Sale!

Pharmacological Aspects of Nursing Care 7th Edition Broyles Reiss Evans Test Bank

$80.00 $12.99

Pharmacological Aspects of Nursing Care 7th Edition Broyles Reiss Evans Test Bank

ISBN-13: 978-1401888862

ISBN-10: 1401888860

 

Description

Pharmacological Aspects of Nursing Care 7th Edition Broyles Reiss Evans Test Bank

ISBN-13: 978-1401888862

ISBN-10: 1401888860

 

 

 

Be the best nurse you can be:

Nursing test banks are legit and very helpful. This test bank on this page can be downloaded immediately after you checkout today.

Here is the definition of nursing

Its true that you will receive the entire legit test bank for this book and it can happen today regardless if its day or night. We have made the process automatic for you so that you don’t have to wait.

We encourage you to purchase from only a trustworthy provider:

Our site is one of the most confidential websites on the internet. We maintain no logs and guarantee it. Our website is also encrypted with an SSL on the entire website which will show on your browser with a lock symbol. This means not a single person can view any information.

, if you prefer a digital instead of a hardcover.

Have any comments or suggestions?

When you get your file today you will be able to open it on your device and start studying for your class right now.

Free Nursing Test Questions:

CHAPTER 32: ANTICONVULSANTS

 

TRUE/FALSE

 

  1. Most clients with seizure disorders first exhibit symptoms between the ages of two to five years.

 

ANS:  T                    PTS:   1                    REF:   p. 713             OBJ:   Cognitive Level: Knowledge

 

  1. Epilepsy causes cognitive impairment.

 

ANS:  F

 

  Feedback
Correct Epilepsy does not cause cognitive impairment.
Incorrect  

 

 

PTS:   1                    REF:   p. 712            OBJ:   Cognitive Level: Knowledge

 

  1. Anticonvulsant drugs can effectively prevent and control most epileptic seizures.

 

ANS:  T                    PTS:   1                    REF:   p. 714             OBJ:   Cognitive Level: Knowledge

 

  1. The terms intractable seizures and status epilepticus are used interchangeably, because they have the same meaning.

 

ANS:  F

 

  Feedback
Correct Intractable seizures are those that do not respond to traditional anticonvulsant treatment; status epilepticus is a series of tonic-clonic seizures without return of consciousness and is considered an emergency.
Incorrect  

 

 

PTS:   1                    REF:   p. 714            OBJ:   Cognitive Level: Comprehension

 

  1. Barbiturates are nonspecific CNS stimulants designed to redirect impulse transmission in the cortex of the brain to decrease seizures.

 

ANS:  F

 

  Feedback
Correct Barbiturates are CNS depressants. not stimulants.
Incorrect  

 

 

PTS:   1                    REF:   p. 714            OBJ:   Cognitive Level: Knowledge

 

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

 

  1. 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

 

  1. 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

 

  1. 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

 

  1. 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

 

  1. When obtaining a client history, the nurse learns that the client exercises regularly, is an avid sports fan, is currently is under a great deal of both personal and professional stress causing the client to snack frequently. Which of these factors would pose the greatest risk for decreasing the client’s seizure threshold?
a. stress c. increased oral intake
b. physical exercise d. insomnia

 

 

ANS:  A

 

  Feedback
A Correct: Stress (psychosociophysiologic) can lower the seizure threshold.
B Incorrect: Routine physical exercise raises the seizure threshold.
C Incorrect: Increased oral intake is not usually considered a factor in decreasing the seizure threshold.
D Incorrect: Insomnia is not considered a factor in decreasing the seizure threshold.

