Patients taking phenytoin (Dilantin) for control of seizures must be aware of which adverse effect(s)? (Select all that apply.)

A. "This medication may make my movements smoother."

This statement is correct. Carbidopa-levodopa is used to improve motor symptoms in parkinsonism, making movements smoother.

B. "My skin may turn yellow if I miss too many doses."

This statement is not accurate. Yellowing of the skin (jaundice) is not a known side effect of carbidopa-levodopa. This statement indicates a need for further clarification.

C. "I need to take vitamin B6 supplements with this medication."

This statement is incorrect. While vitamin B6 (pyridoxine) can reduce the effectiveness of levodopa, carbidopa is included in the formulation to prevent its peripheral conversion, allowing more levodopa to reach the brain. Vitamin B6 supplements are generally not recommended with carbidopa-levodopa.

D. "I should take this medicine on an empty stomach."

This statement is not accurate. Carbidopa-levodopa is typically taken with food to reduce gastrointestinal side effects. Taking it on an empty stomach may increase the risk of nausea.

E. "I need to check my blood sugar regularly while taking this."

This statement is not directly related to carbidopa-levodopa. Monitoring blood sugar is essential for individuals with diabetes but is not a specific requirement related to this medication.

A. Avoid caffeine-containing beverages before sleep

The highest priority teaching point to help relieve sleeplessness would be to advise the client to avoid caffeine-containing beverages before sleep. Caffeine is a stimulant that can interfere with the ability to fall asleep and maintain a restful sleep.

B. Perform strenuous exercise before bedtime

Strenuous exercise close to bedtime can actually stimulate the body and make it more difficult for the individual to relax and fall asleep. It is generally recommended to engage in exercise earlier in the day.

C. Drink lots of fluids before bedtime

Drinking excessive fluids before bedtime may lead to disrupted sleep as it can increase the need to wake up for bathroom trips during the night. It's advisable to limit fluid intake close to bedtime.

D. Eat a heavy meal before bedtime

Consuming a heavy meal before bedtime can cause discomfort and indigestion, potentially disrupting sleep. It is recommended to have a light, easily digestible meal if eating close to bedtime.