Drugs for Seizures - Chapter 15 Questions

A patient has multiple seizures with mixed patterns of activity in recovery. Which medication should the nurse anticipate being prescribed for this patient?

Carbamazepine (most widely used for al different types of seizures)

A client with absence seizures asks why convulsions never occur. Which response by the nurse make?

Convulsions or not seeing an absence seizures

A client is newly diagnosed with Mac seizure disorder. Which information should the nurse assess prior to medication ministration? Select all that apply

Current medication and drug allergies, history of closed angle glaucoma, history of seizures

A client is in status epilepticus. Which medication to the nurse anticipate being prescribed for this client?

Diazepam

A patient is experiencing seizures due to alcohol withdrawal. Which benzodiazepine should the nurse recognize as possible treatment for this patient?

Diazepam (Valium)

A pregnant patient with no history of epilepsy or seizure disorders treated after having a seizure. For which health problems with the nurse assess this patient?

Eclampsia

A patient recovering from an infection into seizure asks how a person gets epilepsy. Which response for the nurse make?

Epileptic seizures or often symptoms of an underlying disease

A client is newly diagnosed with absent seizures. Which medication should the nurse anticipate will be prescribed as a first line treatment?

Ethoxsumide

A two-year-old child has intense muscle contractions and a fever of 104.3°F. Which health problem to the nurse suspect in this client?

Febrile seizures

A patient is diagnosed with post herpetic neuralgia. Which anti-epileptic drug should the nurse anticipate being prescribed for this patient?

Gabapentin

A client is prescribed phenobarbital for a seizure disorder. For which reason should the nurse question providing this medication to the client? Select all that apply

Glaucoma, prostatic hypertrophy

The nurse is assessing a patient taking a benzodiazepine for seizure activity. For which findings should the nurse immediately contact the healthcare provider?

High pain (increased intra-optic pressure may occur when taking benzodiazepines)

The nurse is assessing a school age patient who is taking a barbiturate for seizure activity. Which adverse effect the nurse teach the parents to report?

Hyperactivity

The nurse is teaching a client taking phenytoin about drug interactions. Which information should the nurse include?

I can safely be taken with steroids

A client experienced disorientation after having a seizure that lasted two minutes with a period of intense muscle contraction followed by convulsions. For which type of seizures are the nurse plan care for this client?

Tonic clonic

A patient has a history of complex partial seizures and frequent migraines. Which medication should the nurse expect to be prescribed?

Valproic acid

A patient is diagnosed with Lennox-Gastaut syndrome. Which type of medication to the nurse expect to be prescribed?

Valproic acid

A patient is experiencing agitation from severe dementia. Which medication to the nurse suspect may be prescribed for this patient?

Valproic acid

Nurse request the progress of a school age child who takes phenobarbital for seizures activity. Which statement by the mother should indicate a need for further teaching?

I will not give my child a medication with milk

A patient is prescribed phenytoin (Dilantin) for complex partial seizures. Which patient statement should indicate the teaching about this medication was effective?

I will take my medication at the same time every day

A patient has a new onset of a seizure disorder. Which step to the nurse take first when assessing the patient?

Identify the cause of the seizure

The nurse teaches the patient about a prescribed anti-epileptic drug. Which patient statement indicates a need for additional teaching?

If I miss a dose, I can take a double dose the next time.

The nurse was asked to explain the uses of the phenytoin (Dilantin) to treat seizures. Which information should the nurse include to explain the mechanism of action?

It's a press of seizure activity by delaying the influx of sodium

The nurse is teaching a patient about strategies to monitor the effectiveness of a prescribed anti-epileptic drug. Which information should the nurse include?

Keep a diary pertinent information regarding type, length, and frequency of seizure activity.

A patient is taking Phenytoin reports being unable to take the medication at the same time every day. Which affect the nurse expect?

Large changes in serum concentration

A patient is taking valproic acid for a seizure disorder. Which disorder should the nurse expect this patient to have?

