Answer to Question 1
Correct Answer: 2,5
Rationale 1: There is no indication that previous phenobarbital use is problematic with the use of zonisamide (Zonegran).
Rationale 2: Zonisamide (Zonegran) is an oral sulfonamide.
Rationale 3: There is no indication that inability to drink milk is problematic with the use of zonisamide (Zonegran).
Rationale 4: Zonisamide (Zonegran) is pregnancy category C.
Rationale 5: The most common adverse effects of zonisamide (Zonegran) include dizziness, ataxia, and fatigue. These effects may be problematic for the owner of a company that promotes bicycle touring.
Global Rationale: Zonisamide (Zonegran) is an oral sulfonamide. Since the client has an allergy to sulfa, the nurse would need to report this to the health care provider. The most common adverse effects of zonisamide (Zonegran) include dizziness, ataxia, and fatigue. These effects may be problematic for the owner of a company that promotes bicycle touring. There is no indication that previous phenobarbital use or the inability to drink milk is problematic with the use of zonisamide (Zonegran). Zonisamide (Zonegran) is pregnancy category C.
Answer to Question 2
Correct Answer: 1
Rationale 1: Carbamazepine (Tegretol) falls under pregnancy category D and is contraindicated in pregnancy.
Rationale 2: The medication does not need to be decreased; it might need to be stopped.
Rationale 3: The medication does not need to be increased; it might need to be stopped.
Rationale 4: Valproic acid (Depakene) is also a pregnancy category D drug and is contraindicated during pregnancy.
Global Rationale: Carbamazepine (Tegretol) falls under pregnancy category D and is contraindicated in pregnancy. The medication does not need to be decreased or increased; it might need to be stopped. Valproic acid (Depakene) is also a pregnancy category D drug and is contraindicated during pregnancy.