NURSING ADN||NUR ADN QUESTION
AND ANSWERS LATEST REVIWEW
2024/2025 GRADED A+
Index
Topiramate: Slides 2-6
Sumatriptan and other HA meds: Slides 7-10
Headaches: Slides 11-18
MS: Slides 19-32
Parkinson's: Slides 33-69
MG: 70-89
ALS: 90-99
Huntington's: 100-111
GBS: 112-136
TB: 137-176
Bacterial and final lung infections: 177 (CORRECT ANSWERS)
Teaching: Topiramate (Topamax) is an anticonvulsant medication
typically given orally. It blocks neuronal excitability by increasing
GABA activity and inhibiting glutamate activity. It typically takes 2-3
months to work. It can cause kidney stones, so instruct the patient to
increase water intake. Teach the patient to never stop taking the
medication abruptly because it can cause seizures. Another term for
,kidney stones stuck in the kidney is nephrolithiasis. This medication can
also cause mild cognitive impairment. (CORRECT ANSWERS)
Memory trick: "To Pee Rocks, mate!" (Causes kidney stones)
"A Pirate at sea for 2-3 months out on the open water." (Takes 2-3
months to work, and increase water intake.)
"Pirate? Tom? What?" (Causes cognitive impairment.)
1. What kind of medication is topiramate?
a. Anticonvulsant
b. Analgesic
c. NSAID
d. Antibiotic (CORRECT ANSWERS) Anticonvulsant
2. What is topiramate better known as?
a.Topamax
b.Celebrex
c.Aleve
d.Clavamox (CORRECT ANSWERS) a.Topamax
3. How long does Topiramate take to start working?
a. 1-2 months
b. 4-5 months
c. 8-12 weeks
c. 2 weeks (CORRECT ANSWERS) c. 8-12 weeks (2-3 months)
,A common complication when taking Topiramate is?
a. stroke
b. seizures
c. migraines
d. nephrolithiasis (CORRECT ANSWERS) d. nephrolithiasis
Teaching: Sumatriptan (Imitrex) is a selective serotonin receptor agonist
used to treat migraines. It belongs to a class known as "Triptans." This
medication can cause tremors. We cannot give Sumatriptan to patients
with cardiopulmonary issues, like CAD, because this medication
narrows the blood vessels, and the combination of vessels narrowing and
excessive plague can lead to occlusion of blood to major organs, body
parts, or the brain. Patients with these conditions should avoid
sumatriptan: High blood pressure, Heart disease, High cholesterol, Bad
pain in the chest, problems with the liver, Diabetes, Stroke. (CORRECT
ANSWERS) Remember the T in Sumatriptan, it causes your blood
vessels to "Trip" out: Treats migraines but causes Tight blood vessels
and Tremors.
The nurse knows that which following conditions are contraindicated for
a Sumatriptan subscription? Select all that apply.
a. Peripheral artery disease.
b. cerebrovascular disease.
c. uncontrolled hypertension.
d. Alcoholic fatty liver disease.
, d. history of transient ischemic attack and stroke (CORRECT
ANSWERS) All answers are correct.
Teaching: other medications to treat headaches or migraines include
NSAIDS, Beta-blockers, and muscle relaxers. NSAIDS should not be
taken long term because they increase the risk of GI bleeding. Beta-
blockers work by causing the heart to beat slowly and with less force.
Muscle relaxers like Baclofen and Zanaflex work by relaxing the fine
muscles of the head and face, thus reducing tension associated
headaches. (CORRECT ANSWERS)
The nurse knows that which of the following medications may be
prescribed to treat migraines? Select all that apply.
a. Metoprolol
b. Aspirin
c. Zanaflex
d. Topiramate
e. Sumatriptan
f. acetaminophen (CORRECT ANSWERS) a, b, c, d, e.
Acetaminophen doesn't have anti-inflammatory properties, so it isn't
very good at treating migraines.
