The nurse is developing a plan of care for a client diagnosed with narcolepsy. Which intervention should the nurse include in this plan of care?
1. Encourage the client to take an over-the-counter medication to improve nighttime sleep.
2. Be certain the client has the prescription for modafinil (Provigil) filled.
3. Have the client purchase sodium oxybate (Xyrem) over the counter to prevent daytime drowsiness.
4. Be certain the client obtains antihistamines to control nasal stuffiness.
Correct Answer: 2
Rationale 1: In narcolepsy, nighttime sleep is not affected.
Rationale 2: The medication modafinil (Provigil) is prescribed to control the daytime drowsiness associated with narcolepsy.
Rationale 3: Sodium oxybate (Xyrem) is a prescription medication that has very limited availability.
Rationale 4: The client should avoid antihistamines as they can cause daytime drowsiness to increase.
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