 

 

PTS:   1                    REF:   p. 736            OBJ:   Cognitive Level: Comprehension

 

  1. When teaching a client prescribed phenytoin about a common adverse effect of this drug, the nurse should instruct the client to:
a. avoid foods preserved in sodium.
b. practice good oral hygiene.
c. use hair replacement products sold OTC.
d. avoid oral contraceptives

 

 

ANS:  B

 

  Feedback
A Incorrect: Phenytoin does not cause sodium or fluid retention.
B Correct: Gingival hyperplasia is an adverse effect of phenytoin and occurs most often in children.
C Incorrect: Phenytoin does not cause alopecia, but rather may increase hair growth.
D Incorrect: The dosages of oral contraceptives may need to be increased, but are not contraindicated concurrent with the use of phenytoin.

 

 

PTS:   1                    REF:   p. 725 | p. 733, Figure 32-1              OBJ:   Cognitive Level: Application

 

  1. Folic acid supplements are often given when phenytoin therapy is started. The reason for this is to:
a. prevent the development of anemia.
b. prevent drug toxicity.
c. improve the client’s overall health.
d. decrease the frequency of convulsions.

 

 

ANS:  A

 

  Feedback
A Correct: Phenytoin can cause folic acid deficiency anemia.
B Incorrect: Folate deficiency does not cause drug toxicity.
C Incorrect: rationale related to phenytoin.
D Incorrect: Folate replacement does not augment phenytoin.

 

 

PTS:   1                    REF:   p. 733            OBJ:   Cognitive Level: Comprehension

 

  1. A client who is n.p.o. is prescribed IV phenytoin. When preparing the equipment to administer this dose, the nurse should:
a. hang an IV bag of 5% dextrose and prime the IV tubing.
b. hang an IV bag of 0.9% normal saline and prime the IV tubing.
c. notify the health care provider prior to drug administration.
d. prepare a volumetric infusion pump to infusion the IV fluids and phenytoin.

 

 

ANS:  B

 

  Feedback
A Incorrect: Phenytoin should never be administered with dextrose fluids, as it will cause precipitation in the IV line.
B Correct: Phenytoin is administered IV bolus with a free-flowing normal saline infusion to prevent phenytoin-related phlebitis.
C Incorrect: This is not a necessary action, because the IV route is needed if the client is n.p.o.
D Incorrect: Phenytoin and the normal saline infusion should not be administered on a volumetric pump, but rather IV bolus with a free-flowing normal saline infusion.

 

 

PTS:   1                    REF:   p. 735, Safe Nursing Practice 32-2    OBJ:   Cognitive Level: Application

 

  1. Which of the following anticonvulsants is indicated for the treatment of trigeminal neuralgia?
a. acetazolamide c. paramethadione
b. phenytoin d. carbamazepine

 

 

ANS:  D

 

  Feedback
A Incorrect: This is not indicated in the treatment of trigeminal neuralgia.
B Incorrect: This is not indicated in the treatment of trigeminal neuralgia.
C Incorrect: This is not indicated in the treatment of trigeminal neuralgia.
D Correct: Carbamazepine is indicated in the treatment of trigeminal neuralgia.

 

 

PTS:   1                    REF:   p. 718            OBJ:   Cognitive Level: Knowledge

 

  1. The drowsiness experienced by some clients when beginning phenytoin therapy:
a. gets worse the longer the person takes the drug.
b. improves after taking the drug for a while.
c. is especially severe in children.
d. remains throughout therapy.

 

 

ANS:  B

 

  Feedback
A Incorrect: This is not a true statement about phenytoin.
B Correct: Clients should be reassured that the drowsiness discontinues with use.
C Incorrect: There is not evidence to support this.
D Incorrect: These is not evidence to support this.

 

 

PTS:   1                    REF:   p. 733            OBJ:   Cognitive Level: Comprehension

 

  1. Clients who experience intractable seizures may require surgical intervention if:
a. standard medications have effectively controlled seizure activity.
b. seizures originate in diverse areas of the brain.
c. seizures originate near speech, memory, or vision centers in the brain.
d. seizures consistently originate in just one part of the brain.

 

 

ANS:  D

 

  Feedback
A Incorrect: This is not a criteria for surgical intervention.
B Incorrect: This is not a criteria for surgical intervention.
C Incorrect: This is not a criteria for surgical intervention.
D Correct: This is one of three major criteria for surgical intervention.

