Neurological Meds
Which of the following drugs may be used after a seizure to maintain a seizure-free state? Select one: a. fosphenytoin b. acyclovir c. lorazepam d. diazepam
A
given for chronic spasms in those with MS, cerebral palsy, SCI or CVA. ADRs include drowsiness, dizziness, and weakness. Can be given po or via pump a. baclofen b. dantrolene c. diazepam d. cyclobenzaprine
A
The nurse is caring for a patient who has undergone supratentorial removal of a pituitary mass. What medication would the nurse expect to administer prophylactically to prevent seizures in this patient? Select one: a. Phenytoin b. Dexamethasone c. Prednisone d. Cafergot
A Antiseizure medication (phenytoin, diazepam) is often prescribed prophylactically for patients who have undergone supratentorial craniotomy because of the high risk of seizures after this procedure. Prednisone and dexamethasone are steroids and do not prevent seizures. Cafergot is used in the treatment of migraines
A patient is being admitted to the neurologic ICU following an acute head injury that has resulted in cerebral edema. When planning this patient's care, the nurse would expect to administer what priority medication? Select one: a. Mannitol (Osmitrol) b. Hydrochlorothiazide (HydroDIURIL) c. Spirolactone (Aldactone) d. Bumetanide (Bumex)
A The osmotic diuretic mannitol is given to dehydrate the brain tissue and reduce cerebral edema. This drug acts by reducing the volume of brain and extracellular fluid. Spirolactone and hydrochlorothiazide are diuretics that are not typically used in the treatment of increased ICP resulting from cerebral edema.
A patient who was diagnosed with Parkinson's disease several months ago recently began treatment with levodopa-carbidopa. The patient and his family are excited that he has experienced significant symptom relief. The nurse should be aware of what implication of the patient's medication regimen? Select one: a. The patient's temporary improvement in status is likely unrelated to levodopa-carbidopa. b. The patient is in a "honeymoon period" when adverse effects of levodopa-carbidopa are not yet evident. c. Benefits of levodopa-carbidopa often diminish after 1 or 2 years of treatment. d. Benefits of levodopa-carbidopa do not peak until 6 to 9 months after the initiation of treatment.
C
this drug inhibits both sensory and motor neurons and is very sedating a. baclofen b. dantrolene c. diazepam d. cyclobenzaprine
C
given for short-term spasms after an acute back injury; ADRs include drowsiness and dizziness: a. baclofen b. dantrolene c. diazepam d. cyclobenzaprine
D
A drug that is used alone (monotherapy) as effective treatment of partial seizures (as well as long-term for bipolar) is: Select one: a. dexamethasone b. baclofen c. clonazepam d. lamotrigine
D
The nurse is caring for a client hospitalized with a severe exacerbation of myasthenia gravis. When administering medications to this client, what is a priority nursing action? Select one: a. Document medication given and dose. b. Assess client's reaction to new medication schedule. c. Give client plenty of fluids with medications d. Administer medications at exact intervals ordered.
D
which drug is used to paralyze critically ill patients but should never be given without analgesics or sedation? a. baclofen b. dantrolene c. diazepam d. Propofol
D
A nurse is admitting a patient with a severe migraine headache and a history of acute coronary syndrome. What migraine medication would the nurse question for this patient? Select one: a. Rizatriptan (Maxalt) b. Naratriptan (Amerge) c. Zolmitriptan (Zomig) d. Sumatriptan succinate (Imitrex)
D Explanation: Triptans can cause chest pain and are contraindicated in patients with ischemic heart disease. Maxalt, Amerge, and Zomig are triptans used in routine clinical use for the treatment of migraine headaches
All of the following are centrally acting skeletal muscle relaxants EXCEPT: Select one: a. baclofen b. dantrolene c. diazepam d. cyclobenzaprine
B
The most common side effects of barbituates include all of the following EXCEPT: Select one: a. urinary retention b. agitation c. depression d. drowsiness
B
T or F: botox can be given to stroke victims
T
