NUR 340 ATI Neuro 1 & 2 + Musculoskeletal

A nurse is caring for a client who has a new prescription for etanercept. Which of the following actions should the nurse take?

Administer a tuberculin skin test prior to starting the medication

A nurse is teaching a client who received a prescription for interferon beta-1a for the treatment of multiple sclerosis. Which of the following information should the nurse include?

Administer the drug in your thigh or upper arm

A nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include?

Allow 2 to 4 weeks for full therapeutic effects

A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse drug reaction caused by alprazolam?

Anxiety

A nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include about the teaching?

Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops Do not touch the tip of the dropper Remove contact lenses prior to instilling the drops

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following information should the nurse include?

Avoid being near people who are sick with a communicable illness Periodic laboratory tests are required Report bruising or petechiae Avoid drinking alcohol

A nurse is teaching a patient who has a prescription for baclofen. Which of the following instructions should the nurse include?

Avoid driving until the drug's effects are evident

A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include?

Avoid taking NSAIDs

A nurse is teaching a client who has Alzheimer's disease and their caregiver about memantine. Which of the following instructions should the nurse include?

Avoid taking OTC antacids

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?

Avoid the use of NSAIDs for pain

A nurse is planning care for a client who has a new prescription for methotrexate. The nurse should plan to monitor the client for which of the following adverse effects?

Bone marrow depression

A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include?

Bradycardia

A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease. Which of the following interactions should the nurse include?

Change position slowly to avoid orthostatic hypotension

A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include?

Change positions slowly from sitting or lying to standing Do not stop taking the drug abruptly Take the drug at bedtime to prevent daytime drowsiness Increase fluid and fiber intake

A nurse is teaching a client who is about to begin sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following adverse effects?

Chest pain

A nurse is teaching a client who has a prescription for prednisone and takes 1,500mg/day of calcium carbonate to reduce the risk of osteoporosis. Which of the following information should the nurse include?

Drink 240 mL (8 oz) of water with the calcium tablets Chew calcium tablets before swallowing them Take the drugs 1 hr apart Divide the daily dosage of calcium into three 500-mg doses

A nurse is caring for a client who is taking interferon beta-1b. The nurse should identify that which of the following indicates a potential serious adverse effect of this drug?

Fatigue

A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity?

Furosemide for hypertension

A nurse is caring for a client who has a prescription for fluoxetine and reports self-administering St. John's wort daily for the past 2 weeks. Which of the following should the nurse report to the provider as an indication of serotonin syndrome?

Hallucinations

A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects?

Headache Rash Drowsiness

A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions?

Hypertensive crisis

A nurse is teaching a client about adverse effects of etanercept. Which of the following statements indicates understanding of the teaching?

I will need to get my blood drawn periodically while on this medication

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following statements by the client indicates the understanding of the teaching?

I will take birth control pill every day

A nurse is caring for a client who has a prescription for methotrexate. Which of the following drugs would likely be prescribed in conjunction during the initial treatment of rheumatoid arthritis?

Ibuprofen

A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching?

If I become pregnant, it is important to let my healthcare provider know

A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?

If you have persistent headaches, let the provider know

A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs?

Imipramine

A nurse is caring for a client who has a prescription for etanercept. The nurse should identify that etanercept treats rheumatoid arthritis by which of the following actions?

Inactivation of tumor necrosis factor

A nurse is teaching a client about raloxifene. Which of the following information should the nurse include?

Increase physical activity by taking walks Use a contraceptive if there is any possibility of a pregnancy Increase intake of calcium and vitamin D

A nurse is teaching a client who has a new diagnosis of Parkinson's disease about how levodopa/carbidopa can help control symptoms. The nurse should identify that the drug has which of the following pharmacological effects?

Increases available dopamine in the brain

A nurse should identify that a client who has diabetes mellitus and is taking etanercept is at increased risk for which of the following adverse effects?

Infection

A nurse is providing teaching for a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects?

Jaundice

A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects?

Jaw pain Blurred vision Muscle pain

A nurse is preparing to administer alendronate to a client who has osteoporosis. The nurse should recognize which of the following as an adverse effect of alendronate?

Joint pain

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should identify that which of the following laboratory tests requires monitoring?

Liver function

Which of the following is a therapeutic effect of raloxifene?

