A patient has been taking antiepileptic drugs for a
year. The nurse is reviewing his recent history and
will monitor for which condition that may
... [Show More] develop
during this time?
a. Loss of appetite
b. Jaundice
c. Weight loss
d. Suicidal thoughts or behavior - ✔✔ d. Suicidal thoughts or behavior
A patient is experiencing a seizure that has lasted
for several minutes and he has not regained consciousness.
The nurse recognizes that this is a lifethreatening
emergency known as:
a. status epilepticus.
b. tonic-clonic convulsion.
c. epilepsy.
d. secondary epilepsy - ✔✔ a. status epilepticus.
The nurse is giving an intravenous dose of phenytoin
(Dilantin). Which guidelines will the nurse follow
for administration? (Select all that apply.)
a. Inject phenytoin quickly.
b. Inject phenytoin slowly.
c. The injection of phenytoin is followed by an injection
of sterile saline.
d. Do not infuse phenytoin continuously.
e. Mix the phenytoin with D5W (5% dextrose and
water) for the infusion. - ✔✔ b. Inject phenytoin slowly.
c. The injection of phenytoin is followed by an injection
of sterile saline.
d. Do not infuse phenytoin continuously.
R: Phenytoin must be injected SLOWLY, can only be mixed/infused with NS, and it should NOT be infused continuously
The nurse is administering phenobarbital (Luminal)
and will monitor the patient for which possible adverse
effect?
a. Constipation
b. Gingival hyperplasia
c. Drowsiness
d. Dysrhythmias - ✔✔ c. Drowsiness
A patient has been admitted to the emergency department
with status epilepticus. The nurse knows that which of these drugs is considered the drug of choice
for this condition?
a. phenobarbital (Luminal)
b. diazepam (Valium)
c. valproic acid
d. phenytoin (Dilantin) - ✔✔ b. diazepam (Valium)
A patient who is experiencing neuropathic pain tells the nurse that the physician is going to start him on a new medication that is generally used to treat seizures. The nurse anticipates that which drug will be
ordered?
a. phenobarbital (Luminal)
b. phenytoin (Dilantin)
c. gabapentin (Neurontin)
d. tiagabine (Gabitril) - ✔✔ c. gabapentin (Neurontin)
Phenytoin (Dilantin) is prescribed for a patient. The nurse checks the patient's current list of medications and notes that interactions may occur with which
drugs or drug classes? (Select all that apply.)
a. Proton pump inhibitors
b. warfarin (Coumadin)
c. Sulfonamide antibiotics
d. Corticosteroids
e. Oral contraceptives - ✔✔ a. Proton pump inhibitors
c. Sulfonamide antibiotics
The nurse is preparing to give medications. Which is the most appropriate nursing action for intravenous (IV) phenytoin
(Dilantin)?
a Give IV doses via rapid IV push.
b Administer in normal saline solutions.
c Administer in dextrose solutions.
d Ensure continuous infusion of the drug. - ✔✔ b Administer in normal saline solutions.
The nurse is reviewing the drugs currently taken by a patient
who will be starting drug therapy with CARBAMAZEPINE (Tegretol). Which drug may raise a concern for interactions?
a digoxin (Lanoxin)
b acetaminophen (Tylenol)
c diazepam (Valium)
d warfarin (Coumadin) - ✔✔ b acetaminophen (Tylenol)
Which response would the nurse expect to find in a patient with a phenytoin (Dilantin) level of 35 mcg/mL?
a Ataxia
b Hypertension
c Seizures
d No unusual response; this level is therapeutic. - ✔✔ a Ataxia
A patient is taking pregabalin (Lyrica) but does not have a
history of seizures. The nurse recognizes that this drug is also
indicated for
a postherpetic neuralgia.
b viral infections.
c Parkinson's disease.
d depression. - ✔✔ a postherpetic neuralgia.
The nurse is assessing a newly admitted patient who has a
history of seizures. During the assessment, the patient has a generalized seizure that does not stop for several minutes. The nurse expects that which drug will be ordered for this
condition?
a valproic acid (Depakote)
b neurontin (Gabapentin)
c carbamazepine (Tegretol)
d diazepam (Valium) - ✔✔ a valproic acid (Depakote)
The nurse is administering an antiepileptic drug and will follow
which guidelines? (Select all that apply.)
a Monitor the patient for drowsiness.
b Medications may be stopped if seizure activity disappears.
c Give the medication at the same time every day.
d Give the medication on an empty stomach.
e Notify the prescriber if the patient is unable to take the
medication. - ✔✔ a Monitor the patient for drowsiness.
c Give the medication at the same time every day.
e Notify the prescriber if the patient is unable to take the
medication. [Show Less]