Lennox-Gastaut

An older patient newly diagnosed with a seizure disorder as prescribed an anti-epileptic drug. Which laboratory test should the nurse monitor while the patient is taking this medication?

Liver and kidney function

A patient is diagnosed with atonic seizures. For which manifestation should the nurse assess this patient?

Loss of muscle control and randomly falling

A client prescribed an anti-epileptic drug asked how the best medication to treat the disorder is selected. Which determining factor sure the nurse provide? Select all that apply

Medical history, electrocardiogram interpretation, comorbid conditions, type of seizure

A client is prescribed diazepam for seizure disorder. For which additional medication for the nurse question providing this medication? Select all that apply

Metroprolol, levodopa, cimetidine, phenytoin

A patient is prescribed carbamazepine. For which type of seizure should the nurse monitor this patient?

Mixed seizure patterns

A client with status epilepticus is prescribed intravenous Dilantin. Which should the nurse consider when administering this medication? Select all that apply

Monitor cardiovascular status Geri and after administration, flush the IV line with normal Celine before and after administering, use a filter when infusing the medication, provide the medication at a rate of 50mg/minute

A patient is taking an anti epileptic Tried learns of being pregnant. Which adverse effects should be a concern for the nurse?

Neural tube defect in the fetus

A patient is prescribed a barbiturate to control seizure activity. For which medication to the nurse prepare teaching for this patient?

Phenobarbital

The nurse notes that a patient is prescribed phenobarbital. Which health problems with the nurse expect to be documented in the patient's medical record?

Seizure disorder

The nurse is preparing a presentation on Seizure disorders. What information should the nurse include?

Seizures are caused by abnormal or uncontrolled neuronal discharges

A patient is having repeated seizures without recovery periods. Which type of seizure disorder should the nurse expect?

Status epilepticus

A patient taking a hydantoim for seizure activity develops a red purple skin rash with blisters that appears to look like sunburn. Which adverse effect the nurse identify?

Stevens Johnson syndrome

A client has a history of seizure activity. For which triggers for the nurse assess this client? Select all that apply

Strober for flickering lights, minor electrolyte in balance is, slight fluid and balances, sleep deprivation

A patient is taking ethosuximide first absence seizures. Which adverse effect the nurse instruct the patient to report while taking this medication?

Suicidal ideation

A client is given intravenous diazepam for status epilepticus. For which adverse affects of the nurse monitor this client? Select all that apply

Tachycardia, respiratory depression, hypotension

A patient has been taking an anti-epileptic drug for several years wants to stop taking the medication. Which respond to the nurse provide?

Your medication must be withdrawn slowly over a period of 6 to 12 weeks

A client taking an anti-epileptic drug is considering becoming pregnant. Which information should the nurse provide this client? Select all that apply

AEDs deplete folic acid, AEDs have teratogenic effects

A client is prescribed succinimide for seizure activity. For which type of seizure should the nurse assess this client?

Absence seizures

The nurse is concerned that a client taking antiepileptic drugs maybe overmedicated. Which sign for the nurse recognizes the result of all the medication? Select all that apply

Agitation, disorientation, lethargy

A client with a history of substance use as having seizures. Which substance should the nurse suspect is causing this activity? Select all that apply

Alcohol, cocaine, sedative hypnotic drugs

An older client taking multiple medications for other health problems as prescribed an anti-epileptic drug. Which potential issues to the nurse anticipate for this client? Select all that apply

Balance deficits, toxic serum levels, memory impairment

The teacher of a school-age patient taking an anti-epileptic drug report hyperactive behavior in the classroom. Which class of medication to the nurse suspect this patient is taking?

Barbiturate (can cause hyperactivity in children)

A client has been prescribed a barbiturate for epilepsy. Which information should the nurse include in medication teaching?

Barbiturates have a high potential for drug dependence so you will have to be monitored closely by your healthcare provider