A patient has been diagnosed with a brain tumor, which has caused ...

[JGIBBSON]

A patient has been diagnosed with a brain tumor, which has caused partial seizure activity. The patient is being treated with gabapentin (Neurontin).
 
  After administering the medication, the nurse should assess the patient because of the potential for what adverse effect? A) Tetany
  B) Hypersensitivity
  C) Paradoxical seizures
  D) CNS depression

Question 2

A homeless man was screened for tuberculosis (TB) during a health consultation at a shelter, and the results indicate latent TB.
 
  The community health nurse who is liaising with the providers of the shelter would anticipate what component of this man's plan of care? A) The man will undergo conservative treatment for TB using adjuvant medications.
  B) The man will be treated for TB using first-line antitubercular drugs.
  C) The man will be monitored closely to determine if treatment is necessary.
  D) The man will be screened again in 10 to 12 weeks to determine whether he has developed active TB.

[medine]

Answer to Question 1

D
Feedback:
The most common adverse effects of gabapentin are associated with CNS depression and include dizziness, somnolence, insomnia, and ataxia. The drug has not been noted to cause tetany, hypersensitivity reactions, or paradoxical seizures.

Answer to Question 2

B
Feedback:
Patients with latent TB cannot spread the disease to others, but treatment of the latent disease prevents progression of the disease to an active state. It is particularly important to treat latent TB in those patients who are at high risk for progression to active TB. Homelessness is a major risk factor for active TB.

[JGIBBSON]

Excellent

[ghepp]

TYSM