2024 ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
When a client is on phenytoin (Dilantin) what are some nursing
interventions - ANSWER >>>>-monitor for narrow therapeutic index
(frequent blood test)
-take as prescribed
-oral care
-teach pt to use barrier contraceptives along with oral
What is the therapeutic range for phenytoin (Dilantin) - ANSWER
>>>>10-20 ug/mL
What does valproic acid (Depakote) treat? - ANSWER >>>>seizures,
mania associated with bipolar, migraines
Side effects of valproic acid (Depakote) - ANSWER >>>>Can cause
hepatotoxicity
What is valproic acid (Depakote)'s therapeutic range - ANSWER
>>>>50-125 ug/mL
Patient education valproic acid (Depakote) - ANSWER >>>>Must
have liver enzymes and blood levels checked regularly
Benzodiazepines can lead to what? - ANSWER >>>>-tolerance
-dependence
-withdrawl
,What should you do if valproic acid (Depakote) levels are high? -
ANSWER >>>>-hold medication
-check liver function (blood test)
-discuss with physician
-neuro assessment
-check vitals
What is the reversal agent for barbiturates? - ANSWER >>>>activated
charcoal
phenobarbital - ANSWER >>>>increases GABA
reduces seizure risk
Risks include sedation and tolerance
Should be discontinued gradually
What disease process goes with "dopamine depletion" - ANSWER
>>>>Parkinsons
What disease process goes with "confusion" - ANSWER
>>>>Alzheimers
What disease process goes with "bradykinesia" - ANSWER
>>>>Parkinsons
What disease process goes with "memory loss" - ANSWER
>>>>Alzheimers
What disease process goes with "Acetylcholine accumulation" -
ANSWER >>>>Parkinsons
What disease process goes with "amyloid plaques" - ANSWER
>>>>Alzheimers
What disease process goes with "Acetylcholinerase inhibitor drugs" -
ANSWER >>>>Parkinsons
, What disease process goes with "facial masking" - ANSWER
>>>>Parkinsons
What disease process goes with "motor neuron degeneration" -
ANSWER >>>>Parkinsons
What disease process goes with "neurofibillary tangles" - ANSWER
>>>>Alzheimers
What disease process goes with "anticholinergic drugs" - ANSWER
>>>>Parkinsons
Can you crush oxycontin - ANSWER >>>>NO- its extended release
Can you crush iron or potassium? - ANSWER >>>>No
Can you crush calcium antacids - ANSWER >>>>Yes
What disease process goes with "Lack of ACh receptor sites" -
ANSWER >>>>Myasthenia Gravis
What disease process goes with "respiratory muscle weakness" -
ANSWER >>>>Myasthenia Gravis
What disease process goes with "anticholinestrase inhibitor drugs" -
ANSWER >>>>Myasthenia Gravis
What disease process goes with "anti-acetylcholine antibodies" -
ANSWER >>>>Myasthenia Gravis
What disease process goes with "immunosupressants - ANSWER
>>>>myasthenia gravis and multiple sclerosis
What disease process goes with "brain lesions" - ANSWER
>>>>multiple sclerosis