A patient with liver impairment needs an antiepileptic drug. What drug would be safest for patients with liver impairment?
A) Levetiracetam (Keppra)
B) Lamotrigine (Lamictal)
C) Phenobarbital
D) Valproic acid (Depakene)
A
Feedback:
Levetiracetam is a newer drug chemically unrelated to other antiepileptic drug. Most of the drug is excreted by the kidneys and is not metabolized by the liver so it would be safer for the patient with liver disease. The other options are all metabolized by the liver, so the patient with liver disease will need a lower dosage.
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Which statement about time management is true?
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The nurse instructs the client that buspirone (BuSpar) has which common side effects?
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While collecting data, the nurse suspects that a patient is experiencing renal calculi. What did the nurse assess to come to this conclusion? (Select all that apply.)
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As part of discharge teaching, the nurse is instructing a patient on the use of digoxin. What should be included in the teaching? (Select all that apply.)
a. Change position quickly to avoid orthostatic hypotension. b. Take pulse before taking medication and if below 60 or above 100, call the physician. c. Report blurred vision, photophobia, or seeing yellowish green halos. d. Take medication exactly as directed at the same time each day. e. Report if a persistent cough occurs.