Select the statement that is consistent with the mechanism of action of phenytoin (Dilantin) that helps decrease the occurrence of a seizure.

A. Phenytoin decreases the inhibitory effects of the inhibitory neurotransmitter gammaaminobutyric acid (GABA), which suppresses the excitability of epileptogenic neurons.
B. Phenytoin decreases the inactivation of Na+ ion channels to decrease high-frequency firing of neurons and inhibition of Ca ++ ion channels.
C. Phenytoin prolongs the inactivation period of sodium (Na+) channels in the nerve membrane, leading to a reduction in the generation of high-frequency repetitive firing of action potentials from neurons involved in initiating seizures.
D. None of the above are correct.


Answer: C

Nursing

You might also like to view...

The nursing assistant remarks to the nurse, "The patient with amnesia looks together, but when I talk to her, she seems rather vague. What should I be doing for her?" The best reply would be:

a. "Provide more info about her past to reduce the unknowns that cause her anxiety.". b. "Use short, simple sentences and keep her environment calm and protective.". c. "Spend as much time with her as you can, and ask questions about her recent life.". d. "Structure her time with lots of activities to keep her busy and stimulated.".

Nursing

Mr. Jackson calls the nurse's station stating that his wife, who delivered last week, is happy one minute and crying the next. Mr. Jackson says, "She was never like this before the baby was born." The nurse's initial response should be to:

a. tell him to ignore the mood swings because they will go away. b. reassure him that this behavior is normal. c. advise him to get immediate psychological help for her. d. instruct him in the signs, symptoms, and duration of postpartum blues.

Nursing

Which physical sign is an indicator that ovulation has occurred?

a. Decrease in the basal body temperature of 0.1 degrees Fahrenheit b. Cervical mucous threads are 1 to 2 centimeters long c. Thick, white cervical mucus d. Occurrence of mittelschmerz

Nursing

To prevent nipple trauma, the nurse should instruct the new mother to:

a. Limit the feeding time to less than 5 minutes. b. Position the infant so the nipple is far back in the mouth. c. Assess the nipples before each feeding. d. Wash the nipples daily with mild soap and water.

Nursing