Author Question: A client receiving phenobarbital for seizure control has a temperature of 102F, periorbital and oral ... (Read 28 times)

fox · **on:** Jul 23, 2018

A client receiving phenobarbital for seizure control has a temperature of 102F, periorbital and oral edema, and an erythematous rash over the entire body. Which action by the nurse is the priority?

1. Give the phenobarbital as ordered.
2. Hold the phenobarbital and notify the health care provider of the client's condition.
3. Hold the phenobarbital and inquire of family members if these symptoms have been present previous to hospitalization.
4. Give the phenobarbital and notify the health care provider of the client's condition.

Question 2

The nurse is providing discharge instructions to a client who has been started on a monoamine oxidase inhibitor (MAOI). Which statement indicates that the client needs further teaching?

1. I might need to monitor my blood sugars more closely.
2. I'm not sure how I am going to wake up without my morning coffee.
3. I sure would like to stop by Pizza Hut for a pizza on my way home from the hospital.
4. I will try to get out of bed more slowly.

kilada · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: There are many adverse effects reported with phenobarbital. Serious ones include StevensJohnson syndrome, so the medication would need to be held and the health care provider notified immediately.
Rationale 2: There are many adverse effects reported with phenobarbital. Serious ones include StevensJohnson syndrome, so the medication would need to be held and the health care provider notified immediately.
Rationale 3: There are many adverse effects reported with phenobarbital. Serious ones include StevensJohnson syndrome, so the medication would need to be held and the health care provider notified immediately. The family does not need to be contacted.
Rationale 4: There are many adverse effects reported with phenobarbital. Serious ones include StevensJohnson syndrome, so the medication would need to be held and the health care provider notified immediately.
Global Rationale: There are many adverse effects reported with phenobarbital. Serious ones include StevensJohnson syndrome, so the medication would need to be held and the health care provider notified immediately.

Answer to Question 2

Correct Answer: 3
Rationale 1: MAOIs potentiate the effects of insulin and other diabetic drugs, so blood sugars will need to be monitored more closely until regulation is verified.
Rationale 2: Clients on MAOIs should refrain from caffeine intake, so this statement is appropriate.
Rationale 3: Clients must strictly avoid foods containing tyramine. Cheese and yeast, common ingredients in pizza, contain tyramine and must be avoided.
Rationale 4: MAOIs can cause orthostatic hypotension, so it is necessary to rise slowly from sitting or lying.
Global Rationale: Clients must strictly avoid foods containing tyramine. Cheese and yeast, common ingredients in pizza, contain tyramine and must be avoided. MAOIs potentiate the effects of insulin and other diabetic drugs, so blood sugars will need to be monitored more closely until regulation is verified. Clients on MAOIs should refrain from caffeine intake, so this statement is appropriate. MAOIs can cause orthostatic hypotension, so it is necessary to rise slowly from sitting or lying.