Mimics the effect of estrogen on bone tissue

A nurse is caring for a client who has been taking selegiline to treat Parkinson's disease. The provider is considering the use of analgesics for the client but should be aware of that a drug interaction between selegiline and meperidine can result in which of the following?

Muscle rigidity

A nurse is administering fentanyl to a client to reduce pain. Which of the following drugs should the nurse have available to reverse the effects of fentanyl?

Naloxone

A nurse is caring for a client who is taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor?

Nausea

A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine?

Phenelzine

A nurse is reviewing the medical record of a client who has a newly diagnosed seizure disorder and a new prescription for valproic acid and phenytoin. The nurse should identify that which of the following can occur as a result of an interaction between these drugs?

Phenytoin toxicity

A nurse is teaching a client about interferon beta-1a. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug?

Premedicate with acetaminophen

A nurse is preparing to administer sumatriptan to a client for the first time. The nurse should instruct the client that has sumatriptan is indicated for which of the following conditions?

Presence of a migraine headache

A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification?

Renal function impairment

A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Which of the following information should the nurse include?

Report rash or itching Prime the pump before the first dose Report nasal irritation

A nurse is caring for a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following adverse effects?

Respiratory depression

When reviewing the indications for various antidepressants, a nurse should identify bupropion hydrochloride is an appropriate choice for clients who have which of the following?

Seasonal affective disorder Nicotine addiction Depression

A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse should monitor the client for which of the following indications of a serious adverse reaction to the drug?

Shortness of breath

A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug?

Skin rash

A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects?

Tachycardia

A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include?

Take a missed dose as soon as you remember

A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include?

Take the drug in the morning

A nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. The nurse should identify that which of the following is an adverse effect of this medication?

Thrombocytopenia

A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically?

Thyroid function tests

A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor?

Tolerance Anxiety Sedation Respiratory depression

A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity?

Tremors Confusion Nausea Muscle weakness

A nurse is caring for a client who was diagnosed with postmenopausal osteoporosis. Which of the following actions should the nurse take prior to administering calcitonin-salmon to the client for the first time?

Use skin testing to check the client for allergies

A nurse is teaching a client who has a prescription for calcium citrate about manifestations of hypercalcemia. Which of the following manifestations should the nurse include in the teaching?

Vomiting

A nurse is providing teaching to a client who a prescription for chlorpromazine. Which of the following instructions should the nurse include?

Wear sunscreen when exposed to sunlight

A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of ADHD for 2 weeks. The nurse should report which of the following findings to the provider?

Weight loss of 2.3kg (5 lbs)

A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects?

Withdrawal symptoms

A nurse is teaching a client who has a new prescription for etanercept. Which of the following statements should the nurse make?

You should report signs of infection to your provider immediately

A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the emergency room with spasms in their face and back. Which of the following adverse reactions should the nurse expect?

Acute dystonia

A nurse should identify that timolol is contraindicated for a client who has which of the following disorders?

Asthma

A nurse is teaching a client who has a prescription for carbamazepine. Which of the following instructions should the nurse include to help the client avoid the adverse effects of the drug?

Begin taking the drug at a low dosage

A nurse is teaching a client about methotrexate. The nurse should monitor the client for which of the following as an adverse effect of this drug?

Black, tarry stool

A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine. Which of the following laboratory values should the nurse monitor during and immediately after IV administration of the drug?

Blood pressure

A nurse is teaching a client about raloxifene therapy to prevent osteoporosis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug?

Calf pain

A nurse is preparing to administer memantine to a client who 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

A nurse is caring for a client who has a new prescription for pramipexole to treat Parkinson's disease. The nurse should recognize that which of the following laboratory tests requires monitoring?

Creatinine clearance

A nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis. The nurse should explain to the client that alendronate increases bone mass by which of the following actions?

Decreases activity of osteoclasts

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should instruct the client to report which of the following adverse effects?

Diarrhea

A nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. Which of the following statements should the nurse make?

Drink a minimum of 2 liters of water per day to promote the drug's excretion

Alendronate is contraindicated for administration to clients who have which of the following conditions?

Inability to sit upright

A nurse is caring for a client who has been admitted to the emergency department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse effects is the client at increased risk?

Seizure activity