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Pharm Exam 2 study guide with complete solution
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Pharm Exam 2 study guide with complete solution
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Pharm Exam 2 study guide with completesolution
A patient is admitted to the emergency department with severe recurrent convulsive seizures.
What drug would the nurse expect to be ordered for use in emergency control of status
epilepticus? - ANS Phenobarbital
The pharmacology instructor is discussing drugs used for the treatment of partial seizures. What
accurately describes the physiological action of carbamazepine? - ANS Increases
gamma-aminobutyric acid (GABA) activity and blocks sodium and calcium channels to stop
action potentials
A 7-year-old girl is brought to the clinic by her mother. The mother states that the child will be
engaged in some activity at home and then will just stop for a few seconds and then pick up the
activity again as if there had been no break in what she was doing. The nurse suspects the child
might be demonstrating what type of seizure? - ANS Absence seizures
A patient is brought into the emergency department in status epilepticus. The nurse administers
phenobarbital 320 mg IV according to protocol. Family members ask the nurse how long it will
take to stop the seizures. What is the nurses best response ? - ANS The onset of action for
the medication is 5 minutes.
The nurse evaluates the patients serum phenytoin (Dilantin) level and determines the level is
therapeutic when it is within what range? - ANS Between 10 and 20 mcg/mL
A nurse is teaching a patient about his or her newly prescribed drug, phenytoin (Dilantin) for a
seizure disorder. What will the nurse alert the patient to as a serious adverse effect of this drug?
- ANS Rash
An 8-year-old child has been diagnosed with a seizure disorder and phenytoin (Dilantin) has
been prescribed for him or her. What nursing diagnosis would be appropriate if the child
demonstrated adverse effects to the drug? - ANS Impaired skin integrity related to
dermatological effects
A patient is taking ethosuximide (Zarontin) for absence seizures. He or she complains of
gastrointestinal (GI) upset associated with the drug. The nurse will encourage the patient to do
what? - ANS Take the drug with food.
The drug of choice for the treatment of partial seizures is what? - ANS Carbamazepine
(Tegretol)
, The school nurse sees a child on the playground have an absence seizure identified by the
occurrence of what characteristics? - ANS Alterations in consciousness that last seconds
The nurse is providing patient education for a patient newly prescribed a hydantoin antiseizure
medication. What would the nurse be sure to teach the patient regarding the dangers of abrupt
withdrawal? - ANS Satus epilepticus
A patient is brought to the emergency department in the midst of an active clonictonic seizure.
What is the most appropriate antiseizure drug for the nurse to administer intravenously to
terminate acute convulsive seizures? - ANS Diazepam (Valium)
The nurse, working in the emergency room, admits a 13-month-old child reported by the parents
to have had a clonictonic seizure at home with no history of a seizure disorder. What is the
nurses priority intervention? - ANS Take the child's temperature
Richard, 15 years old, has been diagnosed with epilepsy. He is to be sent home on oral
phenytoin 100 mg b.i.d. What statement by Richards mother leads the nurse to believe she has
understood drug teaching? - ANS I will make sure he has routine visits to the dentist
The mother of a child newly diagnosed with drug-resistant epilepsy asks the nurse why two
antiepileptic drugs have been prescribed for her daughter. What is the nurses best answer? -
ANS To minimize seizures in resistant epilepsy
The patients serum drug level is elevated and indicates a toxic level. What will the nurse assess
for in this patient? (Select all that apply.) - ANS Liver toxicity; Bone marrow suppression;
Serious dermatological reactions
A patient has a new order for carbamazepine (Tegretol). What does the nurse know is a
contraindication to administration of carbamazepine? - ANS Bone marrow depression
The nurse is caring for a patient diagnosed with generalized seizures and will appropriately
administer what classifications of medications to this patient? (Select all that apply.) - ANS
Hydantoin; Benzodiazepines
The patient has serum drug levels of an antiepileptic drug ordered. The patient asks the nurse
why drug levels are measured. What is the nurses best response? - ANS To evaluate
whether the therapeutic range is reached
A patient, newly diagnosed with a seizure disorder, has been prescribed valproic acid. What is
one adverse effect of valproic acid that the nurse should include in the medication teaching
plan? - ANS Liver toxicity
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