Nervous/Musculoskeletal System Part 1 quiz

A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include ? *

Avoid driving until the medication's effects are evident

Phenytoin has a narrow therapeutic index. The nurse understands that the patient is in therapeutic range when the lab value is

10-20 mcg/dl

It is important to teach clients on methotrexate to report this symptom immediately

Fever

A nurse is doing patient teaching for a client with Alzheimer's disease who has been placed on the medication donepezil. The nurse knows the teaching has been effective when the client states

I must report if I have dark stool or coffee-ground colored emesis

A nurse is reinforcing teaching with a client who is about to start taking allopurinol to treat gout. Which of the following statements by the client indicates an understanding of the teaching

I need to drink at least 3 quarts of water a day

A patient taking colchicine states " I am still in so much pain". What is the best response from the nurse

I will get you ibuprofen.

A nurse is reinforcing teaching with a client who has a prescription for oral suspension phenytoin. Which of the following should the nurse include in the teaching?

Shake the suspension vigorously prior to pouring the medication

A nurse is caring for a client who has epilepsy and a new prescription for lamotrigine. For which of the following should the nurse instruct the client to withhold the medication and notify the provider * 1/1

Skin rash

A nurse is reinforcing teaching about colchicine with a client who has gout. Which of the following statements by the client indicates an understanding of the teaching

This medication should eliminate the swelling in 2 to 3 days

A patient should not drink or use drugs while taking pregabalin because it will potentiate the drugs depressive effects.

True

It is important to teach a patient who is taking phenytoin to take their medication at the same time everyday.

True

A nurse is reinforcing teaching with a client who has Parkinson's disease and a new prescription for levodopa/carbidopa . Which of the following should the nurse include in the teaching

avoid administering with foods high in protein

A patient taking neostigmine to treat myasthenia gravis tells the nurse that their eyes will not stop watering, and they seem to be drooling lately. The nurse recognizes these as signs of

cholinergic crisis

An approved emergency medication to treat status epilepticus is

diazepam

A patient taking phenytoin states that their gums have increased in size and bleed when they brush them. The nurse shows an understanding of this medication when they give this response

gingival hyperplasia is a side effect of this medication.

A patient asking to take the medication sumatriptan for treatment of their migraines must be screened for

history of uncontrolled hypertension

A patient with rheumatoid arthritis is going to be starting the medication Etanercept. The nurse knows that the patient must

needs a tuberculosis test

A patient with osteoporosis is started on the medication alendronate. The nurse shows knowledge of this medication when they instruct the patient to

sit up for 30 minutes

The nurse is teaching a patient who is newly prescribed baclofen. It is important to include in the teaching that they should never stop taking this medication abruptly.

true

Medications that involve the neurological system often times can effect the liver. You will monitor patients labs, however, you will also monitor for jaundice. Which are signs of jaundice

yellowing of the skin and eyes