During a medication information group, the nurse responds to a question about the basis on which
the antiepileptic drugs carbamazepine (Tegretol), valproic acid (Depakene), and lamotrigine
(Lamictal) act to relieve symptoms of mania by saying that
these drugs
a. preferentially block the reuptake and destruction of serotonin.
b. reduce the firing rate of high-frequency brain neurons.
c. exert a powerful and rapid sleep-inducing effect.
d. produce paradoxical psychostimulation.
ANS: B
The anticonvulsants mentioned alter electrical conductivity in membranes, slowing the firing rate of
brain neurons. This membrane-stabilizing effect probably accounts for the reduction in mood swings
seen in bipolar clients. Option A is the action of SSRIs. Option C is the action of soporific
benzodiazepines such as flurazepam (Dalmane). Option D: Psychostimulation is produced by drugs
such as methylphenidate (Ritalin), which are used to treat attention deficit hyperactivity disorder.
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The client who has undergone gastroplasty has an NG tube. Which of the following nursing interventions regarding care of the tube takes priority in this client?
A. Closely monitor the tube for patency. B. Never reposition the tube. C. Closely monitory tube output. D. Auscultate for bowel sounds frequently.
The recently graduated nurse recognizes that standards provide information and guidelines for: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Nurses in their practice. 2. Devlopment of policies and protocols. 3. Developing basic nursing care. 4. Writing a state's nurse practice act. 5. Who can and cannot consent to treatment.
________ is the preferred route for the treatment of choriocarcinoma using methotrexate.
A. Subcutaneous injection B. Oral administration C. Intravenous administration D. Intramuscular injection
Which is the basic unit of volume in the metric system?
A. minim B. liter C. meter D. gram