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    Mental Health Northern Kentucky University Proctored Exam 6

    A 22-year-old Asian man has been diagnosed with a seizure disorder. Prior to initiating treatment with an anticonvulsant, what should his nurse practitioner consider?

    Explanation & Rationale

    Choice A reason: CBC, thyroid studies, and HbA1c are not standard pre-treatment requirements for anticonvulsants unless indicated by comorbid conditions. Choice B reason: CSF analysis and urinalysis are typically reserved for diagnostic workup of seizures, not pre-treatment pharmacogenomic risk assessment. Choice C reason: Certain anticonvulsants, such as carbamazepine, carry a risk of severe cutaneous reactions like Stevens-Johnson syndrome. Individuals of Asian descent may carry HLA alleles (e.g., HLA-B*1502) that increase susceptibility. Screening reduces risk. Choice D reason: Referral to psychiatry is unnecessary unless there is suspicion of non-epileptic seizures; it is not a standard consideration prior to anticonvulsant initiation.

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