Nursing 62 Final Med Surg Study Exam

Final Study Guide1. Anticonvulsant medication administration. A client is receiving Keppra to control seizures. What statement by the client to the nurse indicates an understanding regarding administration of this medication?a. I need to take more of my Keppra when I am having a stressful day.b. I will be able to stop taking this medicine in about a year.c. I will probably need to take this medicine all my life.d. I will never have another seizure if I take this medicine.A patient has been taking phenytoin (Dilantin) for 2 years. Which action will the nurse take when evaluating for adverse effects of the medication?a. Inspect the oral mucosa.b. Listen to the lung sounds.c. Auscultate the bowel tones.d. Check pupil reaction to light.Phenytoin can cause gingival hyperplasia, but does not affect bowel tones, lung sounds, or pupil reaction to light.A client with a history of seizures is scheduled for an arteriogram at 10:00AM and is to have nothing my mouth before the test. The client is scheduled to receive a daily prescribed dose of Dilantin at 9AM. What action should the nurse take regarding this situation?a. Omit the 0900 dose.b. Give the same dosage of the drug rectally.c. Ask the physician if