Pharmacology Ch 28,29 Exam

The primary health care provider prescribes diazepam 10mg IV to be administered to a client to control their seizures. The nurse would administer this drug over which time frame?

2 minutes

Ordered Dilantin 14g, Dilantin is available in 0.006 kg bag/10mL.

23.3

The nurse is proving care for a client with Parkinson disease. Which nursing intervention should the nurse prioritize during the ongoing assessment?

Observe the client for various neuromuscular signs.

Which Adverse effects associated with levodopa therapy would support the nursing diagnosis risk for injury?

Orthostatic Hypertension

The nurse is teaching a client and caregiver is about to prescribe phenytoin. The nurse determines the session is successful when they correctly choose which adverse reaction to report to the healthcare provider immediately? Select all that apply

Lethargy

A nurse is preparing to administer an antiepileptic to a client. The nurse predicts the seizure threshold will be elevated based on which additionally prescribed drug?

Lorazepam

The nurse is preparing to administer carbidopa/levodopa to a client recently diagnosed with Parkinsons Disease. The nurse should question this order if which disorders is noted in the client's record?

Narrow Angle Glaucoma

The nurse is preparing to administer the next dose of Methsuximide to client experiencing partial seizures. The client remarks about hoping with their stomach will do better this time. Which suggestion from the nurse or basis is to find my ministry the next steps

Take with food or milk

Long-term use of dopaminergic drugs often leads to

Tardive Dyskinesia

Clonazepam (Klonopin) a benzodiazepine, is used on certain patients with which disorder of the central nervous system?

Used to in the treatment of petit mal and myoclonic seizures.

The nurse is assessing the records of a client in preparation to administer an antiepeleptic and notes the new order for periodic CBC. Which new medication does the nurse prepare to administer?

V....

The nurse is caring for a client in the emergency department who is experiencing status epilepticus. The client's electronic record review a recent diagnosis of tonic clonic seizures and prescription for Phenytoin. Which is a priority action? Provide ...IV

lorazepam

How many mL are in the syringe?

0.3

Which of the following statements is true regarding benzodiazepines?

Caffeine... the effect.

The nurse has administered tolcapone to a client. Which findings and I'm going assessment should the nurse prioritize?

Dyskinesia

A nurse is investigating for the potential source of the Parkinson-like signs a client is suddenly exhibiting. Which potential medications should the nurse question in the client's medical record? Select all that apply

Drugs such as antidepressants, antiemetics, first generation antipsychotics, Lithium, and NSAIDs are not associated with Parkinson like symptoms.

The nurse is conducting an ongoing assessment after administering an antiepileptic. The nurse determines the client has a risk at increased CNS depression after loading the client is also administered which additional medication?

Alcohol

A group of students are differentiating the various classifications of drugs used to treat Parkinson's disease. The instructor determines the session is successful when the students correctly choose which drug as belonging to the dopaminergic classification?

Amantadine, bromocriptine and Carbidopa are classified as dopaminergic drugs. Trihexyhenidyl and benzotropine are cholinergic blocking drugs used to treat Parkinson disease.

A client with Parkinson Disease is prescribed carbidopa/levodopa. The nurse will exercise caution when administering this drug if which disorder is noted in the client's medical history?

Asthma

The nurse is assessing a client for the effectiveness of the antiparkinson drug. If the nurse determines the client has improvement in these movements, which factor will the nurse point out has improved?

Bradycardia

A 70 yr old client with Parkinson's Disease is prescribed an anti-cholinergic drug. Which finding assessment should the nurse priorities.

Confusion and Disorientation

The nurse is preparing to administer an antiepiletic to a client who is experiencing seizures, the nurse will include documentation of which factr before administering the medication? Select all that apply

Description of seizures, Seizure frequency, Average length of seizure.

What is the rationale for administering levodopa instead of dopamine for treatment of Parkinsons Disease?

Dopamine does not enter the brain. Levodopa that crosses into the brain and is metabolized into dopamine. Dopamine is not available as an oral medication.

