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 B
Explanation
A. Family-centered care focuses on both the client and family, not just the caregiver.
B. Family-centered care enhances the quality of care, improves safety, and results in better outcomes by involving families in the decision-making process.
C. Family-centered care increases collaboration and communication, leading to more effective care.
D. Family-centered care can help reduce healthcare costs by improving outcomes and reducing hospital stays.
Correct Answer is B
Explanation
A. Playing with other children typically develops in later toddlerhood or preschool years (parallel play).
B. At 12 months, toddlers exhibit separation anxiety and look for their parents when they leave.
C. Noticing when others are upset typically develops closer to 18 months to 2 years.
D. Mimicking other children usually begins around 18 to 24 months.
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