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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?

A.

Signs of bone marrow depression

B.

Increased risk of suicidal thoughts and behaviors

C.

Increased risk of cardiovascular events, such as strokes

D.

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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Related Questions

Correct Answer is ["0.6"]

Explanation

To find out how many milliliters (mL) of methylnaltrexone should be administered to achieve a dose of 12 mg, we need to set up a proportion based on the available concentration.

Given:

  • Methylnaltrexone concentration: 8 mg per 0.4 mL
  • Desired dose: 12 mg

We can set up the proportion as follows:

8 /0.4 = 12 / x

Where ( x ) is the unknown amount of methylnaltrexone in milliliters.

To solve for ( x ), we can cross multiply and then divide:

8x = 0.4 12

8x = 4.8

x = 4.8/8

x = 0.6

Therefore, the nurse should administer 0.6 mL of methylnaltrexone.

Correct Answer is D

Explanation

A. Opioids: Opioids typically cause sedation, respiratory depression, and decreased reflexes, which are opposite to the symptoms described.
B. Depressants: Depressants, such as benzodiazepines or alcohol, would likely cause sedation, decreased reflexes, and confusion, but not the symptoms of restlessness, talkativeness, and hyperactive reflexes.
C. Alcohol: While alcohol intoxication can cause confusion, talkativeness, and tachycardia, it is less likely to result in hyperactive reflexes and restlessness as described.
D. Stimulants: Stimulants, such as amphetamines or cocaine, can cause restlessness, hyperactivity, talkativeness, confusion, panic, and tachycardia, matching the symptoms described.

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