Author Question: A patient on anticonvulsant therapy confides to the nurse at an outpatient clinic that she suspects ... (Read 26 times)

geoffrey · **on:** Jul 24, 2018

A patient on anticonvulsant therapy confides to the nurse at an outpatient clinic that she suspects she may be pregnant. The nurse should encourage the patient to take which action(s)? (Select all that apply.)

a. Consult an obstetrician.
b. Discontinue medications.
c. Carry an identification card.
d. Provide a list of seizure medications.
e. Consider oral contraception.

Question 2

The nurse is preparing to administer zonisamide (Zonegran) to a newly admitted patient with the diagnosis of adult partial seizures. The nurse should hold this medication if the patient has which sign(s) or symptom(s)? (Select all that apply.)

a. Skin rash
b. Urinary frequency
c. Drowsiness
d. Allergy to Bactrim
e. Pruritus

tuate · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A, C, D
Pregnancy considerations include encouraging the patient to consult with an obstetrician, provide a list of seizure medications, and carry an identification card. Medications should not be discontinued unless told to do so by the health care provider. If pregnancy is suspected, oral contraceptives should not be encouraged.

Answer to Question 2

ANS: A, D, E
Zonisamide should not be administered without specific approval if the patient has an allergy to Bactrim or a dermatologic reaction such as a skin rash and/or pruritus. Urinary frequency is not associated with zonisamide. Drowsiness is a common adverse effect of zonisamide.