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

Author Question: A nurse is obtaining a health history from the family of a patient who has a history of seizures and ... (Read 147 times)

londonang

  • Hero Member
  • *****
  • Posts: 540
on: Jul 23, 2018
A nurse is obtaining a health history from the family of a patient who has a history of seizures and is being treated with phenytoin (Dilantin).
 
  The patient was brought to the emergency department and was unresponsive to voice or touch. The family states that the patient had been drinking alcohol all afternoon. What further assessment is indicated by the nurse?
  a. The nurse should assess for other signs of central nervous system depression.
  b. The nurse should suspect that a grand mal seizure has occurred.
  c. The nurse should assess for gingival hyperplasia.
  d. The nurse should gather more information from the family.

Question 2

A patient with multiple sclerosis has begun experiencing extreme bouts of fatigue. The patient states, I don't have the energy to do anything. I just need a boost, because I feel like I'm depressed as well.
 
  Is there a medication I can take that helps both my fatigue and depression? The nurse would anticipate that the prescriber would order which class of drug?
  a. A selective serotonin reuptake inhibitor
  b. An amphetamine
  c. A monoamine oxidase inhibitor
  d. A tricyclic antidepressant


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

cascooper22

  • Sr. Member
  • ****
  • Posts: 312
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
The depressant effects of alcohol potentiate the central nervous system effects of phenytoin.
No evidence indicates that a grand mal seizure has occurred.
Gingival hyperplasia is an expected side effect with phenytoin and is not related to the patient's alcohol use.
The nurse should begin the assessment, because the family has provided the pertinent information about the patient's current state.

Answer to Question 2

ANS: A
Fatigue develops in up to 90 of patients with multiple sclerosis. Selective serotonin reuptake inhibitors can reduce fatigue and are a good choice for patients who are also depressed.
Amphetamines, monoamine oxidase inhibitors, and tricyclic antidepressants are not the drugs of choice to manage fatigue and depression.


londonang

  • Hero Member
  • *****
  • Posts: 540
Reply #2 on: Jul 23, 2018
Thank you!


cascooper22

  • Sr. Member
  • ****
  • Posts: 312
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

Did you know?

Patients should never assume they are being given the appropriate drugs. They should make sure they know which drugs are being prescribed, and always double-check that the drugs received match the prescription.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

Colchicine is a highly poisonous alkaloid originally extracted from a type of saffron plant that is used mainly to treat gout.

Did you know?

Though “Krazy Glue” or “Super Glue” has the ability to seal small wounds, it is not recommended for this purpose since it contains many substances that should not enter the body through the skin, and may be harmful.

Critical thinking involves analysis in which the nurse examines patient data available from a variet Critical thinking involves analysis in which the nurse examines patient data available from a variet
Concept of Health by Children Concept of Health by Children
Teaching an illterate patient Teaching an illterate patient
William Kentridge, History of the Main Complaint. William Kentridge, History of the Main Complaint.
How would you rate your overall health?” The percent of adults answering “excellent” or ... How would you rate your overall health?” The percent of adults answering “excellent” or ...
Positioning the Patient in the Fowler’s Position Positioning the Patient in the Fowler’s Position
Video: PET Scan Animation

For a complete list of videos, visit our video library