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Stack #3829130
| Question | Answer |
|---|---|
| Question 1: Which condition is associated with hydantoin therapy? | |
| Answer: D | Gingival hyperplasia |
| Question 2: The nurse is preparing discharge instructions for a patient with a history of diabetes who has just been diagnosed with seizure disorder. The patient has been prescribed hydantoin therapy. What will the patient most likely experiencing? | |
| Answer: B | Hyperglycemia |
| Question 3: What is a guideline for the nurse when administering phenytoin (Dilantin) intravenously? | |
| Answer: D | Administer without mixing with other medications |
| Question 4: For which condition may carbamazepine (Tegretol) be used? | |
| Answer: C | Trigeminal neuralgia pain |
| Question 5: What is the drug of choice when treating a generalized tonic-clonic seizure? | |
| Answer: C | Valproic acid (Depakene) |
| Question 7: Which medication is used to control seizures or prevent migraine headaches? | |
| Answer: A | Topiramate (Topamax) |
| Question 8: Which condition would indicate to the nurse that a patient has phenytoin (Dilantin) toxicity? | |
| Answer: B | Nystagmus |
| Question 9: What information would be most important for the nurse to provide to a patient when teaching about the adverse effects of succinimide therapy? | |
| Answer: A | Nausea, vomiting, and indigestion are common during the initiation of therapy. |
| Question 10: What dose is within the acceptable range for administering IV phenytoin (Dilantin) to a patient with a seizure disorder? | |
| Answer: B | 30 mg/min |
| Question 11: The nurse is providing discharge teaching to a patient prescribed phenytoin (Dilantin) for management of a seizure disorder. Which patient statement indicates a need for further teaching? | |
| Answer: C | “If I develop enlarged gums, I will stop taking the medication.” |
| Question 12: Which premedication assessment by the nurse is most important prior to the initiation of carbamazepine (Tegretol) therapy? | |
| Answer: A | Determine patient’s ancestry. |
| Question 13: The nurse is providing education to a patient recently prescribed pregabalin (Lyrica). Which statement by the patient indicates a need for further instruction? | |
| Answer: B | “Once my pain improves, I will stop taking this medication.” |
| Question 14: The pediatric nurse is caring for a patient diagnosed with refractory seizures. The physician orders a ketogenic diet. When the child receives his food tray, the nurse should remove any food containing high levels of: | |
| Answer: C | carbohydrates |
| Question 1 (Multiple Response): What is included in the nursing management of the patient with generalized tonic-clonic seizure activity? (Select all that apply.) | |
| Answers: B | Placing padding around or under the patient’s head, D |
| Question 2: The healthcare provider orders diazepam (Valium) 10 mg IV stat for a patient who was admitted with status epilepticus. What important nursing interventions(s) associated with administration of this medication IV should the nurse perform? | |
| Answers: A | Apply a cardiac monitor to the patient to assess for continuous heart rate, if not already done, D |
| Question 3 (Multiple Response): Patients taking phenytoin (Dilantin) forcontrol of seizures must be aware of the risk for which adverse effect(s)? (Select all that apply.) | |
| Answers: A | Blood dyscrasias, B |
| Question 4: The nurse is preparing to administer zonisamide (Zonegran) to a newly admitted patient with the diagnosis of adult partial seizures. The nurse should hold this medication if the patient has which sign(s) or symptom(s)? (Select all that apply.) | |
| Answers: A | Skin rash, D |
| Question 5 (Multiple Response): A patient on anticonvulsant therapy confides to the nurse at an outpatient clinic that she suspects she may be pregnant. The nurse should encourage the patient to take which action(s)? (Select all that apply.) | |
| Answers: A | Consult an obstetrician, C |
Created by:
nichollmichael424