Prep Quiz #2 - Nervous System

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 health care provider know."

The nurse recognizes that adrenergic drugs cause relaxation of the bronchi and bronchodilation by stimulating which type of receptors?

Beta2 adrenergic

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. (Select all that apolv.)

Rash Drowsiness Headache

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 in the teaching? (Select all that apply.)

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

A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor? (Select all that apply.)

Respiratory depression Tolerance Sedation Paradoxical anxiety

An adrenergic agonist is ordered for a patient in cardiogenic shock. The nurse will note that this drug has had its primary intended effect if which expected outcome occurs?

increased cardiac output

The mechanism of action for carbidopa (Lodosyn), used in the treatment of Parkinson's disease is:

increasing availability of levodopa available to the CNS by reducing its breakdown

Which statement(s) about the neuro transmitter acetylcholine is true?

"Acetylcholine activates three cholinergic receptor subtypes."

A nursing professor is teaching a class about a medication that alters the parasympathetic nervous system functions. To evaluate understanding, the nurse asks the students to describe which functions the parasympathetic nervous system regulates. Which of the following statements represent functions that are primarily regulated by the parasympathetic nervous system?

"The digestive functions of the body"

A nurse is teaching a client 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 drug that is used for nerve pain (neuropathy) that is also a drug used as an anti-epileptic agent is / are: (Select all that apply)

Carbamazepine (Tegretol) Gabapentin (Neurontin)

Which statement below is true regarding a catecholamine? Select all:

Catecholamines cannot cross the blood brain barrier Catecholamines must be given by parenteral route

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

Change position slowly to prevent orthostatic hypotension.

Patients who have Parkinson's Disease have a deficiency in which of the following neurotransmitters

Dopamine

You are working near a war zone and are taking care of a soldier who has been given an irreversible cholinesterase inhibitor during warfare. What action would be the BEST thing to do first in this situation?

Give the atropine dose that has been ordered

A patient is receiving Interferon Beta for treatment of multiple sclerosis. As the nurse you will stress the importance of?

Hand hygiene to avoid infection

Dopamine is administered to a patient who has been experiencing hypotensive episodes. Other than an increase in blood pressure, which indicator would the nurse use to evaluate a successful response to the dopamine?

Increase in urine output

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

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 assesses a patient after administering a prescribed beta-blocker. Which assessment would the nurse expect to find?

Pulse decreased from 100 to 80 beats/min

A nurse is caring for an intubated patient who is receiving pancuronium (Pavulon) for neuromuscular blockade. The patient's eyes are closed, and the patient is not moving any extremities. The patient's heart rate is 76 beats per minute, and the blood pressure is 110/70 mm Hg. The nurse caring for this patient will do what?

Talk to the patient while giving care and explain all procedures.

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 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 |b)

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 factory worker has been admitted to the emergency department after an industrial accident involving organophosphate insecticides. The nurse knows insecticides belong to which class of potentially toxic drugs?

acetylcholinesterase inhibitors

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 of their face and back. Which of the following adverse reactions should the nurse suspect?

acute dystonia

Which of the following terms describe the sympathetic nervous system?

adrenergic, anticholinergic, sympathomimetic, parasympatholytic

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

asthma

When monitoring a patient who is taking a low-dose cholinergic drug, the nurse will watch for which cardiovascular effect?

bradycardia

Your patient is taking donepezil (Aricept) for Alzheimer's disease. You might expect her to have:

cholinergic side effects from this drug

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? (Select all that apply.)

confusion muscle weakness nausea tremors

The nurse prepares for intravenous administration of what drug to the patient experiencing status epilepticus?

diazepam

What does the nurse recognize as the preferred treatment of an acute relapse of multiple sclerosis?

glucocorticoids

When a patient is taking an adrenergic drug, the nurse expects to observe which effect?

increased heart rate

When an adrenergic drug stimulates beta1-adrenergic receptors, the result is an increased force of contraction, which is known as what type of effect?

positive inotropic

The nurse should PRIORITIZE which assessment when caring for a teenager who has recently been prescribed a SSRI (Selective Serotonin Uptake Inhibitor)?

suicidal ideation

The nurse is aware that adrenergic drugs produce effects similar to which of these nervous systems?

sympathetic nervous system

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

Your patient is taking levodopa (Dopar), and you have been conducting an analysis of the patient's diet. You find that she eats three times the recommended amount of protein at each meal. Your best response to this is to tell her:

that too much dietary protein could make the levodopa less effective.

Benign prostatic hypertrophy (BPH) symptoms may be treated with an adrenergic antagonist such as tamsulosin (Flomax) because:

these agents block alpha1 receptors to reduce contraction of smooth muscle in the bladder neck and prostatic capsule.