newly prescribed drug (AED)at home, day
the nurse will include which
intervention?
The US Food and Drug Administration Increased risk of suicidal thoughts and
has issued a warning for users of behaviors
antiepileptic drugs. Based on this
report, the nurse will monitor for which
potential problems with this class of
drugs?
The nurse notes in the patient’s musculoskeletal injury
medication history the patient is taking
cyclobenzaprine (Flexeril). Based on
this finding, the nurse interprets that
the patient has which disorder?
The nurse is reviewing the dosage .phenobarbital
schedule for several different
antiepileptic drugs (AEDs) drug allows
for once a day dosing?
The nurse is reviewing antiepileptic - AED therapy is usually lifelong.
drug (AED) therapy. Which statement
about AED therapy are accurate? - Consistent dosing is the key to
controlling seizures.
- Do not abruptly discontinue AEDs
because doing so may cause rebound
seizure activity.
The nurse is preparing to administer a - Pregnancy
barbiturate. Which condition or
disorders would be a contraindication - Severe chronic obstructive
to the use of these drugs?
- Severe liver disease
,The nurse is monitoring a patient who
has been taking carbamazepine
(Tegretol) for 2 months. Which effects The drug levels for carbamazepine are
would indicate the autoinduction has lower than expected
started to occur?
The nurse is giving an intravenous Mix the drug with normal saline, and
dose of phenytoin (Dilantin). Which give it as a slow IV push.
action is correct when administering
this drug?
Phenytoin (Dilantin) has a narrow the safe and the toxic plasma levels of
therapeutic index. The nurse the drug are very close to each other.
recognizes that this characteristic
means that
During a routine appointment, a patient The drug level is at a toxic level, and
with a history of seizures is found to the dosage needs to be reduced.
have a phenytoin (Dilantin) level of 23
mcg/mL. What concern will the nurse
have, if any?
The nurse has given medication "I will need to take extra care of my
instructions to a patient receiving teeth and gums while on this
phenytoin (Dilantin). Which statement medication."
by the patient indicates that the patient
has an adequate understanding?
The barbiturate phenobarbital is - Antihistamines
prescribed for a patient with epilepsy.
While assessing the patient’s current - Opioids
medications, the nurse recognizes that
- Anticoagulants
interactions may occur with drugs
- Oral contraceptives
,Ramelteon (Rozerem) is prescribed for Liver disease
a patient with insomnia. The nurse
checks the patient's medical history,
knowing that this medication is
contraindicated in which disorder?
A patient who has received some Diazepam (Valium)
traumatic news is panicking and asks
for some medication to help settle
down. The nurse anticipates giving
which drug that is most appropriate for
this situation?
A patient tells the nurse that he likes to "I will be able to drive my car after
drink kava herbal tea to help him relax. drinking this tea."
Which statement by the patient
indicates that additional teaching about
this herbal product is needed?
a patient is taking gabapentin the medication is used for treatment of
(neurontin) & the nurse notes that there neuropathic pain
is no history of seizures on his medical
record. what is the best possible
rationale for this med order
A patient is taking flurazepam Providing a quiet environment
(Dalmane) three to four nights a week
for sleeplessness. She is concerned
that she cannot get to sleep without
taking the medication. What
nonpharmacologic measures should
the nurse suggest to promote sleep for
this patient?
A patient is experiencing status Diazepam (Valium)
epilepticus. The nurse prepares to give
, which drug of choice for the treatment
of this condition?
A patient is brought to the emergency Implementing measures to maintain the
department for treatment of a airway and support respirations
suspected overdose. The patient was
found with an empty prescription bottle
of a barbiturate by his bedside. He is
lethargic and barely breathing. The
nurse would expect which immediate
intervention?
A patient has experienced insomnia for Eszopiclone (Lunesta)
months, and the physician has
prescribed a medication to help with
this problem. The nurse expects which
drug to be used for long-term treatment
of insomnia?
A patient has been taking temazepam These drugs affect the sleep cycle,
(Restoril) for intermittent insomnia. She resulting in daytime sleepiness.
calls the nurse to say that when she
takes it, she sleeps well, but the next
day she feels "so tired." Which
explanation by the nurse is correct?
A patient has been taking This drug causes deprivation of REM
phenobarbital for 2 weeks as part of his sleep and may cause the inability to
therapy for epilepsy. He tells the nurse deal with normal stress.
that he feels tense and that "the least
little thing" bothers him now. Which is
the correct explanation for this
problem?