Pharmacotherapeutics Quiz

QUIZ 5 1-A nurse who gives care on a neurological floor is working with several clients. Which client should the nurse prioritize for further assessment and possible interventions? A client receiving pregabalin who is not responsive to verbal stimuli 2-An older adult client has been prescribed an antiseizure medication and is experiencing central nervous system depression. What is the nurse’s most appropriate action? Implement falls precautions 3- When reviewing a journal article about seizure disorders, the nurse would expect to find tonic–clonic seizures and myoclonic seizures being classified as which type of seizures? Generalized seizures 4-What should the nurse include as a possible adverse effect when teaching a client about phenytoin? Liver toxicity 5-A client is prescribed lamotrigine for control of partial seizures. What is the most important medication teaching information the nurse should emphasize from the plan of care? Contact the health care provider immediately if rash appears. 6-The nurse is monitoring the serum carbamazepine level of a client. Which result would lead the nurse to notify the prescriber that the client most likely needs an increased dosage? 2 mcg/mL 7-What is the most common drug of choice prescribed for the treatment of seizure activity in adults? Phenytoin 8-A client is receiving lamotrigine as treatment for partial seizures. Which assessment finding would lead the nurse to stop the drug immediately? Rash 9-The nurse is providing education to an adult client who has been prescribed lamotrigine for a seizure disorder. The nurse should inform the client that the medication must be stopped if what unexpected reaction develops? skin rash 10- A client is receiving carbamazepine therapy and the client’s latest serum level of the drug is 13 mcg/mL. What action is most appropriate? Anticipate a reduction in dosage QUIZ 4 1-A patient with cortical focal seizures has been prescribed phenobarbital. What adverse reaction should the nurse monitor for in the patient? CNS depression 2- A nurse who gives care on a neurological floor is working with several clients. Which client should the nurse prioritize for further assessment and possible interventions? A client receiving pregabalin who is not responsive to verbal stimuli 3- The nurse is caring for a 26-year-old client with partial seizures and has been prescribed oxcarbazepine as monotherapy. It will be critical for the nurse to inform the client of which needed action? since she is taking oral contraceptives, she will need to use an additional form of birth control. 4-A client with impaired liver function is suffering from a seizure disorder, which is noted to consist of partial seizures. Which medication might the health care provider prescribe to avoid risks associated with impaired liver function? Levetiracetam 5-The nurse has administered gabapentin to a client. Following administration, the nurse should assess the client for what possible adverse effect? Central nervous system (CNS) depression 6-A patient is prescribed daily doses of phenytoin for seizures. The nurse knows that a single dose should not be missed during the course of treatment. Which condition could result if a dose is missed? Status epilepticus 7-An older adult client has been prescribed an antiseizure medication and is experiencing central nervous system depression. What is the nurse’s most appropriate action? Implement falls precautions 8- What best reflects the action of barbiturates when used to control seizures? Inhibition of impulse conduction 9-After teaching a class on drug classes used to treat seizures, the instructor determines that the teaching has been successful when the students identify which drug as most commonly used in the treatment of absence seizures? Ethosuximide 10- One week ago, a client began taking ethosuximide 500 mg/day PO for the treatment of absence seizures. The client reports gastrointestinal (GI) upset after taking with the drug. What health education should the nurse provide? "Try taking your pills at the same time as you eat some food." QUIZ 3 1-When combination therapy is ineffective, what needs to be reassessed? Drug–drug interactions 2-A child suffers from absence seizures. What is the drug of choice for absence seizures? Ethosuximide 3- A client, newly diagnosed with a seizure disorder, asks the nurse why the client is receiving a specific drug. What would be the best answer by the nurse? When prescribing an AED, the health care provider takes into account the type of seizure the client is having. 