A nurse is caring for a client in the clinic.

Exhibits

Which of the following client statements indicates to the nurse the teaching was effective?

Select all that apply.

A) Confusion - Confusion can indicate a potentially serious adverse reaction to

citalopram, such as serotonin syndrome, and should be reported promptly to the

provider.

B) Insomnia - Insomnia is a common side effect of citalopram but is generally not

considered a priority for reporting unless severe or persistent.

C) Weight loss - Weight loss is a common side effect of citalopram but is generally

not considered a priority for reporting unless significant or associated with other

concerning symptoms.

D) Bruxism - Bruxism (teeth grinding) is a less common side effect of citalopram and

may not be a priority for reporting unless severe or causing significant distress.

A. “You may initially notice an increase in involuntary movements."- Levodopa- carbidopa can initially cause an increase in involuntary movements, known as dyskinesias. This is an important aspect to educate the client about, as it may be alarming if not expected.
B. “The medication can cause nausea, so take with a meal.”- It is also crucial to mention that the medication can cause nausea; therefore, taking it with a meal can help mitigate this issue
C. “You may notice your urine becomes lighter in color."- Levodopa can cause dark- colored urine (brown, black) and not light discoloration.
D. “You can experience vivid nightmares."- Vivid dreams or nightmares are possible side effects of levodopa-carbidopa therapy. Informing the client about this potential adverse effect prepares them for what they may experience.
E. “This medication can make you light-headed if you stand up too quickly from a seated or lying position."- Orthostatic hypotension is a common side effect of levodopa-carbidopa, especially when standing up quickly. Advising the client about this risk helps prevent falls and injuries.
F. "Consumption of a high protein meal can reduce the effectiveness of the medication."- Protein intake can interfere with the absorption of levodopa. Therefore, advising the client to avoid high-protein meals around the time of medication administration can optimize its effectiveness.