Teaching: Nursing management of HA. The goal is to reduce pain,
identify triggers, and find coping strategies to manage pain. We need a
detailed history from the patient to identify pain and find proper coping
strategies. Relaxation teaching, meditation, yoga, massage, and moist
hot packs are effective interventions. We also need to teach the patient to
AND ANSWERS LATEST REVIWEW
2024/2025 GRADED A+
Index
Topiramate: Slides 2-6
Sumatriptan and other HA meds: Slides 7-10
Headaches: Slides 11-18
MS: Slides 19-32
Parkinson's: Slides 33-69
MG: 70-89
ALS: 90-99
Huntington's: 100-111
GBS: 112-136
TB: 137-176
Bacterial and final lung infections: 177 (CORRECT ANSWERS)
Teaching: Topiramate (Topamax) is an anticonvulsant medication
typically given orally. It blocks neuronal excitability by increasing
GABA activity and inhibiting glutamate activity. It typically takes 2-3
months to work. It can cause kidney stones, so instruct the patient to
increase water intake. Teach the patient to never stop taking the
medication abruptly because it can cause seizures. Another term for
,kidney stones stuck in the kidney is nephrolithiasis. This medication can
also cause mild cognitive impairment. (CORRECT ANSWERS)
Memory trick: "To Pee Rocks, mate!" (Causes kidney stones)
"A Pirate at sea for 2-3 months out on the open water." (Takes 2-3
months to work, and increase water intake.)
"Pirate? Tom? What?" (Causes cognitive impairment.)
1. What kind of medication is topiramate?
a. Anticonvulsant
b. Analgesic
c. NSAID
d. Antibiotic (CORRECT ANSWERS) Anticonvulsant
2. What is topiramate better known as?
a.Topamax
b.Celebrex
c.Aleve
d.Clavamox (CORRECT ANSWERS) a.Topamax
3. How long does Topiramate take to start working?
a. 1-2 months
b. 4-5 months
c. 8-12 weeks
c. 2 weeks (CORRECT ANSWERS) c. 8-12 weeks (2-3 months)
,A common complication when taking Topiramate is?
a. stroke
b. seizures
c. migraines
d. nephrolithiasis (CORRECT ANSWERS) d. nephrolithiasis
Teaching: Sumatriptan (Imitrex) is a selective serotonin receptor agonist
used to treat migraines. It belongs to a class known as "Triptans." This
medication can cause tremors. We cannot give Sumatriptan to patients
with cardiopulmonary issues, like CAD, because this medication
narrows the blood vessels, and the combination of vessels narrowing and
excessive plague can lead to occlusion of blood to major organs, body
parts, or the brain. Patients with these conditions should avoid
sumatriptan: High blood pressure, Heart disease, High cholesterol, Bad
pain in the chest, problems with the liver, Diabetes, Stroke. (CORRECT
ANSWERS) Remember the T in Sumatriptan, it causes your blood
vessels to "Trip" out: Treats migraines but causes Tight blood vessels
and Tremors.
The nurse knows that which following conditions are contraindicated for
a Sumatriptan subscription? Select all that apply.
a. Peripheral artery disease.
b. cerebrovascular disease.
c. uncontrolled hypertension.
d. Alcoholic fatty liver disease.
, d. history of transient ischemic attack and stroke (CORRECT
ANSWERS) All answers are correct.
Teaching: other medications to treat headaches or migraines include
NSAIDS, Beta-blockers, and muscle relaxers. NSAIDS should not be
taken long term because they increase the risk of GI bleeding. Beta-
blockers work by causing the heart to beat slowly and with less force.
Muscle relaxers like Baclofen and Zanaflex work by relaxing the fine
muscles of the head and face, thus reducing tension associated
headaches. (CORRECT ANSWERS)
The nurse knows that which of the following medications may be
prescribed to treat migraines? Select all that apply.
a. Metoprolol
b. Aspirin
c. Zanaflex
d. Topiramate
e. Sumatriptan
f. acetaminophen (CORRECT ANSWERS) a, b, c, d, e.
Acetaminophen doesn't have anti-inflammatory properties, so it isn't
very good at treating migraines.
Teaching: Nursing management of HA. The goal is to reduce pain,
identify triggers, and find coping strategies to manage pain. We need a
detailed history from the patient to identify pain and find proper coping
strategies. Relaxation teaching, meditation, yoga, massage, and moist
hot packs are effective interventions. We also need to teach the patient to
