A child with cerebral palsy is being treated with phenobarbital ...

[Bernana]

A child with cerebral palsy is being treated with phenobarbital as prophylaxis for seizure activity. The child's phenobarbital level is 25 mcg/mL. The mother asks the nurse about her child's phenobarbital level and the nurse's appropriate response is:
 
  a. The level is normal.
  b. The level is 25 mcg/mL which is normal.
  c. I'll need to call doctor first, who can tell you.
  d. The level is a little low, but I'm sure the doctor will increase your child's dose.

Question 2

Clients taking carbamazepine should have which test monitored routinely?
 
  a. liver function tests c. complete blood count
  b. renal function tests d. skin biopsy

[snackralk]

Answer to Question 1

ANS: B

Feedback
A Incorrect: Although this is true, it is not the best answer.
B Correct: This is the best answer.
C Incorrect: This is not an appropriate nursing response.
D Incorrect: This is a false statement and thus inappropriate.

Answer to Question 2

ANS: C

Feedback
A Incorrect: Hepatotoxicity is not associated with carbamazepine.
B Incorrect: Nephrotoxicity is not associated with carbamazepine.
C Correct: Hematological impairment including leukopenia and thrombocytopenia are associated with carbamazepine therapy.
D Incorrect: This might be associated with trimethodione.

[Bernana]

Thanks for the timely response, appreciate it

[ttt030911]

TYSM