A 50-year-old man who has been taking
phenobarbital for 1 week is found very lethargic and unable to walk after eating out for dinner. His wife states that he has no other prescriptions and that he did not take an overdosethe correct number of pills is in the bottle. The nurse suspects that which of these may have happened?
a. He took a multivitamin.
b. He drank a glass of wine.
c. He took a dose of aspirin.
d. He developed an allergy to the drug.
Question 2
A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy.
He tells the nurse that he feels tense and that the least little thing bothers him now. Which is the correct explanation for this problem?
a. These are adverse effects that usually subside after a few weeks.
b. The drug must be stopped immediately because of possible adverse effects.
c. This drug causes the rapid eye movement (REM) sleep period to increase, resulting in nightmares and restlessness.
d. This drug causes deprivation of REM sleep and may cause the inability to deal with normal stress.
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