Answer to Question 1
ANS: B
Phenytoin is available in four oral formulations, and the color and size of the capsules may vary.
The medication should not be discarded once the nurse verifies the label and dosage.
Constant blood levels are maintained by accurate dosing, not formulation.
Taking the medication back to the pharmacy is not necessary, because the nurse has verified that it is the correct medication.
Answer to Question 2
ANS: C
Because antiepilepsy drugs can harm the fetus, managing epilepsy during pregnancy is a challenge. It is most appropriate for the patient to understand the risks involved, and she should be counseled about the use of contraceptives, which may also have drug-to-drug interactions with the antiepilepsy drugs.
It is important for the patient to understand that withdrawal may occur if the drug is discontinued abruptly; however, because this patient is of childbearing age, the risk of pregnancy is higher.
The decision to discontinue seizure medication should be made on an individual basis and by the prescriber. The nurse should not advise the patient to discontinue use after a year of being seizure free.
Telling the patient that she may never come off the medication is not something that can be foreseen.
A patient examination room should be simple and efficiently designed.
Role-Playing a Situation in Which a Patient Is from Another Culture
Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious
A physical therapist exercising the patient’s leg in a physical therapy department.
Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease.
System of a patient in shock