 

 

PTS:   1                    REF:   p. 714            OBJ:   Cognitive Level: Comprehension

 

  1. The nurse understands that this medication should be available to treat or prevent seizures during neurosurgery:
a. fosphenytoin sodium. c. carbamazepine.
b. ethosuximide. d. valproic acid.

 

 

ANS:  A

 

  Feedback
A Correct: Fosphenytoin sodium is the drug of choice, because it is rapidly converted to phenytoin and does not cause the high irritability associated with parenteral phenytoin.
B Incorrect: This is an oral anticonvulsant.
C Incorrect: This is an oral anticonvulsant.
D Incorrect: This is an oral anticonvulsant.

 

 

PTS:   1                    REF:   p. 715            OBJ:   Cognitive Level: Comprehension

 

  1. An adult client having been treated for three months with phenytoin is admitted to the nursing unit with mental status changes, irritability, and agitation. When evaluating the client’s laboratory results, which indicates to the nurse the cause of the client’s current status?
a. platelet count of 350, 000 cells/mm3. c. phenytoin level of 30 mcg/mL.
b. phenytoin level of 3.5 mcg/mL. d. serum sodium level of 140 mEq/L.

 

 

ANS:  C

 

  Feedback
A Incorrect: This is a normal platelet count; phenytoin normally does not affect platelets.
B Incorrect: This is less than a therapeutic level, but manifestations should involve seizure activity.
C Correct: These are manifestations of phenytoin toxicity and this is a toxic phenytoin level.
D Incorrect: This is a normal sodium level; phenytoin normally does not affect sodium level.

 

 

PTS:   1                    REF:   p. 725            OBJ:   Cognitive Level: Evaluation

 

  1. The nurse caring for a client who has been on chronic therapy with valproic acid. The nurse assesses which of the following for this client?
a. renal function tests c. audiometric tests
b. pulmonary function tests d. liver function tests

 

 

ANS:  D

 

  Feedback
A Incorrect: Valproic acid normally does not cause nephrotoxicity.
B Incorrect: Valproic acid normally does not affect pulmonary function.
C Incorrect: Valproic acid is not associated with ototoxicity.
D Correct: Hepatotoxicity is a concern for the client on long-term valproic acid therapy.

 

 

PTS:   1                    REF:   p. 727            OBJ:   Cognitive Level: Application

 

  1. A child with cerebral palsy is being treated with phenobarbital as prophylaxis for seizure activity. The child’s phenobarbital level is 25 mcg/mL. The mother asks the nurse about her child’s phenobarbital level and the nurse’s appropriate response is:
a. “The level is normal.”
b. “The level is 25 mcg/mL which is normal.”
c. “I’ll need to call doctor first, who can tell you.”
d. “The level is a little low, but I’m sure the doctor will increase your child’s dose.”

 

 

ANS:  B

 

  Feedback
A Incorrect: Although this is true, it is not the best answer.
B Correct: This is the best answer.
C Incorrect: This is not an appropriate nursing response.
D Incorrect: This is a false statement and thus inappropriate.

 

 

PTS:   1                    REF:   p. 724            OBJ:   Cognitive Level: Evaluation

 

  1. Clients taking carbamazepine should have which test monitored routinely?
a. liver function tests c. complete blood count
b. renal function tests d. skin biopsy

 

 

ANS:  C

 

  Feedback
A Incorrect: Hepatotoxicity is not associated with carbamazepine.
B Incorrect: Nephrotoxicity is not associated with carbamazepine.
C Correct: Hematological impairment including leukopenia and thrombocytopenia are associated with carbamazepine therapy.
D Incorrect: This might be associated with trimethodione.

