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1. A patient with migraine headaches is being treated with a serotonin antagonist.
Which conditions would cause the nurse to questions the use of this class of
medication to treat the patient's migraines?
a.) Asthma
b.) Hypertension
c.) Glaucoma
d.) Diabetes mellitus
b.) Hypertension
2. A patient will be taking sumatriptan (Imitrex) as part of treatment of migraine
headaches. Before beginning therapy, the nurse reviews the patient's current list
of medications Which medication may have an interaction with sumatriptan?
(Select all that apply)
a.) Opioids
b.) Ergot alkaloids
c.) Selective serotonin reuptake inhibitors (SSRIs)
d.) Monoamine oxidase inhibitors (MAOIs)
e.) NSAIDs
,b.) Ergot alkaloids
c.) Selective serotonin reuptake inhibitors (SSRIs)
d.) Monoamine oxidase inhibitors (MAOIs)
3. In which patient population would the nurse expect to see the use of analeptics
in the treatment of respiratory depression?
a.) Neonates
b.) Children
c..) Adults
d.) Older adults
a.) Neonates
4. A patient has been taking antiepileptic drugs for 1 year. The nurse is reviewing
the patient's recent history and will monitor for which condition that may develop
during this time?
a.) Loss of appetite
b.) Jaundice
c.) Weight loss
d.) Suicidal thoughts or behavior
d.) Suicidal thoughts or behavior
5. A patient is experiencing a seizure that has lasted for several minutes, and he
has not regained con-sciousness. The nurse recognizes that this is a life-
threatening emergency known as
a.) status epilepticus.
b.) tonic-clonic convulsion. c.) Epilepsy
d.) Secondary epilepsy.
a.) status epilepticus
, 6. The nurse is giving an intravenous dose of phenytoin. Which guidelines will the
nurse follow for administration? (Select all that apply.)
a.) Inject phenytoin into a smaller vein.
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.
7. The nurse is administering phenobarbital and will monitor the patient for which
possible adverse effect?
a.) Constipation
b.) Gingival hyperplasia
c.) Drowsiness
d.) Dysrhythmias
c.) Drowsiness
8. 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
b.) Diazepam
c.) Valproic acid
d.) Phenytoin
b.) Diazepam