The nurse is planning education sessions for a patient regarding ...

[Lisaclaire]

The nurse is planning education sessions for a patient regarding use of a newly prescribed antiepileptic drug (AED). Which topics should be included in this session? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. The patient should take the medication at the same time every day.
  2. If the patient forgets a dose of medication, wait until the next dose is due and take both doses together.
  3. The patient should take an additional dose of medication upon experiencing a seizure aura.
  4. If the patient experiences side effects of the medication, the patient should skip the next dose to see if the side effects lessen.
  5. The patient should avoid using dietary supplements containing kava when on this medication.

Question 2

A patient reports the following symptoms. Which symptoms would the nurse evaluate as probable unstable angina?
 
  1. My chest has started hurting even if I am just watching television.
  2. My chest starts hurting if I climb one set of stairs.
  3. My attacks of chest pain are coming more frequently now.
  4. The pain is intense and moves up into my neck.
  5. The pain is worse than it used to be.

[meow1234]

Answer to Question 1

1,5
Rationale 1: Stable blood levels of medication are important in the control of seizure activity. In order to achieve this stability, the medication should be taken at the same time every day.
Rationale 2: The patient should take the dose as soon as it is remembered but should not take two doses at the same time or close together.
Rationale 3: Oral medications are not delivered rapidly to the system, so taking an additional dose of medication when an aura occurs is not effective in controlling the impending seizure.
Rationale 4: The patient should never abruptly discontinue taking these medications and should not skip doses.
Rationale 5: Kava interferes with many AEDs, often adding to their sedative effects.
Global Rationale: Stable blood levels of medication are important in the control of seizure activity. In order to achieve this stability, the medication should be taken at the same time every day. Kava interferes with many AEDs, often adding to their sedative effects. The patient should take the dose as soon as it is remembered but should not take two doses at the same time or close together. Oral medications are not delivered rapidly to the system, so taking an additional dose of medication when an aura occurs is not effective in controlling the impending seizure. The patient should never abruptly discontinue taking these medications and should not skip doses.

Answer to Question 2

1,3,5
Rationale 1: If pain is now happening even at rest; the angina is unstable.
Rationale 2: Chest pain that is predictable is usually stable angina.
Rationale 3: Increased frequency of pain indicates that angina is unstable.
Rationale 4: Intense pain that radiates to the neck can occur in stable or unstable angina.
Rationale 5: Pain that is worsening indicates the angina is unstable.

Global Rationale: If pain is now happening even at rest, the angina is unstable. Increased frequency of pain and pain that is worsening indicate that angina is unstable. Chest pain that is predictable is usually stable angina. Intense pain that radiates to the neck can occur in stable or unstable angina.

[Lisaclaire]

Thank you!

[meow1234]

Always glad to help...