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

Author Question: A nurse is assessing a graduate nurse's knowledge of antiepileptic medications and asks him, How is ... (Read 66 times)

maychende

  • Hero Member
  • *****
  • Posts: 556
on: Jul 23, 2018
A nurse is assessing a graduate nurse's knowledge of antiepileptic medications and asks him, How is ethosuximide (Zarontin) different from phenytoin (Dilantin) and carbamazepine (Tegretol)?
 
  Which response provided by the graduate nurse best demonstrates understanding of the differences between the medications?
  a. Ethosuximide does not block sodium channels or enhance gamma-aminobutyric acid.
  b. Ethosuximide efficacy is readily monitored by serum levels.
  c. Ethosuximide has more significant adverse events and drug interactions.
  d. Ethosuximide cannot be used in children.

Question 2

A patient with a history of seizures has been admitted to the hospital for a minor infection and will be going home tomorrow.
 
  The patient has been taking lamotrigine (Lamictal) and valproic acid (Depakote). Upon assessment, the nurse notes that the patient has widespread lesions of the skin and mucous membranes and a temperature of 102.9F, and that the patient complains of malaise. The nurse should suspect
  a. a hematological reaction.
  b. Stevens-Johnson syndrome.
  c. toxic levels of valproic acid (Depakote).
  d. toxic epidermal necrolysis.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

mcni194

  • Sr. Member
  • ****
  • Posts: 311
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Ethosuximide does not block sodium channels and does not enhance gamma-aminobutyricmediated neuronal inhibition, as do phenytoin and carbamazepine.
All the drug levels should be monitored by serum levels.
The adverse events and drug interactions are not more significant with ethosuximide, and all share serious adverse side effects.
All of the medications may be used for children.

Answer to Question 2

ANS: B
Lamotrigine can cause life-threatening rashes, including Stevens-Johnson syndrome and toxic epidermal necrolysis. Concurrent use of valproic acid increases the risk.
No evidence indicates a hematological reaction.
No evidence indicates Depakote toxicity, which may manifest as hepatotoxicity and pancreatitis.
Symptoms of toxic epidermal necrolysis are not manifested in this patient.


maychende

  • Hero Member
  • *****
  • Posts: 556
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


mcni194

  • Sr. Member
  • ****
  • Posts: 311
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

Did you know?

IgA antibodies protect body surfaces exposed to outside foreign substances. IgG antibodies are found in all body fluids. IgM antibodies are the first type of antibody made in response to an infection. IgE antibody levels are often high in people with allergies. IgD antibodies are found in tissues lining the abdomen and chest.

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

The tone of the nurse-patient introduction sets the stage for the patient interview and patient care The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
The nurse assesses the patient's ability to use the walker correctly The nurse assesses the patient's ability to use the walker correctly
A nurse administers an intermittent bolus feeding. A nurse administers an intermittent bolus feeding.
Instilling Nasal Medications Instilling Nasal Medications
Regions of the Brain Affected by Antianxiety Medications Regions of the Brain Affected by Antianxiety Medications
Long Term Control Medications Long Term Control Medications
Video: Four Giant Convection Cells oF Earth

For a complete list of videos, visit our video library