Antiseizure Medications Chapter 23

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Nursing Implications, Side Effects, and Patient Teaching

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Audrey Miller

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Antiseizure Medications Chapter 23


Froggy Jumps Antiseizure Medications Chapter 23Online version Nursing Implications, Side Effects, and Patient Teaching by Audrey Miller 1 A patient taking carbamazepine (Tegretol) has new laboratory results. Which finding is the priority? a WBC count 2,500/mm³ b Potassium 3.5 mEq/L c Sodium level 151 mEq/L 2 A patient taking lamotrigine reports a new rash. What is the nurse’s priority action? a Notify the provider immediately b Provide diphenhydramine c Document the finding 3 A nurse is educating a patient starting levetiracetam (Keppra). Which statement indicates understanding? a “This medication may make me tired or irritable.” b “This drug requires slow titration to avoid toxicity.” c “I need routine blood monitoring every month.” 4 A nurse is reviewing medications for a patient with absence seizures. Which medication should the nurse expect to give? a Ethosuximide b Levetiracetam c Phenobarbital 5 A patient prescribed oxcarbazepine (Trileptal) should be monitored for which electrolyte imbalance? a Hyponatremia b Hyperkalemia c Hypercalcemia 6 A nurse is teaching a patient about phenytoin. Which instruction is appropriate? a “Use a soft toothbrush and maintain good oral hygiene.” b “Stop taking the medication if your urine becomes darker.” c “Take this medication with milk.” 7 A patient taking gabapentin reports excessive drowsiness. What should the nurse instruct? a Avoid driving until effects are known b Increase the dose to build tolerance c Stop the medication immediately 8 A nurse is monitoring for complications in a patient taking valproic acid. Which is most concerning? a Right upper quadrant pain b Mild tremor c Alopecia 9 A patient on carbamazepine reports blurred vision and unsteady gait. What is the best interpretation? a Signs of toxicity b Expected side effects c Symptoms of dehydration 10 The nurse reinforces teaching for a patient starting lamotrigine. Which statement indicates correct understanding? a “If I get a rash, I will call the provider right away.” b “I can stop this drug suddenly if I feel well.” c “I should avoid all foods high in potassium.” 11 A patient on topiramate is at increased risk for which condition? a Kidney stones b Hyperglycemia c Hypertension 12 A patient taking valproic acid has a platelet count of 85,000. What is the nurse’s priority? a Evaluate for signs of bleeding b Hold all medications c Recheck the platelet count in 1 week 13 A nurse is reviewing medications for a patient diagnosed with trigeminal neuralgia. Which medication should the nurse expect to be prescribed as the first-line treatment? a Carbamazepine b Topiramate c Gabapentin 14 A nurse is reviewing the medication list for a patient with diabetic peripheral neuropathy. The patient states, “I thought gabapentin was for seizures—why am I taking it?” Which response by the nurse is most appropriate? a “Gabapentin is used to treat nerve pain as well as seizures.” b “Gabapentin treats seizures only, but some providers prescribe it for sleep.” c “Gabapentin is used to treat muscle spasms caused by high blood sugar.” 15 A school-age child is diagnosed with absence seizures. Which clinical manifestation should the nurse expect to observe during an absence seizure? a Brief staring episodes lasting a few seconds b Sudden loss of muscle tone resulting in collapse c Sudden muscle rigidity followed by rhythmic jerking

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Antiseizure Medications Chapter 23

Froggy Jumps

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Antiseizure Medications Chapter 23Online version

by Audrey Miller

A patient taking carbamazepine (Tegretol) has new laboratory results. Which finding is the priority?

A patient taking lamotrigine reports a new rash. What is the nurse’s priority action?

A nurse is educating a patient starting levetiracetam (Keppra). Which statement indicates understanding?

A nurse is reviewing medications for a patient with absence seizures. Which medication should the nurse expect to give?

A patient prescribed oxcarbazepine (Trileptal) should be monitored for which electrolyte imbalance?

A nurse is teaching a patient about phenytoin. Which instruction is appropriate?

A patient taking gabapentin reports excessive drowsiness. What should the nurse instruct?

A nurse is monitoring for complications in a patient taking valproic acid. Which is most concerning?

A patient on carbamazepine reports blurred vision and unsteady gait. What is the best interpretation?

The nurse reinforces teaching for a patient starting lamotrigine. Which statement indicates correct understanding?

A patient on topiramate is at increased risk for which condition?

A patient taking valproic acid has a platelet count of 85,000. What is the nurse’s priority?

A nurse is reviewing medications for a patient diagnosed with trigeminal neuralgia. Which medication should the nurse expect to be prescribed as the first-line treatment?

A nurse is reviewing the medication list for a patient with diabetic peripheral neuropathy. The patient states, “I thought gabapentin was for seizures—why am I taking it?” Which response by the nurse is most appropriate?

A school-age child is diagnosed with absence seizures. Which clinical manifestation should the nurse expect to observe during an absence seizure?