Exam 4: Day 1

Question 1

Patients taking phenobarbital should be monitored for…

Answer 1

respiratory depression

Question 2

Gabapentin is indicated for…

Answer 2

partial seizures, restless leg syndrome, and neuropathic pain

Question 3

Which lab should you monitor for a patient taking glipizide?

Answer 3

liver labs

Question 4

effects of metformin

Answer 4

adverse: lactic acidosis
common: GI disturbances; diarrhea

Question 5

adverse effects of levothyroxine

Answer 5

tachycardia, hypertension, palpitations, osteoporosis, seizures, urticaria, rash, alopecia
life-threatening: thyroid crisis, angina pectoris, cardiac dysrhythmias, cardiovascular collapse

Question 6

tonic seizure

Answer 6

sustained muscle contraction

Question 7

tonic-clonic seizure

Answer 7

• most common form
• tonic phase: skeletal muscles contract in a spasm that lasts 3 to 5 seconds
• clonic phase: dysrhythmic muscular contraction occurs with a jerkiness of legs and arms; lasts 2 to 4 minutes

Question 8

clonic seizure

Answer 8

dysrhythmic muscle contraction

Question 9

valproic acid monitoring

Answer 9

• hepatotoxicity is a possible adverse reaction; take care when giving to very young children and patients with liver disorders
• monitor liver enzymes
• therapeutic serum range: 50 to 100 mcg/mL

Question 10

phenobarbital

Answer 10

barbiturate (prevents seizures)

Question 11

gabapentin

Answer 11

anticonvulsant/nerve pain

Question 12

phenytoin (dilantin)

Answer 12

anti-seizure

Question 13

valproic acid

Answer 13

anticonvulsant

Question 14

glipizide

Answer 14

sulfonylurea (anti-diabetic)

Question 15

metformin

Answer 15

anti-diabetic

Question 16

levothyroxine

Answer 16

thyroid hormones