• Quiz 1
Question 1
Question text
A woman has presented to a clinic requesting a prescription for lorazepam (Ativan) in order to treat her recurrent anxiety. Her care provider, however, believes that a selective serotonin reuptake inhibitor (SSRI) would be more appropriate. W...
• quiz 1 question 1 question text a woman has presented to a clinic requesting a prescription for lorazepam ativan in order to treat her recurrent anxiety her care provider
Question 1
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A woman has presented to a clinic requesting a prescription for lorazepam (Ativan) in order to
treat her recurrent anxiety. Her care provider, however, believes that a selective serotonin
reuptake inhibitor (SSRI)would be more appropriate. What advantage do SSRIs have over
benzodiazepines in the treatment of anxiety?
Select one:
a. SSRIs do not require serial blood tests during therapy.
b. SSRIs have a more rapid therapeutic effect.
c. SSRIs generally have fewer adverse effects.
d. SSRIs require administration once per week, versus daily or twice daily with benzodiazepines.
Feedback
SSRIs are generally well tolerated with few adverse effects. Unlike the benzodiazepines, they do not
cause diminished alertness or ataxia. However, they take longer to have a therapeutic effect. Neither
class of drug necessitates serial blood testing. SSRIs are normally taken daily.
The correct answer is: SSRIs generally have fewer adverse effects.
Question 2
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A female patient who takes ethosuximide for the treatment of absence seizures calls the clinic to
report that she has developed a sore throat and a slight fever. The nurse will explain that she
should come to the clinic to have which of the following checked?
Select one:
a. Ethosuximide serum level
b. Blood cell count
c. Pulse and blood pressure
, d. Bleeding tendencies
Feedback
If patients who take ethosuximide develop signs of infection such as a sore throat and fever, blood cell
counts should be checked. Periodic urinalysis and liver function studies will help to identify any early
complications that might occur from the drug therapy. The drug serum level, bleeding tendencies, and
pulse and blood pressure are not used in early identification of infection.
The correct answer is: Blood cell count
Question 3
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You are a nurse in the emergency department caring for a patient in status epilepticus. Which
of these medications will you be prepared to administer:
Select one or more:
a. lorazepam
b. ethosuximide
c. propanolol
d. gabapentin
Feedback
Your answer is correct.
The correct answer is: lorazepam
Question 4
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A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome
for the patient who is receiving glatiramer would be a decrease in
Select one:
a. chest pain.
b. heart palpitations.
c. breathing difficulties.
d. fatigue.
Feedback
Glatiramer should reduce the frequency of multiple sclerosis–related attacks and therefore decrease
fatigue. Fatigue, weakness, spasticity, balance problems, bladder and bowel problems, numbness, vision
loss, tremor, and vertigo are the most common symptoms of multiple sclerosis. Chest pain, breathing
difficulties, and heart palpitations are all identified side effects of glatiramer and are not common
manifestations of MS.
The correct answer is: fatigue.
Question 5
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