 

 

PTS:   1                    REF:   p. 718            OBJ:   Cognitive Level: Comprehension

 

  1. A nurse is teaching a client taking carbamazepine about what action he should take related to his serum drug level. Which of the following would indicate client understanding of the instruction for a serum carbamazepine level of 11 mcg/L?
a. “I would notify my doctor right away.”
b. “I will plan to take my next dose as usual.”
c. “I should expect my doctor to call the pharmacy for a higher dose of my medicine.”
d. “I will double up on my next dose and then go back to my regular dose.”

 

 

ANS:  B

 

  Feedback
A Incorrect: Because the drug level is within defined limits, he doesn’t need to notify his health care provider “right away.”
B Correct: The normal level for carbamazepine is 4-12 mcg/mLRemember, his level is normal and he should plan to continue his medication at its present dose.
C Incorrect: This indicates further teaching is needed.
D Incorrect: This indicates further teaching is needed.

 

 

PTS:   1                    REF:   p. 718            OBJ:   Cognitive Level: Evaluation

 

  1. When preparing to administer fosphenytoin sodium to an adult, the nurse understands that too rapid intravenous administration of fosphenytoin sodium can cause:
a. a respiratory rate of 10.
b. a pulse rate less than 60.
c. blood pressure greater than 140/90.
d. a temperature greater than 99 degrees F.

 

 

ANS:  B

 

  Feedback
A Incorrect: The major concern is not respiratory depression.
B Correct: It can cause bradycardia.
C Incorrect: The major concern is not hypertension.
D Incorrect: The major concern is not a slight temperature elevation.

 

 

PTS:   1                    REF:   p. 715            OBJ:   Cognitive Level: Comprehension

 

  1. During the client’s annual physical examination, the significant other states that the client will “just stop in the middle of a sentence and stare off into space for about 15 seconds fluttering his eyes. When he stops staring, he just continues what he was saying. I asked him what he was thinking when he was staring and he doesn’t remember anything about this episode. It has happened about a dozen times in the last couple of months.” What is happening with him? The nurse recognizes this behavior as characteristic of:
a. a simple partial seizure. c. an atonic seizure.
b. a complex partial seizure. d. an absence seizure.

 

 

ANS:  D

 

  Feedback
A Incorrect: This is not characteristic of a simple partial seizure.
B Incorrect: This is not characteristic of a complex partial seizure.
C Incorrect: This is not characteristic of an atonic seizure.
D Incorrect: This is characteristic of an absence seizure.

 

 

PTS:   1                    REF:   p. 713            OBJ:   Cognitive Level: Comprehension

 

  1. A client is prescribed IV phenytoin 300 mg. The nurse will administer this IV bolus over:
a. 3 minutes. c. 15 minutes.
b. 6 minutes. d. 30 minutes.

 

 

ANS:  B

 

  Feedback
A Incorrect: IV bolus phenytoin must not exceed 50 mg/minute.
B Correct: 300 mg divided by 50 mg/min = 6 minutes.
C Incorrect: This is not a feasible time for an IV bolus.
D Incorrect: If infusing a drug over this period of time, a volumetric infusion pump should be used.

 

 

PTS:   1                    REF:   p. 733, Safe Nursing Practice 32-2    OBJ:   Cognitive Level: Application

 

  1. When administering IV bolus phenytoin to an infant, the nurse must use:
a. a scalp vein IV access. c. a central venous access device.
b. an antecubital IV access. d. a brachial artery catheter.

 

 

ANS:  C

 

  Feedback
A Incorrect: Because of the high risk of phlebitis with IV phenytoin, peripheral IV accesses should not be used.
B Incorrect: A peripheral IV access should not be used.
C Correct: A central venous access device should be used.
D Incorrect: This is an arterial, not a venous access.

 

 

PTS:   1                    REF:   p. 735, Safe Nursing Practice 32-2

OBJ:   Cognitive Level: Comprehension

 

  1. A neonate weighing 7.5 pounds is experiencing seizures secondary to maternal drug use during pregnancy and is prescribed IV phenytoin, which cannot exceed 3 mg/kg/minute. The safe dose for this neonate is:
a. 10 mg/kg/min. c. 10 mg/min.
b. 15 mg/min. d. 21.5 mg/min.

