The mother of a child newly diagnosed with drug-resistant epilepsy asks the nurse why two antiepileptic drugs have been prescribed for her daughter. What is the nurse's best answer?

A) To decrease overall cost
B) To decrease risk of adverse effects
C) To minimize seizures in resistant epilepsy
D) To increase movement of sodium ions into the cell


C
Feedback:
When monotherapy is ineffective, a second, and sometimes a third, drug may be added in an attempt to control seizures. It does not decrease overall cost or reduce the risk of side effects or increase movement of sodium ions into the cell.

Nursing

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Mr. Anderson, who is 69 years old and obese, reports feeling tired all the time, even in the morning when he awakens. His wife reports that he snores loudly. What disorder should you suspect?

a. Nocturnal myoclonus b. Dementia c. GERD d. Sleep apnea

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Which of the following issues would be of concern to public health nurses?

1. The number of school children with influenza 2. The number of premature births in the county 3. The county plans to build a medical waste incinerator 4. The lack of compliance with TB medications

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A client who sustained burns to both lower extremities complains to the nurse about feeling frustrated by not being able to provide self-care. The nursing diagnosis appropriate for the client at this time would be:

1. Situational Low Self-Esteem. 2. Powerlessness. 3. Ineffective Coping. 4. Anxiety.

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A patient diagnosed with schizophrenia reveals to the nurse that voices have warned of danger and adds, "They're so loud they frighten me. Do you hear them?" The nurse's best initial response would be:

a. "I know these voices are very real to you, but I don't hear them.". b. "Don't worry. You're safe in the hospital. I won't let anything happen to you.". c. "Tell me more about the voices. Are they men or women? How many are there?" d. "What do you do in order to keep yourself occupied so you don't hear the voices?"

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