Nokea
A 15 year old girl experiences epileptic fits during her menstrual periods. Which ONE of the following drugs is best suited for the management of her condition?
- A. Ethosuximide
- B. Valproic acid
- C. Phenytoin
- D. Corticosteroids
Correct Answer: B
Rationale: Valproic acid is effective for catamenial epilepsy and tonic-clonic seizures.
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A patient is receiving digoxin as treatment for heart failure. Which of the following would be most important for the nurse to monitor to reduce the risk for toxicity?
- A. Seizure activity
- B. Drug blood level
- C. Urinary output
- D. Blood pressure
Correct Answer: B
Rationale: The nurse should monitor the patient's blood level of the drug to ensure that the level remains within the therapeutic range. Monitoring seizure activity, urination frequency, and blood pressure will not prevent toxicity. Seizure activity is unrelated to digoxin or heart failure.
A nurse is caring for a client who has a new prescription for Phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?
- A. Orthostatic hypotension
- B. Hearing loss
- C. Gastrointestinal bleeding
- D. Weight loss
Correct Answer: A
Rationale: Phenelzine, an MAOI, commonly causes orthostatic hypotension due to its effect on blood pressure regulation.
____ is / are prescribed to prevent swimmer's ear.
- A. Ciprofloxacin otic drops (Ciloxan)
- B. Isopropyl ear drops (EarSol)
- C. Colistin (Coly-Mycin S Otic)
- D. Gentamicin otic drops
Correct Answer: B
Rationale: Isopropyl alcohol dries the ear canal, preventing swimmer's ear; antibiotics treat, not prevent.
A potential harmful effect on patients who take some herbal medication is:
- A. Constipation
- B. Lead poisoning
- C. Diarrhea
- D. Life-threatening rash
Correct Answer: B
Rationale: Some herbal products may contain lead contaminants, posing a risk of poisoning.
Which topical antifungal medication is used to treat vaginal candidiasis?
- A. Haloprogin (Halotex)
- B. Miconazole (Monistat)
- C. Oxiconazole (Oxistat)
- D. Terbinafine HCl (Lamisil)
Correct Answer: B
Rationale: Miconazole is a standard topical treatment for vaginal candidiasis; others target skin infections. Topical miconazole is used to treat vaginal candidiasis.