A client is admitted to the Emergency Department with seizures ...

[lracut11]

A client is admitted to the Emergency Department with seizures after ingestion of rat poison. Which drug does the nurse anticipate having to administer?
 
  1. Ethosuximide (Zarontin)
  2. Secobarbital (Seconal)
  3. Clonazepam (Klonopin)
  4. Diazepam (Valium)

Question 2

A client is taking carbamazepine (Tegretol). What type of seizure activity does the nurse anticipate this client has experienced?
 
  1. Tonic-clonic seizures
  2. Petit mal seizures
  3. Partial seizures
  4. Grand mal seizures

[cam1229]

Answer to Question 1

Correct Answer: 2

Rationale 1: Ethosuximide (Zarontin) is a succinimide used for absence, myoclonic, and akinetic seizures.
Rationale 2: Secobarbital (Seconal), a barbiturate, is used for the emergency control of seizure activity caused by conditions such as tetanus or poisons.
Rationale 3: Clonazepam (Klonopin) is a benzodiazepine and is used for petit mal and minor motor seizures, as well as panic disorder.
Rationale 4: Diazepam (Valium) is a benzodiazepine and the drug of choice for status epilepticus; it is also used for anxiety and muscle spasms.

Global Rationale: Secobarbital (Seconal), a barbiturate, is used for the emergency control of seizure activity caused by conditions such as tetanus or poisons. Ethosuximide (Zarontin) is a succinimide used for absence, myoclonic, and akinetic seizures. Clonazepam (Klonopin) is a benzodiazepine and is used for petit mal and minor motor seizures, as well as panic disorder. Diazepam (Valium) is a benzodiazepine and the drug of choice for status epilepticus; it is also used for anxiety and muscle spasms.

Answer to Question 2

Correct Answer: 4

Rationale 1: Tegretol is the drug of choice for tonic-clonic and partial seizures because it produces fewer adverse effects than does phenytoin or phenobarbital.
Rationale 2: Tegretol is the drug of choice for tonic-clonic and partial seizures because it produces fewer adverse effects than does phenytoin or phenobarbital.
Rationale 3: Tegretol is the drug of choice for tonic-clonic and partial seizures because it produces fewer adverse effects than does phenytoin or phenobarbital.
Rationale 4: Carbamazepine (Tegretol), a phenytoin-like drug, is the drug of choice for tonic-clonic and partial seizures because it produces fewer adverse effects than does phenytoin or phenobarbital.

Global Rationale: Carbamazepine (Tegretol), a phenytoin-like drug, is the drug of choice for tonic-clonic and partial seizures because it produces fewer adverse effects than does phenytoin or phenobarbital.

[lracut11]

Both answers were spot on, thank you once again

[cam1229]

Great! Please up vote