A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the following adverse effects of this medication?

B. "Describe what the pill looks like":

This is the correct response. Asking the client to describe the pill they usually take helps to verify whether the medication being administered matches the client's usual medication. It allows the nurse to confirm whether the client's concern is due to a legitimate difference in appearance or if there might be a potential medication error.

A. "This pill is probably from a different lot number than yours at home":

While lot numbers can vary between batches of medication, this response does not directly address the client's concern about the difference in appearance. It's important to prioritize addressing the client's immediate concerns and verifying the medication's identity.

C. "This hospital might use a different manufacturer, but the medication is the same":

While this response reassures the client about the medication's efficacy, it does not directly address the client's concern about the difference in appearance. Verifying the medication's identity based on the client's description is essential before proceeding with administration.

D. "This is the medication prescribed by your provider":

This response does not address the client's concern about the difference in appearance and may not alleviate their apprehension. Verifying the medication's identity based on the client's description is necessary to ensure the correct medication is administered.

A. "I'll be glad when I can stop taking this medicine.": This statement indicates a misunderstanding about phenytoin therapy. Phenytoin is typically a long-term medication used to prevent seizures, and it is not typically discontinued unless under the guidance of a healthcare provider. The nurse should clarify that stopping the medication abruptly can lead to rebound seizures and should emphasize the importance of continuing the medication as prescribed.

B. "I have made an appointment to see my dentist next week.": This statement indicates appropriate understanding, as regular dental check-ups are important for individuals taking phenytoin due to the medication's potential side effect of gingival hyperplasia.

C. "I know that I cannot switch brands of this medication.": This statement demonstrates understanding, as different brands of phenytoin can have variations in bioavailability, which can affect seizure control. It is important for clients to remain consistent with the same brand or formulation unless directed otherwise by their healthcare provider.

D. "I will notify my doctor before taking any other medications.": This statement indicates understanding of the potential for drug interactions with phenytoin, as it is a hepatic enzyme inducer and can affect the metabolism of other medications. Clients should always consult their healthcare provider before taking any new medications or supplements to ensure compatibility with phenytoin therapy.