4. The nurse is administering an antiepileptic drug and will follow which guidelines? (Select all that apply.) a) Monitor the patient for drowsiness. b )Medications may be stopped if seizure activity disappears. c) Give the medication at the same time every day. d) Give the medication on an empty stomach. e) Notify the prescriber if the patient is unable to take the medication.?
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4. The nurse is administering an antiepileptic drug and will follow which guidelines? (Select all that apply.)
a) Monitor the patient for drowsiness.
b )Medications may be stopped if seizure activity disappears.
c) Give the medication at the same time every day.
d) Give the medication on an empty stomach.
e) Notify the prescriber if the patient is unable to take the medication.?
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- A hospitalized patient is complaining of having difficulty sleeping. Which action will the nurse take first to address this problem?a )Administer a sedative-hypnotic drug if ordered.b )Offer tea made with the herbal preparation valerian.c )Encourage the patient to exercise by walking up and down the halls a few times if tolerated.d )Provide an environment that is restful, and reduce loud noises.The nurse is assessing a patient for possible substance abuse. Which assessment finding indicates possible use of amphetamines? a )Lethargy and fatigueb) Cardiovascular depressionc )Talkativeness and euphoriad )Difficulty swallowing and constipationAfter a patient has been treated for depression for 4 weeks, the nurse calls the patient to schedule a follow-up visit. What concern will the nurse assess for during the conversation with the patient? a )Weaknessb )Hallucinationsc )Suicidal ideationsd )Difficulty with urination
- The nurse will monitor the patient who is taking a muscle relaxant for which adverse effect?a )CNS depressionb) Hypertensionc) Peripheral edemad )Blurred visionA patient is admitted with a diagnosis of Guillain-Barre syndrome (GBS). Which of the following findings on physical examination would be MOST concerning for the nurse? a) Decreased muscle strength b) Absent deep tendon reflexes c) Sensory disturbances in the extremities d) Difficulty swallowing28. A client admitted with symptoms associated with methamphetamine intoxication is at increased risk for injury. Which nursing interventions should be the focus of nursing care during the initial treatment period? Select all that apply. A) Monitoring for bradycardia B) Implementing seizure precautions C) Orienting to person, place, and time D) Assessing for cardiac arrhythmias E) Monitoring for auditory hallucinations
- The nurse is preparing to administer a medication for sleep. Which intervention applies to the administration of a nonbenzodiazepine, such as zaleplon (Sonata)?a )These drugs need to be taken about 1 hour before bedtime.b) Because of their rapid onset, these drugs need to be taken just before bedtime.c )The patient needs to be cautioned about the high incidence of morning drowsiness that may occur after taking these drugsd) These drugs are less likely to interact with alcoholA patient experiencing ethanol withdrawal is beginning to show severe manifestations of delirium tremens. The nurse will plan to implement which interventions for this patient? (Select all that apply.) a )Doses of an oral benzodiazepineb )Doses of an intravenous benzodiazepine c) Restraints if the patient becomes confused, agitated, or a threat to himself or othersd )Thiamine supplementatione )Oral disulfiram (Antabuse) treatment f ) Monitoring in the intensive care unitThe nurse is providing education about cholinergic-blocking drug therapy to an elderly patient. Which is an important point to emphasize for this patient? a) Avoid exposure to high temperatures.b) Limit liquid intake to avoid fluid overload.c) Begin an exercise program to avoid adverse effects.d) Stop the medication if excessive mouth dryness occurs.
- A nurse administering niacin would implement which action to help to reduce adverse effects? a) Give the medication with grapefruit juice.b )Administer a small dose of aspirin or an NSAID 30 minutes before the niacin dose.c )Administer the medication on an empty stomach.d) Have the patient increase dietary fiber intakeThe nurse is assessing a patient who has begun therapy with amantadine (Symmetrel) for Parkinson’s disease. The nurse will look for which possible adverse effects? (Select all that apply.) a )Nauseab )Palpitations c )Dizzinessd) Insomniae) EdemaA patient is receiving dobutamine for shock and is complaining of feeling more “skipping beats” than yesterday. What will the nurse do next? a) Monitor for other signs of a therapeutic response to the drug.b) Titrate the drug to a higher dose to reduce the palpitations.c) Discontinue the dobutamine immediately.d) Assess the patient’s vital signs and cardiac rhythm.