Chapter 25, Drug Therapy for Seizures Video Solutions, Understanding Pharmacology: Essentials for Medication Safety

Problem 1

Which phrase best describes second-line drugs for treatment of seizures?
A. Used when first-line drugs do not work
B. Used as alternative drugs to treat seizures
C. Used for only generalized seizures
D. Used as adjuncts to first-line drugs for partial seizures

Rikhil Makwana

Numerade Educator

Problem 2

Which side effects are common with first-line drugs used to treat partial and generalized seizures? (Select all that apply.)
A. Dizziness
B. Constipation
C. Hypotension
D. Sedation
E. Rashes
F. Nausea

Check back soon!

02:28

Problem 3

A patient is prescribed an IV dose of phenytoin (Dilantin). Which solution should be used to dilute this drug?
A. $5 \%$ dextrose
B. $5 \%$ dextrose with 0.45 saline
C. $0.9 \%$ normal saline
D. Lactated ringer's solution

Amy Jiang

Numerade Educator

Problem 4

A patient tells you that his seizure activity has increased over the past month. What important teaching point will you stress with this patient?
A. "You should take an extra dose of your antiseizure medication each day."
B. "You must go to the lab to have some blood tests done."
C. "You need to contact your prescriber whenever seizures increase or change."
D. "You should not worry about this because stress can cause increased seizures."

Check back soon!

Problem 5

A child is prescribed phenytoin (Dilantin) for a seizure disorder. What precaution should you discuss with the parents?
A. Be sure to take your child to see a dentist regularly.
B. Always give this drug on an empty stomach.
C. Administer the phenytoin within 30 minutes after an antacid.
D. Report any facial swelling due to the risk for angioedema.

Check back soon!

Problem 6

Which drug used to treat seizures decreases impulse transmission by affecting sodium channels in neurons?
A. phenobarbital (Luminal)
B. carbamazepine (Tegretol)
C. valproic acid (Depakote)
D. phenytoin (Dilantin)

Check back soon!

Problem 7

For which adverse effects must you watch after giving a patient phenytoin (Dilantin)? (Select all that apply.)
A. Neutropenia
B. Stevens-Johnson syndrome
C. Aplastic anemia
D. Thrombocytopenia
E. Pancreatitis

Check back soon!

Problem 8

What safety intervention must you take when giving the first-line drug for seizures phenytoin (Dilantin) by the intravenous (IV) route?
A. Make sure that the IV catheter is 18 gauge or larger.
B. Question the order because this drug is not given IV.
C. Ensure that the IV solution infusing is normal saline.
D. Place a padded tongue blade at the patient's bedside.

Check back soon!

Problem 9

A patient is taking carbamazepine (Tegretol). What must you be sure to teach the patient about this drug?
A. Visit a dentist regularly.
B. You may experience delayed healing and increased risk of infection.
C. Always take the drug on an empty stomach.
D. Wear protective clothing and a strong sunscreen.

Check back soon!

Problem 10

Which is an important consideration when administering first-line drugs for absence seizures to growing children?
A. They may develop high fevers.
B. They will have a higher incidence of rashes.
C. They may develop hostile, aggressive behavior.
D. They may need dose increases.

Check back soon!

00:30

Problem 11

A patient has been prescribed phenobarbital (Luminal) $300 \mathrm{mg}$ per day. The pharmacy sent $100 \mathrm{mg}$ tablets. How many tablets do you give with each dose? tablets

Ronald Prasad

Numerade Educator

03:24

Problem 12

A 4-year-old child is to be given phenytoin (Dilantin) $5 \mathrm{mg} / \mathrm{kg} / \mathrm{day}$ in two divided doses. The child weighs $20 \mathrm{~kg}$. How many milligrams do you give for each dose? $\mathrm{mg} /$ dose

John Barone

Numerade Educator