Patient's health teaching for Lamotrigine (Lamictal} should include which of the following?

Correct Answer: C

Rationale: Lamotrigine (Lamictal) is known to cause a serious rash, such as Stevens-Johnson syndrome or toxic epidermal necrolysis, which can be life-threatening. Therefore, it is crucial for patients taking Lamotrigine to be aware of this potential side effect and report any skin rashes to their healthcare provider promptly. Early detection and appropriate management are essential in preventing serious complications related to these rashes.

Correct Answer: A

Rationale: Stressing to all participants attending a health fair that a screening program is not a substitute for ongoing health supervision from a healthcare provider is crucial for several reasons. Health fairs are intended to provide a snapshot of an individual's health at a specific point in time and are not comprehensive assessments. Participants need to understand that these screenings are not a replacement for regular check-ups with their healthcare provider, who can provide continued monitoring, follow-up care, and more in-depth evaluations if necessary. It's important for participants to recognize that the results from a health fair screening are just one piece of their overall health picture and that ongoing care from a healthcare provider is essential for maintaining their well-being.

Correct Answer: A

Rationale: Regular exercise is beneficial for individuals with diabetes, including your grandmother, because it helps increase metabolic rate and the consumption of glucose by the muscles. When someone exercises regularly, their muscles become more sensitive to insulin, which helps to lower blood sugar levels. This increased glucose utilization by the muscles can lead to better blood sugar control and overall improved management of diabetes. By incorporating regular exercise into her routine, your grandmother can potentially reduce the need for medications, maintain a healthier weight, and lower the risk of complications associated with diabetes.

Correct Answer: C

Rationale: Assessing the patient for respiratory distress is the important nursing intervention that must be done in this situation. The scenario provided indicates that the patient with chronic obstructive pulmonary disease (COPD) is experiencing increased work of breathing, which puts them at risk for respiratory distress. It is crucial for the nurse to monitor the patient's respiratory status closely, including assessing their oxygen saturations, respiratory rate, and effort, to identify any signs of respiratory distress early and intervene promptly. This proactive assessment can help prevent further deterioration of the patient's condition and ensure appropriate nursing interventions are implemented promptly.

Correct Answer: D

Rationale: Coordinating with radiology or gastroenterology for procedural guidance is crucial to ensure the success of a percutaneous endoscopic gastrostomy (PEG) tube insertion. This procedure is typically performed under endoscopic guidance to ensure proper placement of the tube into the stomach through the abdominal wall. Radiology or gastroenterology professionals are trained to perform and guide the insertion procedure, making their involvement essential for a successful outcome. Additionally, their expertise helps minimize the risk of complications during and after the PEG tube placement.

Correct Answer: C

Rationale: Toddlers are typically children who are 1 to 3 years old. In this context, the toddlers are children in the age range of 9 to 36 months old. This period is marked by significant cognitive, emotional, and social development as children in this age group start to explore their environments, develop their language skills, begin to understand emotions, and interact with others. It is a crucial stage in a child's development where they start becoming more independent and forming their own identities.

Correct Answer: A

Rationale: Implied consent is the type of consent that allows healthcare providers to assume appropriate medical treatment in emergency situations where a patient is unable to give consent. In these cases, it can be assumed that a reasonable person would consent to life-saving treatment if they were able to do so. Implied consent is based on the principle of necessity and prioritizes the patient's well-being when time is of the essence. It is crucial in emergency situations to act quickly to provide the necessary medical care to save a patient's life, even if they are unable to provide express consent at that moment.

Correct Answer: C

Rationale: When writing a memorandum, clarity in the content is the most important guideline to follow. It is crucial that the information provided in the memorandum is clearly understood by the recipients. Clear content ensures that the intended message is effectively communicated, reducing the possibility of confusion or misinterpretation. By focusing on clarity, the purpose of the memorandum can be effectively conveyed, maintaining professionalism and ensuring that the recipients are well-informed.

Correct Answer: C

Rationale: The nurse should always keep Tensilon (Edrophonium) at the bedside of a client with myasthenia gravis. Tensilon is a fast-acting cholinesterase inhibitor that can be used for the diagnosis and emergency treatment of myasthenia crisis. It helps improve muscle strength temporarily by increasing the levels of acetylcholine at the neuromuscular junction. Administering Tensilon can help differentiate between a myasthenic crisis (marked improvement in muscle strength) and a cholinergic crisis (no improvement or worsening of muscle weakness). Keeping Tensilon at the bedside allows for prompt administration in case of a myasthenic crisis.