A nursing instructor is teaching a session on Parkinson's Disease to a group of students. The instructor determines the teaching was successful when the students correctly choose which factors as potential cause of Parkinsonism? Select all that apply

Drugs and Encephalitis

A nurse is reviewing the medication record several clients with Parkinson's Disease. The nurse identifies which drug is included in the client's record as being classified as a Catechol Methytramaferase? (COMT) Inhibitor drugs.

Entacapone

A nurse is preparing to administer phenytoin to a client. The nurse will exercise caution after discovering which disorder lists in the clients record?

Hepatic Impairment

The health care provider has prescribed a cholinergic blocking drug for a client with Parkinson disease. Which finding in the health record alerts the nurse to the need for cautious administration?

Important for the Nurse to know if the client has decreased liver or kidney function to it can be given cautiously.

After teaching a group of nursing students about antiepileptics, the instructor determines the teaching was successful after the students correctly choose which drug that exerts a stabilizing effect on the brain motor cortex?

Phentyin

A nurse is administering lorazepam to a client with status epileptics. The nurse will be prepared to administer which additional drug to treat the status epileptics?

Phenytoin

The nurse is examining a client's mouth to assess for potential adverse effects related to the long term use of which medication?

Phenytoin

The nurse is preparing to administer Phenytoin to a client. The nurse she questioned this order it was this order is noted in the client's past history?

Pregnancy

After teaching the family and the client with Parkinson's Disease about possible adverse reactions the nurse determines that the teaching was successful when the nurse states they will withhold the drug if the client experiences which adverse reaction?

Protruding Tongue

A nurse is developing a plan of care for a client receiving anticonvulsant therapy and determines a nursing diagnosis of Risk of Injury is most appropriate. Which assessment findings would support this nursing diagnosis?

Reports of blurred vision, dizziness, and photosensitivity.

An older adult client experiencing seizures is prescribed Valium diazepam which assessment should the nurse prioritize?

Respiratory rate and depth

Assessment have a client receiving intake convulsant therapy reveals sore throat, chills, fever, gingival bleeding and bruising. Which nursing diagnosis with the nurse most highly prioritize?

Risk for infection would be most likely

After teaching a group of nursing students issues and problems, only associated with antiparkinson drug therapy, the instructor determines that the teaching was successful when the students correctly choose which nursing diagnosis is common? Select all that apply

Risk for injury, impaired physical mobility.

The nurse has determined carbidopa/levodopa to find which findings should the nurse prioritize on the ongoing assessment?

The most common adverse reactions associate it with carbidopa/levodopa include anorexia, nausea, family, abdominal pain, dysphagia, dry mouth, mental changes, headache, dizziness, increased tremors and trimmer, and chorieform and dystonic.

A primary healthcare provider has prescribed Dilantin (phentoin) parenterally for a client experiencing seizures.

The nurse prepares to administer this drug via which route? Intravenous (IV)

The client is reporting GI disturbances after receiving the first dose of carbidopa/levodopa for Parkinson disease. Which action should the nurse prioritize for this client?

The nurse should administer the next drug dose with meals to manage gastrointestinal disturbances in a client who has been administered anti-parkinson drugs.

A nurse is preparing to administer a COMT inhibitor to a client with Parkinson Disease. The nurse should question this order if which condition is recorded in the medical record?

The nurse should confirm that the client is not Pregnant of lactating.

A nurse completed teaching a client with influenza A about the prescribed Amantadine. The nurse determines the session was successful when the client correctly chooses which action to counter adverse reactions to the drug?

The nurse should instruct the client to suck on ice chips or hard candy. If allowed should also instruct the client to take frequent sips of water throughout the day and between meals.

A nurse has administered Entacapone to a 55 year old client with Parkinson Disease. Which adverse reaction should the nurse prioritize?

The nurse should monitor for Dyskinesia which is an adverse reaction of the COMT inhibitors, in the client.

Client with seizures is prescribed phenytoin. Which assessment should the nurse prioritize?

To obtain serum plasma drug levels to evaluate the effectiveness of the therapy and to prevent possible toxicity.

A nurse is conducting an assessment on a client who is admitted with Parkinsons Disease. Which tension of findings with the nurse anticipate noting in the physical necessity?

Tremors

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

Tremors and Drooling.