Pharm week 7 quiz

Which statement is accurate regarding the administration of levodopa?

Take this medication with food or antacids to reduce GI upset."

Which instruction should the nurse provide to this patient in regard to taking ropinirole (Requip) for the treatment of early symptoms of Parkinson's disease?

Take with food

Which is the best response when a patient beginning levadopa (Larodopa) therapy for Parkinson's disease asks how long it will take for the medication to relieve symptoms?

"The full therapeutic effect of the drug will not be apparent for up to 6 months."

Which statement by the patient recently placed on selegiline disintegrating tablets indicates a need for further testing?

"I will place the tablet on my tongue before breakfast"

Which statement by the patient would indicate the need for further teaching after being educated on Bupropion (Wellbutrin) prescribed for smoking cessation?

"If I have the urge to smoke, I will take more medication."

Which two CNS neurotransmitters are imbalanced in Parkinsonism?

Acetylcholine and dopamine

Which nursing action is most important when providing care to a patient diagnosed with a mood disorder?

Assess the patient for thoughts of suicide.

Which vitamin will reduce the therapeutic effects of levadopa?

B6

Which pharmacologic action applies to entacapone?

Reduces the destruction of dopamine in peripheral tissues.

Which cholinergic symptoms of Parkinson's disease are reduced with anticholinergic drugs?

Tremors and drooling

Which adverse effects associated with levodopa therapy would support adding a nursing diagnosis that relates to being at risk for injury to the patients plan of care?

Orthostatic hypotension

Which important nursing interventions is/are associated with administration of diazepam (Valium) 10mg IV stat for a patient admitted with status epilepticus? (Select all that apply)

Apply a cardiac monitor to the patient to assess for continuous heart rate, if not already done Continuously assess the patient's airway Obtain the correct dose (10mg) and administer over slow IV push

A patient has been prescribed trazodone hydrochloride and is being taken off a MAOI. Which correctly identifies when the patient can start taking the trazodone?

At least 14 days after discontinuing the MAOI.

Which information will the nurse include in a teaching plan for a patient with depression being treated with amitriptyline (Elavil)? (Select all that apply)

Avoid alcohol and barbiturates Dryness of the mouth is normal; sucking on sugar free candy and ice chips or chewing gum may help alleviate this problem. Rise slowly from a supine or sitting position to avoid dizziness and orthostatic hypotension.

Which action applies to MAOIs on neurotransmitters?

Blocking their destruction.

The nurse is caring for a patient who is taking a newly prescribed drug, nefazodone, for treatment of depression. Which physical assessment finding is most important for the nurse to report to the healthcare provider immediately?

Bradycardia

Which food should be removed from the tray of a pediatric patient on a ketogenic diet for refractory siezure control?

Carbohydrates

Which information does the nurse provide to a patient taking entacapone (Comtan)?

Entacapone may change the color of urine to brownish orange.

Which assessment would the nurse expect to observe in a patient who has been prescribed trazodone for treatment of anxiety?

Drowsiness

Which action is best for the nurse to implement when discovering that a patient taking sertraline (Zoloft) has also started taking St. John's wort?

Explains the risk of serotonin syndrome and encourages the patient to stop taking St. John's wort.

Which area(s) should be addressed by the nurse when obtaining a history of a patient admitted with depression? (Select all that apply)

Family history of mood disorder Recent stressors and support system Dietary patterns

What measurement is the best indicator of how well an anti-seizure medication is working?

Frequency and duration of seizures

Which food should be avoided by a patient taking a MAOI?

Grilled cheese sandwiches

Which adverse reaction can occur when a patient taking phenytoin (Dilantin) reports frequently drinking alcohol?

Increased seizure activity

A patient who is taking an MAOI to treat depression admits to eating pickled herring and cheese and drinking red wine. Which assessment finding alerts the nurse to a potential complication?

Neck stiffness

Which information noted in a health history of a patient with atypical depression prevents the nurse from giving the prescribed monoamine oxidase inhibitors (MAOIs) and requires consultation with the prescriber?

Recurrent congestive heart failure

Which characteristic symptom(s) apply(ies) to a patient's diagnosis of Parkinson's disease? (Select all that apply)

Slow body movement Muscle tremors Posture alterations

Which major advantage exists with use of selective serotonin reuptake inhibitors (SSRIs) over other types of antidepressant therapy?

They do not cause the anticholinergic and cardiovascular adverse effects.

Which condition may the patient have carbamazepine (Tegretol) prescribed to treat symptoms?

Trigeminal neuralgia pain

Which antiepileptic drug is effective for almost all forms of siezures?

Valproic acid (Depakene)

Which baseline assessment(s) will be performed prior to administering apomorphine to a patient?

Vital signs Mobility Orientation Alertness