Pharmacological Aspects of Nursing Care 8Th Edition By Broyles Reiss Evans
Pharmacological Aspects of Nursing Care 8Th Edition By Broyles Reiss Evans
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CHAPTER 32: ANTICONVULSANTS
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | absence seizure | c. | atonic seizure |
| b. | myoclonic seizure | d. | simple partial seizure |
ANS: C
| Feedback | |
| A | Incorrect: This is not characteristic of an absence seizure. |
| B | Incorrect: This is not characteristic of a myoclonic seizure. |
| C | Correct: This describes an atonic seizure. |
| D | Incorrect: This is not characteristic of a simple partial seizure. |
PTS: 1 REF: p. 713 OBJ: Cognitive Level: Comprehension
| a. | oral | c. | intramuscular |
| b. | subcutaneous | d. | intravenous |
ANS: D
| Feedback | |
| A | Incorrect: It is not approved for oral use. |
| B | Incorrect: It is not approved for subcutaneous use. |
| C | Incorrect: It is not approved for intramuscular use. |
| D | Correct: Fosphenytoin is approved only for intravenous use. |
PTS: 1 REF: p. 721 OBJ: Cognitive Level: Comprehension
| a. | Clients usually respond well to these agents, leading to only short-term therapy being required. |
| b. | There are very few drug interactions between anticonvulsants and OTC medications. |
| c. | Clients need routine serum blood levels of the drug drawn. |
| d. | Clients usually have to have follow-up electroencephalograms routinely. |
ANS: C
| Feedback | |
| A | Incorrect: This therapy usually is long-term. |
| B | Incorrect: There are multiple drug-drug interactions. |
| C | Correct: This is important teaching for the client on anticonvulsant drug therapy. |
| D | Incorrect: This is not a normal routine for these clients. |
PTS: 1 REF: p. 737 OBJ: Cognitive Level: Comprehension
| a. | rigidity with muscle jerks, temporal apnea, possible loss of bowel and bladder control. |
| b. | staring, fluttering eyes, no loss of consciousness. |
| c. | blank stare followed by random activity; automatism may be present. |
| d. | jerking of one arm, leg, or the face, with altered sense of taste and smell. |
ANS: A
| Feedback | |
| A | Correct: These are characteristics of a generalized tonic-clonic seizure. |
| B | Incorrect: These are characteristics of an absence seizure. |
| C | Incorrect: These are characteristics of a complex partial seizure. |
| D | Incorrect: These are characteristics of a simple partial seizure. |
PTS: 1 REF: p. 713 OBJ: Cognitive Level: Comprehension
| a. | turn the client on the back and insert a tongue blade in the mouth. |
| b. | ensure a patent airway and protect the client’s head and body from injury. |
| c. | move the client to a bed and restrain the extremities. |
| d. | raise all side rails and restrain the extremities. |
ANS: B
| Feedback | |
| A | Incorrect: Nothing should be inserted in the client’s mouth after a seizure has begun. |
| B | Correct: These are the nurse’s priorities. |
| C | Incorrect: The client should only be moved to protect them from the environment, but the client should not be restrained. |
| D | Incorrect: As noted previously, the client should not be restrained. The side rails should be padded. |
PTS: 1 REF: p. 735 OBJ: Cognitive Level: Application
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