In order to monitor the effectiveness of drug therapy in a client with seizures, what should the nurse teach the client to do?(Select all that apply.)
1. Attend office visits.
2. Take medications as ordered.
3. Make up skipped doses.
4. Keep a diary of seizure activity.
5. Keep a normal sleep-wake schedule.
3
Rationale 1: To monitor the effectiveness of drug therapy and observe for developmental changes that might indicate a need for dose adjustment, the client is asked to attend all office visits.
Rationale 2: The client is never to skip doses or take double doses.
Rationale 3: The client should not make up skipped doses.
Rationale 4: To monitor the effectiveness of drug therapy and observe for developmental changes that might indicate a need for dose adjustment, the client is asked to keep a diary of seizure activity and to take medications as ordered.
Rationale 5: Keeping a normal sleep-wake schedule is not a specific teaching point for clients who have been diagnosed with seizures in regards to medication effectiveness.
Global Rationale: To monitor the effectiveness of drug therapy and observe for developmental changes that might indicate a need for dose adjustment, the client is asked to keep a diary of seizure activity, to take medications as ordered, and to attend all scheduled prescriber visits. Taking double doses, making up skipped doses, and keeping a normal sleep-wake schedule are not teaching points for clients who have been diagnosed with seizures in regards to medication effectiveness.
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