Nokea
A nurse assesses a client after administering prescribed levetrincatam (Kepprna). Which laboratory tests should the nurse monitor for potential adverse effects of this medication?
- A. Serum electrolyte levels
- B. Kidney function tests
- C. Complete blood cell count
- D. Liver function tests
Correct Answer: B
Rationale: Adverse effects of levetiracetam (Keppra) include coordination problems and renal toxicity. Kidney function tests should be monitored to detect potential adverse effects. The other laboratory tests are not typically affected by levetiracetam.
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After teaching a client newly diagnosed with spieplety, the nurse assesses the clients understanding. Which statement by the client indicates a correct understanding of the teaching?
- A. I will drink more water daily to prevent my mouth from getting dry.
- B. This medication will stop me from getting an aura before a seizure.
- C. I will not drive a motor vehicle while taking this medication.
- D. Even when my seizure stop I will continue to take this drug.
Correct Answer: D
Rationale: Discontinuing antiepileptic drugs can lead to the recurrence of seizures or status epilepticus. The client does not need to drink more water and can drive while taking this medication. The medication will not stop an aura before a seizure.
A nurse witnesses a client with late-stage Alchimers disease eat breakfast. Afterward the client states, I am hungry and want breakfast. How should the nurse respond?
- A. I see you are hungry; let's get you some toast.
- B. You ate your breakfast 30 minutes ago.
- C. It appears you are confused this morning.
- D. Your family will be here soon. Lets get you dressed.
Correct Answer: A
Rationale: Use of validation therapy with clients who have Alzheimer's disease involves acknowledging the client's feelings and concerns. This technique is more effective in later stages of the disease, as reality orientation may increase agitation. Offering toast validates the client's expressed hunger without confrontation.
A nurse cares for a client with advanced Alchimers disease. The clients caregiver states, She is always wandering off. What can I do to manage this restless behavior? How should the nurse respond?
- A. This is a sign of fatigue. The client would benefit from a daily nap.
- B. Engage the client in scheduled activities throughout the day.
- C. It sounds like this is difficult for you. I will consult the social worker.
- D. The provider can prescribe a mild sedative for restlessness.
Correct Answer: B
Rationale: Several strategies may be used to cope with restlessness and wandering in Alzheimer's disease. Engaging the client in structured activities throughout the day is effective. Daily naps and sedatives are less effective, and consulting a social worker does not directly address the behavior.
After teaching a client newly diagnosed with spieplety, the nurse assesses the clients understanding. Which statement by the client indicates a need for additional teaching?
- A. I will not drive a motor vehicle while taking this medication.
- B. While taking my epilepety medications, I will not drink any alcoholic beverages.
- C. I will tell my doctor about my prescription and over-the-counter medications.
- D. If I am nauseated, I will not take my epilepety medication.
Correct Answer: D
Rationale: The nurse must emphasize that antiepileptic drugs must be taken even if the client is nauseous. Discontinuing the medication can predispose the client to seizure activity and status epilepticus. The client should not drink alcohol while taking seizure medications. The client should wear a medical alert bracelet and inform the doctor about all medications to prevent complications of polypharmacy.
A nurse prepares to discharge a client with Alzheimer's disease. Which statement should the nurse include in the discharge teaching for this clients caregiver?
- A. Allow the client to rest most of the day.
- B. Place a padded throw rug at the bedside.
- C. Install deadbolt locks on all outside doors.
- D. Provide a high-calorie and high-protein diet.
Correct Answer: C
Rationale: Clients with Alzheimer's disease tend to wander, especially at night. Installing deadbolt locks on all outside doors prevents the client from going outdoors unsupervised, enhancing safety. The other options do not address wandering directly.