A patient with a seizure disorder has had a recent change in medication. What data would the nurse collect to evaluate the effectiveness of the new drug? (Select all that apply.)
A) Evaluate vital signs.
B) Evaluate laboratory drug level.
C) Assess for adverse effects.
D) Assess for change in seizure activity.
E) Assess for cost of therapy.
B, C, D
Feedback:
Interview and assess for any change in seizure activity; interview and assess for avoidance of adverse drug effects, especially those that impair safety; when available, check laboratory reports of serum drug levels for therapeutic ranges or evidence of underdosing or overdosing. Measuring vital signs is part of every patient visit but does not contribute to evaluation of drug effectiveness. For example, if the patient has had a sudden increase in number of seizures, but is not currently having a seizure, vital signs will likely be within normal range. Cost of therapy does not indicate the effectiveness of drugs. Cost should be considered when prescribing drugs, not when they are being evaluated.
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