A patient with a seizure disorder tells the nurse about training ...

[audie]

A patient with a seizure disorder tells the nurse about training to participate in a marathon run. What is the most important factor for the nurse to teach the patient at this time?
 
  a. Your seizure medications prohibit training for this stressful event.
  b. During times of increased physical stress you are more likely to have a seizure.
  c. Be sure to watch your diet because during training you will need more calories.
  d. Start your exercise program slowly and gradually build up your strength.

Question 2

A patient about to start systemic antifungal therapy has a white blood cell (WBC) count of 3200 cells/mm3 . Which antifungal drug must be avoided for this patient?
 
  a. fluconazole (Diflucan)
  b. ketoconazole (Nizoral)
  c. micafungin (Mycamine)
  d. terbinafine (Lamisil)

[Jody Vaughn]

Answer to Question 1

B
A person with a seizure disorder is more likely to have a seizure during times of increased emo-tional or physical stress (such as training for a marathon). While watching the diet and pacing the exercise program are important, they are not related to the patient's seizure disorder. Most anti-seizure drugs do not require the patient to avoid exercise.

Answer to Question 2

D
This WBC count is lower than normal. Terbinafine and flucytosine (Ancobon) can further reduce this patient's WBC count and greatly increase his or her risk for infection.

[audie]

Excellent

[frankwu0507]

TYSM