Page 2069 - Saunders Comprehensive Review For NCLEX-RN

smoking, caffeine, and acetylsalicylic
acid to decrease gastric acidity.
g. Instruct the client to consult with a
primary health care provider (PHCP)
before taking any nonprescription
medications.
h. Instruct the client to minimize dry
mouth by increasing fluid intake and
using ice chips, hard candy, or gum.
i. Instruct the client to prevent
constipation by increasing fluids and
fiber in the diet.
j. Instruct the client to use sunglasses in
direct sunlight because of possible
photophobia.
k. Instruct the client to have routine eye
examinations to assess intraocular
pressure.

If an anticholinergic medication is

discontinued abruptly, the signs and symptoms of
parkinsonism, such as rigidity, tremors, akinesia,
bradykinesia, stooped forward posture, shuffling
gait, and masked facies, may be intensified.
IV. Antiseizure Medications
A. Description
1. Antiseizure medications are used to depress abnormal
neuronal discharges and prevent the spread of
seizures to adjacent neurons.

2. These should be used with caution in clients

taking anticoagulants, acetylsalicylic acid,
sulfonamides, cimetidine, and antipsychotic
medications.
3. Absorption is decreased with the use of antacids,
calcium preparations, and antineoplastic medications.
B. Interventions for clients on antiseizure medications

1. Initiate seizure precautions.
2. Monitor urinary output.
3. Monitor liver and renal function tests and medication
blood serum levels (Table 59-1).
4. Monitor for signs of medication toxicity, which would
include CNS depression, ataxia, nausea, vomiting,
drowsiness, dizziness, restlessness, and visual
disturbances.

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