A Patient with a Seizure Disorder Is Admitted to the Hospital

question 10

Multiple Choice

A patient with a seizure disorder is admitted to the hospital and has a partial convulsive episode shortly after arriving on the unit. The patient has been taking phenytoin [Dilantin] 100 mg 3 times daily and oxcarbazepine [Trileptal] 300 mg twice daily for several years. The patient's phenytoin level is 8.6 mcg/mL, and the oxcarbazepine level is 22 mcg/mL. The nurse contacts the provider to report these levels and the seizure. What will the nurse expect the provider to order?

• A) A decreased dose of oxcarbazepine
• B) Extended-release phenytoin
• C) An increased dose of phenytoin
• D) Once-daily dosing of oxcarbazepine

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