Long term phenytoin therapy is associated with folate de\u00b3ciency Folic acid and

Long term phenytoin therapy is associated with folate

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Long-term phenytoin therapy is associated with folate de³ciency. Folic acidand phenytoin are structurally similar and thought to compete with eachother for the same receptors. A de³ciency in folic acid in a pregnant womancan cause birth defects. Potassium, iron, and vitamin C do not compete withphenytoin nor are they directly a±ected by phenytoin.Question 27ResponseFeedback:A male patient has been brought to the emergency department during an episode of statusepilepticus. Diazepam is to be administered intravenously. The nurse will be sure toWhen diazepam is administered intravenously during status epilepticus, thesmall veins in the dorsum of the hand or the wrist should be avoided. Itshould be injected slowly, no faster than 5 mg in 1 minute. Diazepam should1 out of 1 points1 out of 1 points0 out of 1 points1 out of 1 points
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10/1/2018Review Test Submission: Week 5 - Quiz – NURS-6521N-18,...8/8Monday, October 1, 2018 1:10:04 AM EDTnot be mixed or diluted with other solutions or drugs, either in the syringe orin intravenous solutions.Question 28ResponseFeedback:A postsurgical patient has been provided with a morphine patient-controlled analgesic (PCA)but has expressed her reluctance to use it for fear of becoming addicted. How can the nursebest respond to this patient's concerns?Addiction to opioids is a rare occurrence among hospital patients who donot have a history of drug abuse. It would be inappropriate to downplay thepatient's concerns, however. A more appropriate response would be toexplain the phenomenon of dependence and to di±erentiate it fromaddiction.Question 29ResponseFeedback:An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling andbreaking her hip on the stairs outside her home. The woman's pain in the time since herinjury has been severe, and her care team has been treating it with morphine. Which of thefollowing administration schedules is most likely to control the patient's pain?The use of long-acting analgesia combined with short-acting opioids forbreakthrough pain is a proactive pain management technique thatmaximizes therapeutic bene³t while minimizing the risks of adverse e±ects.Question 30ResponseFeedback:A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periodsof anxiety. The nurse should be careful to assess forThe patient who has history of alcohol or substance abuse may be a poorcandidate for lorazepam because the patient is more likely to developdependence on the drug. Alcohol will also have an additive e±ect withlorazepam. A diet high in fat and carbohydrates or nicotine use should nota±ect the use of lorazepam.Question 31When completing this quiz, did you comply with Walden University’s Code ofConduct including the expectations for academic integrity?OK1 out of 1 points1 out of 1 points1 out of 1 points0 out of 0 points
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  • Summer '15
  • Morphine, Benzodiazepine, Benzodiazepine withdrawal syndrome

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