Pharmacotherapeutics for Advanced Practice
Nurse Prescribers: Chapter 12. Drugs Affecting
the Central Nervous System exam with
100% correct answer
Terms in this set (38)
A 42-year-old female requests a ANS: 2
prescription for an anorexiant to treat her
obesity. A trial of phentermine is
prescribed. Prescribing precautions
include:
1. Understanding that obesity is a
contraindication to prescribing phentermine
2.Anorexiants may cause tolerance
and should only be prescribed for six
months
3.Patients should be monitored for postural
hypotension
4. Renal function should be monitored
closely while on anorexiants
, Before prescribing phentermine, a thoroughANS: 3
drug history should be taken including
assessing for the use of serotonergic agents
such as selective serotonin reuptake
inhibitors (SSRIs) and St. John's Wort due to:
1. Additive respiratory depression risk
2. Additive effects affecting liver function
3.The risk of serotonin syndrome
4.The risk of altered cognitive functioning
A three-year-old child has a history of status
ANS: 2
epilepticus. Along with her routine
antiseizure medication, she should also
have a home prescription for to be
used
for an episode of status epilepticus.
1. IV phenobarbital
2.Rectal diazepam (Diastat)
3.IV phenytoin (Dilantin)
4.Oral carbamazepine (Tegretol)
A child is prescribed phenytoin for seizures. ANS: 1
Monitoring includes assessing:
1. For phenytoin hypersensitivity syndrome
three to eight weeks after starting treatment
2.For pedal edema throughout therapy
3.Heart rate at each visit, as therapy
may have to be altered if heart rate is
less than 60 beats per minute (bpm)
4. For vision changes, such as red-
green blindness, at least annually
A child, Dwayne, has recently started on ANS: 2
carbamazepine to treat seizures. He comes
to see you and you note that while his
carbamazepine levels had been in the
therapeutic range, they are now low. The
possible cause for the low carbamazepine
levels may be:
1. Dwayne hasn't been taking his
carbamazepine because it causes insomnia.
2.Carbamazepine autoinduces metabolism,
leading to lower levels in spite of good
compliance.
3.Dwayne was not originally prescribed the
correct amount of carbamazepine.
4.Carbamazepine is probably not the right
antiseizure medication for Dwayne.
Nurse Prescribers: Chapter 12. Drugs Affecting
the Central Nervous System exam with
100% correct answer
Terms in this set (38)
A 42-year-old female requests a ANS: 2
prescription for an anorexiant to treat her
obesity. A trial of phentermine is
prescribed. Prescribing precautions
include:
1. Understanding that obesity is a
contraindication to prescribing phentermine
2.Anorexiants may cause tolerance
and should only be prescribed for six
months
3.Patients should be monitored for postural
hypotension
4. Renal function should be monitored
closely while on anorexiants
, Before prescribing phentermine, a thoroughANS: 3
drug history should be taken including
assessing for the use of serotonergic agents
such as selective serotonin reuptake
inhibitors (SSRIs) and St. John's Wort due to:
1. Additive respiratory depression risk
2. Additive effects affecting liver function
3.The risk of serotonin syndrome
4.The risk of altered cognitive functioning
A three-year-old child has a history of status
ANS: 2
epilepticus. Along with her routine
antiseizure medication, she should also
have a home prescription for to be
used
for an episode of status epilepticus.
1. IV phenobarbital
2.Rectal diazepam (Diastat)
3.IV phenytoin (Dilantin)
4.Oral carbamazepine (Tegretol)
A child is prescribed phenytoin for seizures. ANS: 1
Monitoring includes assessing:
1. For phenytoin hypersensitivity syndrome
three to eight weeks after starting treatment
2.For pedal edema throughout therapy
3.Heart rate at each visit, as therapy
may have to be altered if heart rate is
less than 60 beats per minute (bpm)
4. For vision changes, such as red-
green blindness, at least annually
A child, Dwayne, has recently started on ANS: 2
carbamazepine to treat seizures. He comes
to see you and you note that while his
carbamazepine levels had been in the
therapeutic range, they are now low. The
possible cause for the low carbamazepine
levels may be:
1. Dwayne hasn't been taking his
carbamazepine because it causes insomnia.
2.Carbamazepine autoinduces metabolism,
leading to lower levels in spite of good
compliance.
3.Dwayne was not originally prescribed the
correct amount of carbamazepine.
4.Carbamazepine is probably not the right
antiseizure medication for Dwayne.
