The nurse is preparing to administer zonisamide (Zonegran) to a newly admitted patient with the diagnosis of adult partial seizures. The nurse should hold this medication if the patient has which sign(s) or symptom(s)? (Select all that apply.)
a. Skin rash
b. Urinary frequency
c. Drowsiness
d. Allergy to Bactrim
e. Pruritus
ANS: A, D, E
Zonisamide should not be administered without specific approval if the patient has an allergy to Bactrim or a dermatologic reaction such as a skin rash and/or pruritus. Urinary frequency is not associated with zonisamide. Drowsiness is a common adverse effect of zonisamide.
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A nursing instructor is describing the classes of drugs that are commonly used as preanesthetics. The instructor determines that the teaching was successful when the students identify which as an example? Select all that apply
A) Antihypertensives B) Opioid agonists C) Antianxiety agents D) Antiemetics E) Cholinergic antagonists
An older adult patient has presented to the emergency department (ED) with a 12-hour history of copious bloody diarrhea. Following the appropriate assessments, what intervention should the ED nurse prioritize?
A) Position the patient in the Trendelenburg position to maximize cerebral perfusion. B) Establish intravenous access to administer fluid replacement. C) Immobilize the patient to minimize metabolic activity. D) Administer oral ferrous sulfate.
A patient in the intensive care unit with acute decompensated heart failure (ADHF) complains of severe dyspnea and is anxious, tachypneic, and tachycardic. All of the following medications have been ordered for the patient
The nurse's priority action will be to a. give IV morphine sulfate 4 mg. b. give IV diazepam (Valium) 2.5 mg. c. increase nitroglycerin (Tridil) infusion by 5 mcg/min. d. increase dopamine (Intropin) infusion by 2 mcg/kg/min.
Diarrhea can cause dehydration
Indicate whether the statement is true or false