A nurse is teaching a female client who has obesity about a new prescription for phentermine/topiramate. Which of the following client statements indicates an understanding of the teaching?
"I might experience drowsiness while taking this medication."
"This medication can cause an irregular menstrual cycle."
"I should not become pregnant while taking this medication."
This medication will cause me to have loose stools."
The Correct Answer is C
Choice A rationale:
Drowsiness is not a common side effect of phentermine/topiramate.
Choice B rationale:
An irregular menstrual cycle is not a common side effect of phentermine/topiramate.
Choice C rationale:
Phentermine/topiramate is a medication used to assist with weight loss. Topiramate, one of the components of this medication, can increase the risk of birth defects if taken during pregnancy. Therefore, it is important for women of childbearing age to avoid becoming pregnant while on this medication and to use effective contraception.
Choice D rationale:
Loose stools are a potential side effect of phentermine/topiramate, but this statement does not necessarily indicate an understanding of the medication's purpose and precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A positive Rheumatoid factor is associated with rheumatoid arthritis and is not an adverse effect of methotrexate.
Choice B rationale:
A low WBC count (leukopenia) is an adverse effect of methotrexate and can increase the risk of infection.
Choice C rationale:
A hemoglobin level of 14.8 g/dL is within a normal range and is not an adverse effect of methotrexate.
Choice D rationale:
An erythrocyte sedimentation rate (ESR) of 24 mm/hr is within a normal range and is not an adverse effect of methotrexate.
Correct Answer is A
Explanation
Choice A rationale:
The client's parent is typically the legal decision-maker for a 19-year-old client who is unable to make decisions due to their condition. Approaching the client's parent about considering organ donation is appropriate.
Choice B rationale:
While family dynamics can vary, the parent is usually the primary decision- maker for a minor or incapacitated individual. The grandparents may be consulted or involved in the decision-making process, but the parent's consent is generally required for organ donation.
Choice C rationale:
The client's older sibling may be consulted or involved in the decision- making process, but the parent's consent is generally required for organ donation.
Choice D rationale:
The client's spouse may be consulted or involved in the decision-making process, but the parent's consent is generally required for organ donation.
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