CHAPTER 32: ANTICONVULSANTS

CHAPTER 32: ANTICONVULSANTS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The client collapses, falls down, and loses consciousness. Then he recovers after 20 seconds, regains consciousness, and is able to ambulate unassisted. The nurse recognizes that the client is exhibiting characteristics of what type of seizure?

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

 

2. A client is prescribed fosphenytoin sodium. The nurse prepares to administer this by which route?

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

 

3. When teaching a client and his family about anticonvulsant therapy, the nurse should include which of the following?

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

 

4. The nurse recognizes a generalized tonic-clonic seizure by the client exhibiting what characteristics?

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

 

5. A client is experiencing status epilepticus. The nurse should:

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