A nurse is creating a plan of care for a child who is 8 years of age and has a prescription for anticonvulsant medication to take for the management of chronic pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)
Do not take the medication longer than a week.
Liver enzymes should be checked before starting.
An increased risk of suicide is associated with this medication.
Consult the prescriber for any dose adjustments.
Do not take with anti-anxiety medications.
Correct Answer : B,C,D,E
A. Anticonvulsants for chronic pain management are typically taken long-term and not limited to one week.
B. Many anticonvulsants are metabolized in the liver, so baseline liver function tests are necessary before starting therapy.
C. Anticonvulsants have been associated with an increased risk of suicidal ideation, and families should be advised to monitor for mood changes.
D. Any dose adjustments should be made under the supervision of the prescriber to prevent adverse effects.
E. Anticonvulsants can have sedative effects and should not be taken with anti-anxiety medications without medical supervision, as this can increase the risk of CNS depression.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Academic achievements provide insight into cognitive and social development.
B. Understanding how the child responds to stress is essential for evaluating emotional and psychological well-being.
C. Information from multiple sources may be helpful, but it's not a standard requirement for routine health history.
D. Physical assessment, including heart and lung sounds, is a crucial part of a health history.
E. The child’s statements, along with parental input, offer a comprehensive view of the child’s health and developmental status.
Correct Answer is ["E","F","G"]
Explanation
A. Rotavirus is not spread through respiratory droplets; it is transmitted via the fecal-oral route.
B. Rotavirus is a viral infection and does not respond to antibiotics.
C. Rotavirus does not typically cause a skin rash.
D. Rotavirus primarily affects infants and young children, though adults can be affected in certain cases.
E. Rotavirus is transmitted through contaminated food, water, or contact with contaminated surfaces.
F. There is a vaccine available to prevent rotavirus infection in children.
G. Common symptoms of rotavirus include fever, vomiting, and severe diarrhea, which can lead to dehydration.
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