CH 63 Neurological Medications

A client with trigeminal neuralgia is being treated with carbamazepine, 400 mg orally daily. Which value indicates that the client is experiencing an adverse effect to the medication? 1. sodium level, 140 mEq/L 2. uric acid level, 4.0 mg/dL 3. WBC count, 3000 4. BUN level, 10 mg/dL

3. WBC count, 3000

The nurse is caring for a client with chronic back pain. Codeine has been prescribed for the client. Specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication? 1. monitor radial pulse 2. monitor bowel activity 3. monitor apical heart rate 4. monitor peripheral pulses

2. monitor bowel activity

Meperidine has been prescribed for a client to treat pain. Which side and adverse effects should the nurse monitor for? Select all that apply. 1. diarrhea 2. tremors 3. drowsiness 4. hypotension 5. urinary frequency 6. increased respiratory rate

2. tremors 3. drowsiness 4. hypotension

The client arrives at the ED complaining of back spasms. The client states, "i have been taking 2-3 aspirin every 4 hours for the last week, and it hasnt helped my back" Since acetylsalicylic acid intoxication is suspected, the nurse should assess the client for which manifestations? 1. tinnitus 2. diarrhea 3. constipation 4. photosensitivity

1. tinnitus

The nurse has given medication instructions to a client receiving phenytoin. Which statement indicates that the client has an adequate understanding of the instructions? 1. "alcohol is not contraindicated while taking this medication" 2. "good oral hygiene is needed, including brushing and flossing" 3. "the medication dose may be self-adjusted, depending on side effects" 4. "the morning dose of the medication should be taken before a serum medication level is drawn"

2. "good oral hygiene is needed, including brushing and flossing"

A client is taking the prescribed dose of phenytoin to control seizures. Results of a phenytoin blood level study reveal a level of 35 mcg/mL. Which finding would be expected as a result of this lab result? 1. hypotension 2. tachycardia 3. slurred speech 4. no abnormal finding

3. slurred speech

The home health nurse visits a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan? 1. pregnancy must be avoided while taking phenytoin 2. the client may stop the medication if it is causing severe gastrointestinal effects 3. there is the potential of decreased effectiveness of birth control pills while taking phenytoin 4. there is the increased risk of thrombophlebitis while taking phenytoin and birth control pills together

3. there is the potential of decreased effectiveness of birth control pills while taking phenytoin

A client with myasthenia gravis has become increasingly weaker. The HCP prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or an increasing severity of the disease (myasthenic crisis). An injection of edrophonium is administered. Which finding would indicate that the client is in cholinergic crisis? 1. no change in the condition 2. complaints of muscle spasms 3. an improvement of the weakness 4. a temporary worsening of the condition

4. a temporary worsening of the condition

The nurse is caring for a client in the emergency department who has been diagnosed with Bell's palsy. The client has been taking acetaminophen, and acetaminophen overdose is suspected. Which antidote should the nurse prepare for administration if prescribed? 1. pentostatin 2. auranofin 3. fludarabine 4. acetylcysteine

4. acetylcysteine

A client with trigeminal neuralgia tells the nurse that acetaminophen is taken daily for the relief of generalized discomfort. Which lab value would indicate toxicity associated with the medication? 1. sodium level of 140 mEq/L 2. platelet count of 400,000 mm3 3. prothrombin time of 12 seconds 4. direct bilirubin level of 2 mg/dL

4. direct bilirubin level of 2 mg/dL

Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect? 1. pruritis 2. tachycardia 3. hypertension 4. impaired voluntary movements

4. impaired voluntary movements