The nurse is talking with a patient who was just prescribed zonisamide (Zonegran). Which patient statement should the nurse immediately discuss with the patient's health care provider?
1. "Did I mention that I used to take phenobarbital for my seizures?"
2. "I forgot to tell the doctor that I am allergic to sulfa drugs."
3. "I have lactose intolerance, so I can't drink milk."
4. "My husband and I plan to have a baby in a couple of years."
5. "My husband and I are leading a 20-mile bicycle tour next weekend for the company we have just started."
Correct Answer: 2,5
Rationale 1: There is no indication that previous phenobarbital use is problematic with the use of zonisamide (Zonegran).
Rationale 2: Zonisamide (Zonegran) is an oral sulfonamide.
Rationale 3: There is no indication that inability to drink milk is problematic with the use of zonisamide (Zonegran).
Rationale 4: Zonisamide (Zonegran) is Pregnancy Category C.
Rationale 5: The most common adverse effects of zonisamide (Zonegran) include dizziness, ataxia, and fatigue. These effects may be problematic for the owner of a company that promotes bicycle touring.
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