4-One week ago, a client began taking ethosuximide 500 mg/day PO for the treatment of absence seizures. The client reports gastrointestinal (GI) upset after taking with the drug. What health education should the nurse provide? "Try taking your pills at the same time as you eat some food." 5- A nurse suspects that a client is experiencing phenytoin toxicity based on assessment of which sign? Select all that apply. -Nystagmus -Ataxia - Mental status changes 6-The nurse is caring for a 26-year-old client with partial seizures and has been prescribed oxcarbazepine as monotherapy. It will be critical for the nurse to inform the client of which needed action? since she is taking oral contraceptives, she will need to use an additional form of birth control. 7-Which factor should the clinician reassess when combination therapy is ineffective? Drug-drug interactions 8-The nurse is providing education to an adult client who has been prescribed lamotrigine for a seizure disorder. The nurse should inform the client that the medication must be stopped if what unexpected reaction develops? skin rash 9- The nurse instructs the parent of a young school-age child with a seizure disorder who takes an AED to be alert for what signs and symptoms? Excessive sedation and interference with learning and social development 10-A patient with cortical focal seizures has been prescribed phenobarbital. What adverse reaction should the nurse monitor for in the patient? CNS depression QUIZ 2 1-What type of seizure activity is characterized by generalized tonic–clonic convulsions lasting for several minutes during which the client does not regain consciousness? status epilepticus 2-Which nursing diagnosis would be most important for a nurse to include in the plan of care for a client who is receiving an antiseizure agent and experiencing common adverse effects? Risk for injury 3-The nurse is participating in the care of a client in status epilepticus who is receiving phenobarbital IV. Which nursing diagnosis should the nurse prioritize during this client's current care? Risk for injury related to seizure activity 4-What medication may be administered intravenously (IV) to assist in reducing status epilepticus seizure activity? Diazepam 5-What best reflects the action of barbiturates when used to control seizures? Inhibition of impulse conduction 6-The nurse is formulating a care plan for a client with a seizure disorder. Which intervention would be an appropriate for the nurse to include? Informing the client and family that seizure control is not gained immediately 7-A client is prescribed topiramate. The nurse cautions the client to avoid the intake of alcohol for which reason? The client is at risk for increased CNS depression. 8-A nurse is caring for a patient prescribed phenobarbital for status epilepticus. What intervention should the nurse perform when the patient has been administered the drug? Observe respirations frequently. 9-A 15-year-old is observed having a tonic-clonic seizure at school. Which behavior would allow the school nurse to recognize the clonic phase of the seizure? Rapid rhythmic and symmetric jerking movements 10-Which type of seizures involves a loss of consciousness? Generalized seizures QUIZ 1 1-The nurse is monitoring the serum carbamazepine level of a client. Which result would lead the nurse to notify the prescriber that the client most likely needs an increased dosage? 2 mcg/mL 2-A client is receiving lamotrigine as treatment for partial seizures. Which assessment finding would lead the nurse to stop the drug immediately? Rash 3-A patient with partial seizures has been prescribed succinimides at a health care facility. The patient experiences GI upset after succinimides administration. What should the nurse instruct the patient to do? Take the drug with food or milk. 4-While speaking with a client, the nurse notes that the client stares off, unblinking. The nurse notes that after several prompts, the client blinks rapidly and then resumes normal conversation. This behavior is consistent with what type of seizure? Absence 5-What best reflects the action of barbiturates when used to control seizures? Inhibition of impulse conduction 6-A nurse is caring for a patient administered ethotoin. What are signs of toxicity for which the nurse should monitor the patient? Slurred speech 7-A client comes to the emergency department. The client is experiencing continuous seizure activity without any interruptions. Which anticonvulsant would the nurse anticipate that the primary health care provider would most likely prescribe initially? Lorazepam 8-When describing the action of barbiturates and barbiturate-like agents in the control of seizures, what would the nurse include? Depression of motor nerve output 9-What medication may be administered intravenously (IV) to assist in reducing status epilepticus seizure activity? Diazepam 10-What type of seizure activity is characterized by generalized tonic–clonic convulsions lasting for several minutes during which the client does not regain consciousness? status epilepticus