Anticonvulsant Medications
Anticonvulsant Medications ( 6 Questions)
A nurse is teaching a client who has been newly diagnosed with epilepsy about the use of anticonvulsant medications. Which of the following statements by the client indicates a need for further teaching? (Select all that apply.)
No explanation
- **"I should stop taking these medications if I have a rash or fever."** This statement is incorrect and indicates a need for further teaching because the client should not stop taking anticonvulsant medications abruptly, as this can cause withdrawal symptoms and increase the risk of seizures¹². The client should contact their healthcare provider if they have a rash or fever, as these could be signs of an allergic reaction or infection, but they should not stop the medication without medical advice¹².
- **"I should have my blood levels checked regularly to make sure I am taking the right dose."** This statement is correct for some anticonvulsant medications, such as phenytoin, carbamazepine, and valproate, but not for others, such as levetiracetam, lamotrigine, and gabapentin¹³. The client should ask their healthcare provider which medications require blood level monitoring and how often they need to have it done¹³.
The other statements by the client are correct and do not indicate a need for further teaching:
- **"I should avoid drinking alcohol while taking these medications."** This statement is correct because alcohol can interact with anticonvulsant medications and increase their side effects, such as drowsiness, dizziness, and impaired coordination¹². Alcohol can also lower the seizure threshold and trigger seizures in some people¹².
- **"I should take these medications at the same time every day."** This statement is correct because taking anticonvulsant medications at the same time every day helps maintain a steady level of the drug in the blood and prevent seizures¹². The client should follow the prescribed schedule and dosage of their medication and not miss or skip any doses¹².
- **"I should not drive or operate heavy machinery until I know how these medications affect me."** This statement is correct because anticonvulsant medications can cause side effects that impair the client's ability to drive or operate heavy machinery, such as blurred vision, confusion, fatigue, and poor