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The nurse reviews the laboratory results of a 16-year-old patient who presents to the clinic with fatigue and pallor. The patient's hematocrit is 26%, and the nurse notes multiple small petechiae and bruises over the arms and legs. This patient has a generalized tonic-clonic seizure disorder that has been managed well on carbamazepine (Tegretol).
- Relate the drug regimen to this patient's presentation.
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- The nurse is assessing a newly admitted patient who has a history of seizures. During the assessment, the patient has a generalized seizure that does not stop for several minutes. The nurse expects that which drug will be ordered for this condition?a )valproic acid (Depakote)b )neurontin (Gabapentin)c) carbamazepine (Tegretol)d) diazepam (Valium)A 24 year old woman with history of migraines, anxiety, depression, and structural epilepsy presents with a typical seizure episode. Her home medications consist of leviteracetam 1000 mg twice daily, propranolol 20 mg twice daily, amitriptyline 25 mg nightly, bupropion 300 mg daily, and escitalopram 20 mg daily. She has not added any new medications in the last month but she did adjust the doses of all medications in the last 6 months. Which medication is likely to lower her seizure threshold?The nurse is reinforcing teaching to parents about caring for a child during a tonic clonic seizureWhat are three 3) points the nurse should include when discussing care during and after a seizure?
- A nurse is caring for a child who is experiencing a generalized tonic/clonic seizure. Which of the following is the priority action for the nurse to take? Position the child in aside- lying position Try to determine the seizure trigger Reorient the child to the environment Place a bite stick in the mouth to prevent injury to oral tissuesThe nurse is administering an antiepileptic drug and will follow which guidelines? (Select all that apply.)a) Monitor the patient for drowsiness.b )Medications may be stopped if seizure activity disappears.c) Give the medication at the same time every day.d) Give the medication on an empty stomach.e) Notify the prescriber if the patient is unable to take the medication.Case scenario A 90-year-old woman with Alzheimer’s lives in a nursing facility. A nurse notices that she has been coughing frequently and seems warm to the touch. She performs an evaluation on the woman and confirms a fever with a dry cough. She also notices that her throat seems inflamed and irritated. The woman is unable to answer questions about how she has been feeling lately to provide a history for the nurse. The nurse ensures that the woman is comfortable and returns to the nursing station to review that patient’s chart. The nurse finds that within the year that the patient has been in the nursing facility, she has had two respiratory infections diagnosed as pneumonia. The nurse calls the physician, worried that the patient may be developing pneumonia again. Review the CBC results for this patient. 1. Pneumonia is an infection of the lung that can be caused by a virus, bacteria, or fungi. What initial laboratory analysis would help to determine whether an infection is present?…
- When giving intravenous quinolones, the nurse needs to keep in mind that these drugs may have serious interactions with which drugs?The nurse is preparing to administer a medication for sleep. Which intervention applies to the administration of a nonbenzodiazepine, such as zaleplon (Sonata)?a )These drugs need to be taken about 1 hour before bedtime.b) Because of their rapid onset, these drugs need to be taken just before bedtime.c )The patient needs to be cautioned about the high incidence of morning drowsiness that may occur after taking these drugsd) These drugs are less likely to interact with alcoholA 22-year-old male patient has been on haloperidol (Haldol) for 2 weeks for the treatment of schizophrenia. During a follow-up assessment, the nurse notices that the patient keeps rubbing his neck and is complaining of neck spasms. Answer the following questions: What is the nurse's initial action? What is the potential cause of the sore neck and what would be the potential treatment? What are the nursing considerations or interventions of this type of drug?
- Mrs. Laura Smith, a 45-year-old female, presents with insomnia complaints. She has a history of mild depression and a previous issue with pethidine abuse (opioid). She reports difficulty falling asleep, staying asleep, and experiencing early morning awakenings. She also mentions occasional feelings of sadness. Which medication option should be selected to manage insomnia in this patient? What are the contraindications (if any) of the selected medication? Please answer at your own easy words. Answer should be to the point (Specific).Mrs. Laura Smith, a 45-year-old female, presents with insomnia complaints. She has a history of mild depression and a previous issue with pethidine abuse (opioid). She reports difficulty falling asleep, staying asleep, and experiencing early morning awakenings. She also mentions occasional feelings of sadness. Which medication option should be selected to manage insomnia in this patient? What are the contraindications (if any) of the selected medication? Please answer at your own easy words. Answer should be to the point ( specific). Should be maximum 5-10 lines. Please Don't use AI for answering this question!Mrs. Laura Smith, a 45-year-old female, presents with insomnia complaints. She has a history of mild depression and a previous issue with pethidine abuse (opioid). She reports difficulty falling asleep, staying asleep, and experiencing early morning awakenings. She also mentions occasional feelings of sadness. Which medication option should be selected to manage insomnia in this patient? What are the contraindications (if any) of the selected medication? Please answer at your own easy words. Answer should be to the point (Specific). Don't use AI answering this question!