A patient who has epilepsy will begin an anticonvulsant medication.
The patient asks the nurse how long the medication will be necessary.
How will the nurse respond?
You will take the medication as needed for seizure activity.
The medication will be given until you are seizure free.
You will take the medication for 3 to 5 years.
The medication is usually taken for a lifetime.
The Correct Answer is D
Choice A rationale
Anticonvulsant medications are not taken on an as-needed basis. They require consistent dosing to maintain therapeutic levels and prevent seizure activity effectively.
Choice B rationale
The goal of anticonvulsant therapy is not just temporary seizure control but long-term management. Medications are continued even after achieving seizure-free status to prevent recurrence.
Choice C rationale
While some patients might achieve control within a few years, there is no standard duration for stopping anticonvulsants. Treatment duration varies based on individual response and risk of recurrence.
Choice D rationale
Anticonvulsant medications are typically taken for a lifetime to manage epilepsy. Long-term therapy is crucial for maintaining seizure control and preventing breakthrough seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Cardiac glycosides are not known for increasing heart rate. Instead, they tend to decrease heart rate by enhancing vagal tone and increasing the refractory period of the atrioventricular node, which helps in controlling heart rate, especially in atrial fibrillation.
Choice B rationale
Cardiac glycosides actually increase the force of myocardial contractions. They inhibit the sodium-potassium ATPase pump, which leads to an increase in intracellular sodium and calcium levels in the myocardial cells, thus increasing the force of contraction.
Choice C rationale
Cardiac glycosides do not significantly decrease conduction velocity. They primarily affect the contractility and heart rate but their influence on conduction velocity is relatively mild.
Choice D rationale
Cardiac glycosides improve renal blood flow and increase urine output by increasing the cardiac output and reducing the activation of the renin-angiotensin-aldosterone system. This helps in relieving symptoms of heart failure.
Correct Answer is D
Explanation
Choice A rationale
Schedule I drugs have no medical use and high abuse potential, unlike morphine.
Choice B rationale
Schedule III drugs have less abuse potential than Schedule II, making this incorrect for morphine.
Choice C rationale
Schedule IV drugs have even lower abuse potential, incorrect for morphine.
Choice D rationale
Schedule II drugs have high abuse potential with medical use, fitting morphine's classification.
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