This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse provides teaching for a patient with a newly diagnosed partial complex seizure disorder who ... (Read 66 times)

londonang

  • Hero Member
  • *****
  • Posts: 540
on: Jul 23, 2018
A nurse provides teaching for a patient with a newly diagnosed partial complex seizure disorder who is about to begin therapy with antiepileptic drugs (AEDs). Which statement by the patient indicates understanding of the teaching?
 
  a. Even with an accurate diagnosis of my seizures, it may be difficult to find an effective drug.
  b. I will soon know that the drugs are effective by being seizure free for several months.
  c. Serious side effects may occur, and if they do, I should stop taking the medication.
  d. When drug levels are maintained at therapeutic levels, I can expect to be seizure free.

Question 2

A patient with a form of epilepsy that may have spontaneous remission has been taking an AED for a year. The patient reports being seizure free for 6 months and asks the nurse when the drug can be discontinued.
 
  What will the nurse tell the patient?
  a. AEDs must be taken for life to maintain remission.
  b. Another AED will be substituted for the current AED.
  c. The provider will withdraw the drug over a 6- to 12-week period.
  d. The patient should stop taking the AED now and restart the drug if seizures recur.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

izzat

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Even with an accurate diagnosis of seizures, many patients have to try more than one AED to find a drug that is both effective and well tolerated. Unless patients are being treated for absence seizures, which occur frequently, monitoring of the clinical outcome is not sufficient for determining effectiveness, because patients with convulsive seizures often have long seizure-free periods. Serious side effects may occur, but withdrawing a drug precipitously can induce seizures. Not all patients have seizure control with therapeutic drug levels, because not all medications work for all patients.

Answer to Question 2

ANS: C
The most important rule about withdrawing AEDs is that they should be withdrawn slowly over 6 weeks to several months to reduce the risk of status epilepticus (SE). AEDs need not be taken for life if seizures no longer occur. Substituting one AED for another to withdraw AED therapy is not recommended. Stopping an AED abruptly increases the risk of SE.


londonang

  • Member
  • Posts: 540
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

apple

  • Member
  • Posts: 352
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Did you know?

Asthma attacks and symptoms usually get started by specific triggers (such as viruses, allergies, gases, and air particles). You should talk to your doctor about these triggers and find ways to avoid or get rid of them.

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

Nurse-patient interaction; nonveral communication Nurse-patient interaction; nonveral communication
A therapist assisting an amputee patient to regain mobility and strength after amputation. A therapist assisting an amputee patient to regain mobility and strength after amputation.
A Mono-Diff test in which the presumptive well contains the patient's serum mixed with ... A Mono-Diff test in which the presumptive well contains the patient's serum mixed with ...
Risk assessment codes for an HIV-infected patient. Risk assessment codes for an HIV-infected patient.
Severe periodontitis in a patient with uncontrolled diabetes. Severe periodontitis in a patient with uncontrolled diabetes.
Video: Cytotoxic T cell receptors, activation, proliferation, differentiation & action

For a complete list of videos, visit our video library