's Wort in the diet.
  • Increase consumption of aged cheeses.
  • Avoid tyramine-containing foods. (correct)

    • Which possible side effect should be monitored for while the patient is taking this medication?

  • Increased appetite.
  • Severe hypertension. (correct)
  • Decreased heart rate.
  • Clear urine output.

    • What is a common side effect associated with this medication?

    <p>Headaches.</p> Signup and view all the answers

    Which instruction is important related to the cessation of this medication?

    <p>Gradually reduce the dosage.</p> Signup and view all the answers

    What should the family be vigilant in monitoring while the patient is on this medication?

    <p>Suicidal ideation.</p> Signup and view all the answers

    What is the main purpose of Vitamin D, B12, and Folic acid supplementation in this context?

    <p>To anticipate potential deficiencies due to medication use</p> Signup and view all the answers

    Which of the following is NOT a potential side effect of phenytoin?

    <p>Visual improvement</p> Signup and view all the answers

    What is an important aspect of patient teaching related to phenytoin?

    <p>Monitoring blood glucose levels</p> Signup and view all the answers

    What is a key action to take when monitoring for phenytoin toxicity?

    <p>Watching for increased sedation and tremors</p> Signup and view all the answers

    Which group of patients should be approached with caution when administering phenytoin?

    <p>Patients with thyroid disease</p> Signup and view all the answers

    What precaution should be taken by patients on phenytoin regarding medication administration?

    <p>Taking it on an empty stomach</p> Signup and view all the answers

    What is the main purpose of Selective Serotonin Reuptake Inhibitors (SSRIs)?

    <p>Block the reuptake of serotonin into the nerve terminal of the CNS</p> Signup and view all the answers

    Which side effect is commonly associated with SSRI use?

    <p>Erectile dysfunction</p> Signup and view all the answers

    Why is it important for patients taking SSRIs to avoid St. John's Wort?

    <p>Reduces the effectiveness of the medication</p> Signup and view all the answers

    How long does it typically take for SSRIs to start showing their therapeutic effects?

    <p>3-4 weeks</p> Signup and view all the answers

    Which patient population requires special caution when prescribed SSRIs?

    <p>Breastfeeding women</p> Signup and view all the answers

    What teaching point should be emphasized to patients regarding SSRIs and suicidal ideation?

    <p>Seek medical help if experiencing increased suicidal thoughts</p> Signup and view all the answers

    What is the primary mechanism of action of barbiturates?

    <p>Enhance the activity of GABA, an inhibitory neurotransmitter.</p> Signup and view all the answers

    What is a key consideration when prescribing phenytoin to pregnant women?

    <p>It is absolutely contraindicated in pregnant women.</p> Signup and view all the answers

    What is a common side effect of phenytoin?

    <p>Drowsiness</p> Signup and view all the answers

    What is a crucial action to take when discontinuing phenytoin?

    <p>Gradually taper off the medication.</p> Signup and view all the answers

    What is a safety precaution to take when taking phenytoin?

    <p>Change positions slowly.</p> Signup and view all the answers

    What is a critical laboratory test to monitor while taking phenytoin?

    <p>Liver Function Tests (LFTs)</p> Signup and view all the answers

    What is the mechanism of action of CNS stimulant medications?

    <p>Stimulating the release of the neurotransmitters norepinephrine and serotonin from the brain</p> Signup and view all the answers

    What is a potential adverse reaction of CNS stimulant medications?

    <p>Tachycardia</p> Signup and view all the answers

    What is the name of the medication used to treat Narcolepsy and ADHD?

    <p>Methylphenidate</p> Signup and view all the answers

    What is a nursing implication for patients taking CNS stimulants?

    <p>Monitor sleep patterns</p> Signup and view all the answers

    What is a patient teaching point for CNS stimulant medications?

    <p>Avoid caffeine and other CNS stimulants</p> Signup and view all the answers

    What is the mechanism of action of valproate?

    <p>Suppressing the calcium influx</p> Signup and view all the answers

    Which side effect is most commonly associated with haloperidol use?

    <p>Constipation</p> Signup and view all the answers

    What adverse effect should be closely monitored and reported when a patient is on aripiprazole?

    <p>Angioedema</p> Signup and view all the answers

    If a patient taking aripiprazole experiences severe tremors and muscle stiffness, what condition should be suspected?

    <p>Serotonin Syndrome</p> Signup and view all the answers

    What is a critical action to take when a patient on fluoxetine reports dizziness and insomnia?

    <p>Consult the provider for further evaluation</p> Signup and view all the answers

    What should be closely monitored in a patient taking fluoxetine to assess suicidal ideations?

    <p>Emotional changes</p> Signup and view all the answers

    Which precaution is essential for a healthcare provider to undertake when prescribing fluoxetine to a patient with a history of MI?

    <p>Monitor for chest pain and cardiac symptoms</p> Signup and view all the answers

    Which adverse effect should be closely monitored and reported when a patient is taking phenytoin?

    <p>Leukopenia</p> Signup and view all the answers

    What is a crucial nursing implication for patients on phenytoin therapy?

    <p>Promote folic acid supplementation</p> Signup and view all the answers

    What should patients on phenytoin therapy be advised to report immediately?

    <p>Visual disturbances</p> Signup and view all the answers

    Which patient education point is essential for those prescribed phenytoin?

    <p>Avoid grapefruit juice</p> Signup and view all the answers

    What is an important health teaching regarding the administration time of phenytoin?

    <p>Take it on an empty stomach</p> Signup and view all the answers

    Which action is essential for nurses to take when monitoring for phenytoin toxicity?

    <p>Monitor electrocardiogram (ECG) changes</p> Signup and view all the answers

    Which adverse effect requires immediate reporting when a patient is on haloperidol therapy?

    <p>Seizures</p> Signup and view all the answers

    What is a vital caution for patients on aripiprazole regarding their medical history?

    <p>Depression</p> Signup and view all the answers

    What should be monitored closely and reported if experienced by a patient taking fluoxetine?

    <p>Insomnia</p> Signup and view all the answers

    Which condition should be suspected in a patient on haloperidol therapy experiencing rhythmic muscle activities?

    <p>Dystonia</p> Signup and view all the answers

    What is a crucial patient teaching point concerning medications that block the reuptake of serotonin?

    <p>Avoid grapefruit juice</p> Signup and view all the answers

    Which potential adverse effect needs monitoring in patients prescribed aripiprazole?

    <p>Weight changes</p> Signup and view all the answers

    Which side effect is expected in a patient taking phenytoin and should be reported immediately?

    <p>Gingival hyperplasia</p> Signup and view all the answers

    What is a crucial monitoring parameter for a patient on phenytoin therapy to assess toxicity?

    <p>Blood Pressure and Heart Rate</p> Signup and view all the answers

    Which caution should be emphasized for patients with liver impairment prescribed phenytoin?

    <p>Report fatigue</p> Signup and view all the answers

    What is a potential psychiatric side effect that should be reported if experienced by a patient taking phenytoin?

    <p>Hallucinations</p> Signup and view all the answers

    Which action is essential for patient safety while on phenytoin therapy?

    <p>Wearing a medical alert bracelet</p> Signup and view all the answers

    What is a key patient teaching point related to the administration of phenytoin to ensure therapeutic effects?

    <p>Taking medication at the same time daily</p> Signup and view all the answers

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