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1. A nurse is teaching a client who is taking levodopa/carbidopa to treat
Parkinson's disease. Which instruction should the nurse include?
A. Take the medication with a high-protein meal
B. Change position slowly to prevent orthostatic hypotension
C. Discontinue the drug if dizziness occurs
D. Double the next dose if one is missed
Rationale: Levodopa/carbidopa can cause orthostatic hypotension, so clients
should rise slowly to reduce fall risk.
2. A nurse is reviewing the record of a client with a new prescription for valproic
acid and phenytoin. Which of the following can occur as a result of an
interaction between these drugs?
A. Valproic acid toxicity
B. Phenytoin toxicity
C. Decreased seizure control
D. Increased phenytoin metabolism
Rationale: Valproic acid inhibits phenytoin metabolism and displaces it from
protein-binding sites, raising free phenytoin levels and toxicity risk.
3. A nurse is teaching a client who has a prescription for baclofen. Which
instruction should the nurse include?
,A. Take the medication on an empty stomach
B. Avoid driving until the drug's effects are evident
C. Increase sodium intake while taking this drug
D. Stop the drug abruptly once symptoms improve
Rationale: Baclofen causes sedation and dizziness, particularly when starting
therapy, making driving unsafe until effects are known.
4. A nurse is teaching a client who has a prescription for modafinil to treat
narcolepsy. Which instruction should the nurse include?
A. Take the drug at bedtime
B. Take the drug in the morning
C. Take the drug with alcohol
D. Take the drug only on weekends
Rationale: Modafinil promotes wakefulness; taking it in the morning avoids
interference with nighttime sleep.
5. A nurse is teaching a client who received a prescription for interferon beta-1a
for multiple sclerosis. Which information should the nurse include?
A. Administer the drug orally with food
B. Administer the drug in your thigh or upper arm
C. Store the medication at room temperature only
D. Take the drug only if symptoms worsen
Rationale: Interferon beta-1a is given via injection, typically in sites like the thigh
or upper arm.
6. A nurse is teaching a client who has Alzheimer's disease and their caregiver
about memantine. Which instruction should the nurse include?
, A. Take the drug with grapefruit juice
B. Avoid taking OTC antacids
C. Increase dietary protein significantly
D. Discontinue if mild drowsiness occurs
Rationale: Certain antacids can alter urine pH and affect memantine excretion, so
clients should avoid them or check with the provider first.
7. A nurse is providing teaching for a client who has a new prescription for
valproic acid to treat a seizure disorder. The nurse should instruct the client to
monitor for which adverse effect (liver-related)?
A. Peripheral edema
B. Jaundice
C. Blurred vision
D. Dry mouth
Rationale: Valproic acid carries a risk of hepatotoxicity; jaundice is a key sign of
liver dysfunction requiring prompt reporting.
8. A nurse is teaching a client who has a new prescription for valproic acid to
treat a seizure disorder. The nurse should instruct the client to monitor for which
of the following adverse effects?
A. Hypertension, tachycardia, edema
B. Drowsiness, headache, rash
C. Constipation, weight loss, tinnitus
D. Hearing loss, dry mouth, tremor
Rationale: These are recognized common early adverse effects of valproic acid
that clients should be taught to monitor for.