 

 

ANS:  C

 

  Feedback
A Incorrect: This changes the safe administration rate, which cannot be done.
B Incorrect: This is an excessive rate.
C Correct: 7.5 divided by 2.2 = 3.4 kg X 3 mg/min = 10.2 = 10 mg/min.
D Incorrect: This is an excessive rate.

 

 

PTS:   1                    REF:   p. 103 | p. 735, Safe Nursing Practice 35-2

OBJ:   Cognitive Level: Application

 

  1. The nurse is caring for an adult client receiving continuous enteral feedings who is prescribed phenytoin per nasogastric tube. The nurse should:
a. collaborate with the health care provider to change the route of administration of phenytoin to IV.
b. discontinue the enteral feeding 90 minutes before and after administering the phenytoin.
c. stop the enteral feeding, flush the nasogastric tube with normal saline, administer phenytoin, then flush tube with normal saline, restart feeding.
d. dilute the phenytoin and administer it concurrently with the enteral feeding at a decreased rate of infusion.

 

 

ANS:  B

 

  Feedback
A Incorrect: This is not an appropriate nursing response in this situation.
B Correct: The enteral feeding should be stopped one to two hours before and after phenytoin enteral administration, because enteral feedings decrease the absorption of phenytoin.
C Incorrect: This is not an appropriate nursing action. In addition, nasogastric tubes for enteral feedings are flushed with tap water, not normal saline.
D Incorrect: This is not an appropriate nursing action.

 

 

PTS:   1                    REF:   p. 735, Safe Nursing Practice 32-2    OBJ:   Cognitive Level: Application

 

  1. The nurse should monitor the client taking carbamazepine for:
a. gingival dysplasia. c. photosensitivity.
b. hypersensitivity to benzodiazepines. d. fever and sore throat.

 

 

ANS:  D

 

  Feedback
A Incorrect: This is associated with phenytoin.
B Incorrect: This is associated with diazepam and clonazepam.
C Incorrect: This is associated with felbamate.
D Correct: Carbamazepine can cause hematological abnormalities, including leukopenia and thrombocytopenia.

 

 

PTS:   1                    REF:   p. 718 | p. 736, Safe Nursing Practice 32-3

OBJ:   Cognitive Level: Comprehension

 

  1. A client prescribed carbamazepine is experiencing hyponatremia characterized by:
a. increased seizure activity.
b. a serum sodium level less than 135 mEq/L.
c. a serum potassium level less than 3 mEq/L.
d. trigenimal neuralgia.

 

 

ANS:  B

 

  Feedback
A Incorrect: A low sodium level is not characterized by this.
B Correct: This characterizes hyponatremia.
C Incorrect: This indicates hypokalemia.
D Incorrect: Carbamazepine can be used to treat this.

 

 

PTS:   1                    REF:   p. 548            OBJ:   Cognitive Level: Evaluation

 

  1. A client is prescribed valproic acid for seizure control. The client’s current serum level of valproic acid is 130 mcg/mL. The nurse should:
a. administer a stat dose to the client now as prescribed for low level of drug.
b. notify the health care provider immediately.
c. plan to administer the client’s next dose.
d. have the laboratory redo the blood test.

 

 

ANS:  B

 

  Feedback
A Incorrect: The normal serum level of valproic acid is 50-100 mcg/mL so the client shouldn’t receive a stat dose, as this is a high level.
B Correct: The health care provider should be notified immediately.
C Incorrect: This is a high serum levelRemember, the nurse should not plan to administer the next dose.
D Incorrect: This is not an appropriate nursing action.

