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.
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Correct Answer is D
Explanation
A. Anesthetic eye drops can help with pain, but irrigation is the priority to prevent further damage.
B. A visual acuity exam is part of the assessment but should be performed after initial irrigation to prevent further damage.
C. Determining the pH of the chemical splash can guide further treatment but is secondary to immediate irrigation to dilute and remove the chemical.
D. Irrigating both eyes with normal saline is the priority action to dilute and flush out the chemical, reducing the risk of further injury.
Correct Answer is B
Explanation
A. Sharing eating utensils does not transmit HIV, as the virus is not spread through saliva.
B. Sharing razors is a high-risk activity for transmitting HIV because it can involve direct blood-to-blood contact if the razor causes cuts.
C. HIV transmission through kissing is highly unlikely due to low levels of the virus in saliva.
D. HIV cannot be spread through shared toilets, as the virus does not survive on surfaces and is not spread through casual contact.