STUDY GUIDE QUESTIONS AND SOLUTIONS
2026 CORRECT ANSWERS GRADED A+
⩥ What are the indications for phenytoin (Dilantin)? Answer: Seizure
disorders (tonic-clonic, partial), status epilepticus (IV)
⩥ What are the adverse effects of phenytoin (Dilantin)? Answer:
Gingival hyperplasia, ataxia, nystagmus, diplopia, hypotension, rash,
hirsutism, teratogenic effects
⩥ What are the patient teaching points for phenytoin (Dilantin)?
Answer: Brush/floss daily, use soft toothbrush, avoid alcohol, report
rash, do not stop abruptly
⩥ What are the nursing considerations for phenytoin (Dilantin)? Answer:
Monitor serum levels (10-20 mcg/mL), CBC, liver enzymes, and for
rash; administer slowly IV to prevent hypotension
⩥ What are the contraindications for phenytoin (Dilantin)? Answer:
Sinus bradycardia, heart block, pregnancy (teratogenic)
⩥ What is the drug class of valproic acid / valproate (Depakote)?
Answer: Anticonvulsant, mood stabilizer
, ⩥ What are the indications for valproic acid (Depakote)? Answer:
Seizure disorders, bipolar disorder, migraine prophylaxis
⩥ What are the adverse effects of valproic acid (Depakote)? Answer:
Hepatotoxicity, pancreatitis, GI upset, weight gain, tremor,
thrombocytopenia
⩥ What are the patient teaching points for valproic acid (Depakote)?
Answer: Take with food, report abdominal pain, jaundice, or easy
bruising
⩥ What are the nursing considerations for valproic acid (Depakote)?
Answer: Monitor LFTs, amylase/lipase, platelet count; do not crush
enteric-coated forms
⩥ What are the contraindications for valproic acid (Depakote)? Answer:
Liver disease, pregnancy
⩥ What is the drug class of diazepam (Valium)? Answer:
Benzodiazepine anticonvulsant
⩥ What are the indications for diazepam (Valium)? Answer: Status
epilepticus, anxiety, muscle spasms, alcohol withdrawal