NR293 FINAL EXAM | UPDATED Questions with 100% Verified
Answers
Q1: Benzodiazepines: Indications A/E
A: Indications: -Anxiety; panic disorder PTSD -Seizure disorders -Insomnia -Muscle spasm -Alcohol withdrawal
-amnesia prior to procedure A/E: -CNS depression -cardiopulmonary arrest -Dependency/Addiction
Q2: Benzodiazepines Admin guidelines: What are appropriate actions to prevent withdrawal?
A: Admin guidelines: -Avoid activities that require alertness -Avoid alcohol and other anti-anxiety medications -Take with
food, at bedtime -Avoid grapefruit juice What are appropriate actions to prevent withdrawal? -FLUMAZENIL
Q3: Phenytoin: Indications A/E Teaching
A: Indications: -Control seizure activity A/E: -Nystagmus -Bradycardia -hypotension -GINGIVAL HYPERPLASIA
Teaching: -Maintain good oral care
Q4: Valproic acid: Indications A/E
A: Indications: -Control seizure activity A/E: -Hepatotoxicity -Pancreatitis -Thrombocytopenia
Q5: What is the expected length of treatment with anti-seizure drugs?
A: -They may take them their entire life -Do not stop taking abruptly
Q6: What would a nurse expect to see in a patient whose serum levels of anti-seizure drugs are too low or
too high? What are appropriate nursing interventions and questions to ask the patient?
A: What would a nurse expect to see in a patient whose serum levels of anti-seizure drugs are too low or too high?
-Bradycardia -GINGIVAL HYPERPLASIA -Hepatotoxicity -Pancreatitis What are appropriate nursing interventions
and questions to ask the patient? Monitor: -Therapeutic serum levels of medications -Labs: CBC, LFTs -Phenytoin:
Maintain good oral care -Avoid other CNS depressants -Avoid alcohol -Avoid activities that require alertness
Q7: Carbamazepine: Indications A/E
A: Indications: -Control seizure activity A/E: -Nystagmus/diplopia -ataxia -HA -Blood dyscrasia -rash -SJS
Q8: Benzodiazepines antidote
A: Flumazenil
, Q9: Beta blockers (BB) antidote
A: Glucagon
Q10: Calcium channel blockers (CCB) antidote
A: Calcium
Q11: Digoxin antidote
A: Digibind
Q12: Ethylene glycol antidote
A: Ethanol
Q13: Iron antidote
A: Deferoxamine
Q14: Opiates, opioid antidote
A: Naloxone
Q15: Organophosphates antidote
A: Atropine
Q16: Tricyclic antidepressants antidote
A: Sodium bicarbonate
Q17: Acetaminophen antidote
A: Acetylcysteine
Q18: Should a patient be administered opioids and benzodiazepines at the same time? If yes, what do you
want to monitor the patient for? If not, why not?
A: No they should not -can slow down the central nervous system; can lead to slow or difficulty breathing, coma, or
death
Answers
Q1: Benzodiazepines: Indications A/E
A: Indications: -Anxiety; panic disorder PTSD -Seizure disorders -Insomnia -Muscle spasm -Alcohol withdrawal
-amnesia prior to procedure A/E: -CNS depression -cardiopulmonary arrest -Dependency/Addiction
Q2: Benzodiazepines Admin guidelines: What are appropriate actions to prevent withdrawal?
A: Admin guidelines: -Avoid activities that require alertness -Avoid alcohol and other anti-anxiety medications -Take with
food, at bedtime -Avoid grapefruit juice What are appropriate actions to prevent withdrawal? -FLUMAZENIL
Q3: Phenytoin: Indications A/E Teaching
A: Indications: -Control seizure activity A/E: -Nystagmus -Bradycardia -hypotension -GINGIVAL HYPERPLASIA
Teaching: -Maintain good oral care
Q4: Valproic acid: Indications A/E
A: Indications: -Control seizure activity A/E: -Hepatotoxicity -Pancreatitis -Thrombocytopenia
Q5: What is the expected length of treatment with anti-seizure drugs?
A: -They may take them their entire life -Do not stop taking abruptly
Q6: What would a nurse expect to see in a patient whose serum levels of anti-seizure drugs are too low or
too high? What are appropriate nursing interventions and questions to ask the patient?
A: What would a nurse expect to see in a patient whose serum levels of anti-seizure drugs are too low or too high?
-Bradycardia -GINGIVAL HYPERPLASIA -Hepatotoxicity -Pancreatitis What are appropriate nursing interventions
and questions to ask the patient? Monitor: -Therapeutic serum levels of medications -Labs: CBC, LFTs -Phenytoin:
Maintain good oral care -Avoid other CNS depressants -Avoid alcohol -Avoid activities that require alertness
Q7: Carbamazepine: Indications A/E
A: Indications: -Control seizure activity A/E: -Nystagmus/diplopia -ataxia -HA -Blood dyscrasia -rash -SJS
Q8: Benzodiazepines antidote
A: Flumazenil
, Q9: Beta blockers (BB) antidote
A: Glucagon
Q10: Calcium channel blockers (CCB) antidote
A: Calcium
Q11: Digoxin antidote
A: Digibind
Q12: Ethylene glycol antidote
A: Ethanol
Q13: Iron antidote
A: Deferoxamine
Q14: Opiates, opioid antidote
A: Naloxone
Q15: Organophosphates antidote
A: Atropine
Q16: Tricyclic antidepressants antidote
A: Sodium bicarbonate
Q17: Acetaminophen antidote
A: Acetylcysteine
Q18: Should a patient be administered opioids and benzodiazepines at the same time? If yes, what do you
want to monitor the patient for? If not, why not?
A: No they should not -can slow down the central nervous system; can lead to slow or difficulty breathing, coma, or
death