 

 

PTS:   1                    REF:   p. 727            OBJ:   Cognitive Level: Application

 

  1. An eight-year-old child is prescribed oxcarbazepine. The child weighs 66 pounds and the safe recommended dosage range for oxcarbazepine is 8-10 mg/kg. What is the safe dosage range for this child?
a. 240-300 mg c. 480-500 mg
b. 320-400 mg d. 528-660 mg

 

 

ANS:  A

 

  Feedback
A Correct: 66 pounds divided by 2.2 = 30 kg X 8 = 240 mg; 30 kg X 10 = 300 mg.
B Incorrect: This is too high a dose.
C Incorrect: This is too high a dose.
D Incorrect: This is too high a dose.

 

 

PTS:   1                    REF:   p. 103 | p. 716                                 OBJ:   Cognitive Level: Application

 

  1. A client is prescribed tiagabine. The nurse understands that this drug works by:
a. blocking sodium to decrease neuron excitability.
b. increasing the inhibitory neurotransmitter GABA.
c. decreasing the level of acetylcholine.
d. increasing the passage of sodium out of the neuron.

 

 

ANS:  B

 

  Feedback
A Incorrect: drug’s action.
B Correct: This is the action of tiagabine.
C Incorrect: drug’s action.
D Incorrect: drug’s action.

 

 

PTS:   1                    REF:   p. 717            OBJ:   Cognitive Level: Knowledge

 

  1. A client is prescribed lamotrigine. The nurse understands that this agent is used in combination with other anticonvulsant agents to treat:
a. generalized tonic-clonic seizures in children.
b. absence seizures in children.
c. partial seizures in adults.
d. Lennox-Gastaut syndrome in adults.

 

 

ANS:  C

 

  Feedback
A Incorrect: It is used to treat these types of seizures in adults, not children.
B Incorrect: It is used to treat these types of seizures in adults, not children.
C Correct: This is a primary use for lamotrigine in combination with valproic acid.
D Incorrect: It is used to treat this condition in children, not adults.

 

 

PTS:   1                    REF:   p. 717            OBJ:   Cognitive Level: Comprehension

 

MULTIPLE RESPONSE

 

  1. The factor(s) most influencing the choice of anticonvulsants to prescribe for the client include:
a. drug most likely to cause spontaneous remission.
b. client’s age and weight.
c. type of seizure experienced by client.
d. adverse effects of the drug.

 

 

ANS:  C, D

 

  Feedback
Correct c. and d. These are factors considered when choosing an anticonvulsant.
Incorrect a. and b. Spontaneous remission occurs without medical intervention. Client’s weight determines dosage, not choice of drug.

 

 

PTS:   1                    REF:   p. 714            OBJ:   Cognitive Level: Comprehension

 

  1. The client receiving continuous enteral feedings is prescribed phenytoin per gastric tube. The nurse recognizes the spouse’s understanding of the instructions when the spouse:
a. stops the enteral feeding two hours prior to administering phenytoin.
b. flushes the gastric tube with water before and after administering phenytoin.
c. restarts the enteral feeding following phenytoin administration.
d. restarts the enteral feeding two hours following phenytoin administration.

 

 

ANS:  A, B, D

 

  Feedback
Correct a., b., and d. These actions by the spouse indicate understanding of instructions.
Incorrect c. This action indicates further teaching for the spouse.

 

 

PTS:   1                    REF:   p. 735, Safe Nursing Practice 32-2    OBJ:   Cognitive Level: Evaluation

 

  1. When administering fosphenytoin sodium to a client experiencing status epilepticus the nurse knows if he administers the drug at a rate greater than 150 mg/mint, it could result in:
a. bradycardia. c. sinus rhythm.
b. ventricular fibrillation. d. cardiac arrest.

 

 

ANS:  A, B, D

 

  Feedback
Correct a., b., and d. These can occur with too rapid an infusion of fosphenytoin.
Incorrect c. This is not associated with too rapid an infusion of fosphenytoin.

 

 

PTS:   1                    REF:   p. 715            OBJ:   Cognitive Level: Comprehension

 

Reviews

There are no reviews yet.

Be the first to review “Pharmacological Aspects of Nursing Care 7th Edition Broyles Reiss Evans Test Bank”

Your email address will not be published. Required fields are marked *