Neurological Pharmacology Part 1
A nurse is preparing to administer memantine ( also called Namenda) to a client that has Alzheimer's disease. Which of the following findings in the client's medical history indicates a need to withhold the drug and notify the provider?
Cirrhosis. Memantine should be used cautiously in clients who have severe hepatic impairment. The nurse should contact the provider about the client's history of Cirrhosis to see if laboratory testing is required before starting the drug or if the dosage needs to be adjusted.
A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's Disease about donepezil . Which of the following information should the nurse include?
Combining NSAIDS with donepezil can cause gastrointestinal bleeding. Therefore, the nurse should instruct the clients family to avoid the use of NSAIDS.
A nurse is caring for a client that is taking interferon beta-1b. The nurse should identify that which of the following findings indicates a potential serious adverse effect of this drug?
Fatigue. The nurse should identify that potential serious side effects of this drug include unexplained bruising, bleeding, and fatigue. Clients should report these adverse effects to their provider immediately because they can indicate bone marrow suppression and decreased platelet count.
A nurse is caring for a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following effects?
Respiratory Depression. methohexital is a short-acting barbiturate, causes respiratory depression. Mechanical ventilation and continuous monitoring are essential for clients receiving the drug.
A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of attention deficit hyperactivity disorder ( ADHD ) for 2 weeks. The nurse should report which of the following findings to the provider?
Weight loss of 2.3 Kg ( 5 lb ). amphetamine/dextroamphetamine can cause a decreased appetite and weight loss. The nurse should instruct the client to weigh themself twice weekly and report unintended weight loss.
