The Neurological System (Part 1) Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

The Neurological System (Part 1) Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the primary concern when a client taking phenytoin begins to experience double vision and ataxia? These are signs of phenytoin toxicity and should be reported immediately What should a nurse instruct a client to do if they miss a dose of carbamazepine? Take it as soon as remembered unless it's almost time for the next dose What effect does carbamazepine have on oral contraceptives? It decreases their effectiveness, requiring an alternative form of birth control Why must clients avoid grapefruit juice while taking carbamazepine? Grapefruit juice increases drug levels and risk of toxicity What is the mechanism of action of valproic acid in the brain? It increases GABA, which inhibits nerve activity and controls seizures 2 Why is it important to monitor platelet counts in a client taking valproic acid? Valproic acid can cause thrombocytopenia, increasing bleeding risk What teaching should be provided to a client starting lamotrigine? Report any rash immediately due to the risk of severe skin reactions What symptom may indicate liver failure in a client taking valproic acid? Jaundice and upper abdominal pain What should a nurse prioritize when administering diazepam for status epilepticus? Monitor airway and breathing due to risk of respiratory depression Why should IV phenytoin be given slowly through a large-bore vein? Rapid administration may cause hypotension and cardiac arrhythmias Why is it important to assess for suicidal ideation in clients starting antiseizure medications? Some antiseizure drugs increase the risk of depression and suicidal thoughts 3 What is a serious adverse effect of topiramate that requires immediate medical attention? Sudden vision changes due to possible glaucoma Why must clients taking antiseizure medications avoid abrupt cessation of the drug? Stopping suddenly can trigger seizures or status epilepticus Why might a client taking phenytoin need regular dental check-ups? To manage gingival hyperplasia, a common side effect What is the purpose of combining levodopa with carbidopa? Carbidopa prevents breakdown of levodopa before it reaches the brain What is a therapeutic outcome of levodopa/carbidopa therapy in Parkinson’s disease? Improved ability to perform voluntary movements Why is it necessary to monitor kidney function in a client taking pramipexole? The drug is excreted by the kidneys and can accumulate if renal function is impaired 4 Why should a client taking levodopa-carbidopa avoid high-protein meals? Protein interferes with the absorption of the medication What side effect of levodopa should the nurse teach the client to expect? Dark-colored urine or sweat, which is harmless