A client is prescribed acetazolamide (Diamox) to treat absence seizures. Which finding indicates that the next dose of this drug should be withheld?
1. Elevated serum pH
2. Decreased serum potassium
3. Increased seizure frequency
4. Nausea and dizziness
Correct Answer: 2
Rationale 1: A serious adverse effect of acetazolamide (Diamox) is metabolic alkalosis, not metabolic acidosis.
Rationale 2: Hypokalemia is a serious adverse effect of acetazolamide (Diamox).
Rationale 3: Increased seizure frequency would represent a decreased therapeutic effect of the drug for this client.
Rationale 4: Nausea and dizziness can occur as adverse effects of acetazolamide (Diamox) but are not indications to discontinue therapy.
Global Rationale: Hypokalemia is a serious adverse effect of acetazolamide (Diamox). A serious adverse effect of acetazolamide (Diamox) is metabolic alkalosis, not metabolic acidosis. Increased seizure frequency would represent a decreased therapeutic effect of the drug for this client. Nausea and dizziness can occur as adverse effects of acetazolamide (Diamox) but are not indications to discontinue therapy.
You might also like to view...
Which adverse drug effect may occur in a patient receiving prednisone (Deltasone)?
a. Gastrointestinal (GI) irritation b. Hypoglycemia c. Dehydration d. Thickened skin
The informatics nurse is preparing a presentation for healthcare providers on the benefits of an electronic health record (EHR). Which information should be included? Select all that apply.
A) Faster chart access B) Limited access to trends and graphics C) Improved eligibility for reimbursement D) Easier access to previous documented encounters E) Reduced liabilities through accurate documentation
A client is talking to a nurse about her friendship with another person. She comments, "That person is always there for me, and I am always there for her. We help each other out; sometimes she's helping me, and sometimes I am helping her."
The nurse interprets the client's statements about her social network as reflecting which of the following? A) Denseness B) Reciprocity C) Social support D) Constraints
The bell of the stethoscope:
A. Is used for soft, low-pitched sounds B. Is used for high-pitched sounds C. Is held lightly against the skin D. Magnifies sound