The U.S. Food and Drug Administration has issued a warning for users of antiepileptic drugs.
Based on this report, the nurse will monitor for which potential problems with this class of drugs?

Signs of bone marrow depression

Increased risk of suicidal thoughts and behaviors

Increased risk of cardiovascular events, such as strokes

Indications of drug addiction and dependency

Answer and Explanation

The Correct Answer is B

A.   Signs of bone marrow depression are not typically associated with antiepileptic drugs. This adverse effect is more commonly seen with medications such as chemotherapy agents.
B.   Increased risk of suicidal thoughts and behaviors is a well-documented concern with antiepileptic drugs, particularly when used for psychiatric indications or in certain patient populations. The FDA has issued warnings regarding this risk, and healthcare providers should monitor patients for changes in mood, behavior, and suicidal ideation.
C.   While some antiepileptic drugs may have cardiovascular effects, such as prolongation of the QT interval, the FDA warning specifically highlights the risk of suicidal thoughts and behaviors rather than cardiovascular events like strokes.

D.   Indications of drug addiction and dependency are not typically associated with antiepileptic drugs. These medications are not central nervous system depressants and do not produce the euphoria or withdrawal symptoms characteristic of addictive substances.

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Correct Answer is ["A","C","E"]

Explanation

A. Attention deficit hyperactivity disorder (ADHD) - Correct. CNS stimulants like

methylphenidate and amphetamine derivatives are commonly used to treat ADHD by improving attention, focus, and impulse control.

B. Panic attacks - Incorrect. CNS stimulants are not typically used to treat panic attacks.

Medications such as benzodiazepines or selective serotonin reuptake inhibitors (SSRIs) are more commonly used for panic disorder.

C. Narcolepsy - Correct. CNS stimulants are used to treat narcolepsy, a sleep disorder characterized by excessive daytime sleepiness and sudden attacks of sleep.

D. Neonatal apnea - Incorrect. CNS stimulants are not indicated for neonatal apnea.

Management of neonatal apnea usually involves supportive measures, respiratory support, and caffeine citrate as a respiratory stimulant.

E. Obesity - Correct. CNS stimulants like phentermine are sometimes used as adjuncts to diet and exercise for short-term management of obesity

A. The 21-year-old patient who has never had surgery before B. The 40-year-old patient who is to have a kidney stone removed C. The 82-year-old patient who is to have gallbladder removal D. The 35-year-old patient who stopped smoking 8 years ago

Correct Answer is C

Explanation

A. The 21-year-old patient who has never had surgery before: While lack of previous surgery experience may contribute to anxiety, it doesn't inherently increase the risk of altered response to anesthesia.
B. The 40-year-old patient who is to have kidney stone removed: While the type of surgery may influence anesthesia considerations, being 40 years old alone doesn't significantly increase the risk of altered response to anesthesia.
C. The 82-year-old patient who is to have gallbladder removal: Advanced age is a significant risk factor for altered response to anesthesia due to age-related changes in physiology, metabolism, and drug clearance.
D. The 35-year-old patient who stopped smoking 8 years ago: While smoking history can impact anesthesia considerations, stopping smoking 8 years ago likely reduces the associated risks compared to current smokers.

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The U.S. Food and Drug Administration has issued a warning for users of antiepileptic drugs. Based on this report, the nurse will monitor for which potential problems with this class of drugs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the use of central nervous system stimulants. Which of these are indications for this class of drugs? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

When assessing patients in the preoperative area, the nurse knows that which patient is at a higher risk for an altered response to anesthesia

Correct Answer is C

Explanation

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The U.S. Food and Drug Administration has issued a warning for users of antiepileptic drugs.
Based on this report, the nurse will monitor for which potential problems with this class of drugs?