ATI The Neurological System 1+2

a nurse is caring for a client who has 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

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 - the client can experience a paradoxical effect which is indicated by increased anxiety instead of relief of anxiety

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

Asthma - it can cause bronchospasm and difficulty breathing

a nurse is teaching a client who has a prescription for baclofen. What instructions should the nurse include?

Avoid driving until the drugs effects are evident. - baclofen is a muscle relaxant and causes CNS depression.

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 - increase renal absorption of lithium and sodium

A nurse is teaching a client who has alzheimers 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 alzheimers disease about donepezil. What information should the nurse include?

Avoid the use of NSAIDS for pain

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 this drug?

Begin taking the drug at a low dosage

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 in the teaching?

Bradycardia - can cause bradycardia because blockage of cardia beta1 receptors.

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, don't stop taking the drug abruptly, take the drug at bedtime to prevent daytime drowsiness, and 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 preparing to administer memantine to a client who has alzheimers disease. Which of the following findings in the clients 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 parkinsons disease. The nurse should recognize that which of the following lab test requires monitoring?

Creatinine clearance

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

Diarrhea

a nurse is caring for a client who 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

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

Hallucinations

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?

Hypertension crisis - aged cheese, processed meat can trigger severe hypertension

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.

a nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instruction 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?

Impramine - tricyclic antidepressant

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

Liver function - liver toxicity is a serious adverse effect of dantrolene

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

Muscle Rigidity

A nurse is caring for a client who is taking donepezil for alzheimers disease. For which of the following adverse effects should the nurse monitor?

Nausea

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?

Naxolone - reverse effects of opioids

a nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that 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 - interferon beta can cause fever, chills, headaches, and muscle aches

A nurse is preparing to administer sumatriptan to a client for the first time. The nurse should instruct the client that 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 the 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 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 that bupropion hydrochloride is an appropriate choice for clients who have which of the following?

Seasonal affective disorder, nicotine addiction, and depression.

a nurse is caring for a client who was 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

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 - fast heart rate

a nurse is providing teaching to a client who has 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 - will help improve wakefullness for those who have narcolepsy.

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 - hypothyroidism is an adverse effect

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 and muscle weakness

A nurse is providing teaching to a client who has 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 2.3 kg (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 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. - subcutaneous route

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

allow 2 to 4 weeks for full therapeutic effects

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

change position slowly to prevent orthostatic hypotension

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

furosemide for hypotension - increases sodium loss and can cause lithium reabsoprtion

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, and respiratory depression

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?

apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops, dont touch the tip of the dropper, and remove contact lenses prior to instilling the drops

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

blood pressure - those who receive this drug are at risk for hypotension during and immediately after iv administration

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.

drowsiness, heachache, and rash

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

increases dopamine in the brain