Chapter 19 Drugs Used for Seizure Disorders

Chapter 19  Drugs Used for Seizure Disorders

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which condition is associated with hydantoin therapy?
A.
Postictal state
B.
Atonia
C.
Seizure threshold reduction
D.
Gingival hyperplasia

ANS: D

Feedback
A
Postictal state is a characteristic of generalized tonic-clonic seizures.
B
Atonia is not associated with hydantoin therapy.
C
Hydantoin raises the seizure threshold.
D
Encouraging good oral hygiene practices is indicated when a patient is on hydantoin therapy because its use contributes to gingival hyperplasia.

DIF: Cognitive Level: Knowledge REF: 293
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

2. The nurse is preparing discharge instructions for a patient with a history of diabetes who has just been diagnosed with seizure disorder. The patient has been prescribed hydantoin therapy. Which will the patient most likely experience?
A.
Hunger
B.
Hyperglycemia
C.
Diarrhea
D.
Pupil dilation

ANS: B

Feedback
A
Hunger is not an adverse effect of hydantoin therapy.
B
Hydantoins may elevate blood sugar levels.
C
Diarrhea is not an adverse effect of hydantoin therapy. Constipation is a potential adverse effect.
D
Pupil dilation is not an adverse effect of hydantoin therapy. Nystagmus is a potential adverse effect.

DIF: Cognitive Level: Application REF: 293
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

3. Which is a guideline for the nurse when administering phenytoin (Dilantin) intravenously?
A.
Deliver rapidly.
B.
Monitor for signs of tachycardia.
C.
Assess for hypertensive crisis.
D.
Administer without mixing with other medications.

ANS: D

Feedback
A
Phenytoin should be administered slowly at a rate of 25 to 50 mg/min.
B
Patients should be monitored with an ECG closely for bradycardia.
C
Patients should be monitored for hypotension.
D
Phenytoin should not be mixed in the same syringe with other medications or added to other IV solutions because a precipitate will form.

DIF: Cognitive Level: Application REF: 292
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

4. For which condition may carbamazepine (Tegretol) be used?
A.
Tardive dyskinesia
B.
Psychotic episodes
C.
Trigeminal neuralgia pain
D.
Sedation

ANS: C

Feedback
A
Carbamazepine does not have an antidepressant effect.
B
Carbamazepine does not have an antipsychotic effect.
C
Carbamazepine has been used successfully to treat pain associated with trigeminal neuralgia and for bipolar disorders when lithium therapy has not been optimal.
D
Carbamazepine does not have a sedative effect.

DIF: Cognitive Level: Knowledge REF: 294
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity