NCLEX Ch. 56 & 65

Fluoxetine is prescribed, and the nurse reinforces instructions to the client regarding the administration of the medication. Which statement by the client indicates an understanding about the administration of this medication?

"I should take the medication in the morning when I first arise."

Phenytoin (Dilantin), 100 mg orally three times daily, has been prescribed for a client for seizure control. The nurse reinforces instructions regarding the medication to the client. Which statement by the client indicates an understanding of the instructions?

"I will use a soft toothbrush to brush my teeth"

A client receiving a tricyclic antidepressant arrives at the mental health clinic. Which observation indicates that the client is correctly following the medication plan?

Arrives at the clinic neat and appropriate in appearance

The client with myasthenia gravis is receiving pyridostigmine. The nurse monitors for signs/symptoms of cholinergic crisis caused by overdose of the medication. The nurse checks the medication supply to ensure that which medication is available for administration if a cholinergic crisis occurs

Atropine sulfate

The nurse is collecting data from a client, and the client's spouse reports that the client is taking donepezil hydrochloride. Which disorder should the nurse suspect that this client may have based on the use of this medication?

Dementia

A hospitalized client is prescribed phenelzine sulfate for the treatment of depression. The nurse reinforces instructions to the client and tells the client to avoid consuming which foods while taking this medication? Select all that apply.

Figs, Yogurt, Aged Cheese

Ibuprofen is prescribed for a client. Which instruction would the nurse give the client about taking this medication?

Take with 8 oz of milk

The nurse is caring for a client who is taking phenytoin (dilantin) for control of seizures. During data collection, the nurse notes that the client is taking birth control pills. Which information should the nurse provide to the client.

The potential for decrease effectiveness of the birth control pills exists while taking phenytoin (Dilantin)

A client taking lithium carbonate reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is checked as a part of the routine follow-up, and the level is 3.0 mEq/L (3.0 mmol/L). The nurse knows that this is which level?

Toxic

A hospitalized client is taking clozapine for the treatment of a schizophrenic disorder. Which laboratory study prescribed for the client should the nurse specifically review to monitor for an adverse effect associated with the use of this medication?

White blood cell count

The client with trigeminal neuralgia is being treated with carbamazepine (Tegretol). Which laboratory result indicates that the client is experiencing an adverse reaction to the medication?

White blood cell count, 3000 cells/mm3

The client is taking phenytoin (Dilantin) for seizure control and a blood sample for a serum drug level is drawn. Which laboratory finding indicates a therapeutic serum drug result?

15 mcg/mL

The client is receiving meperidine hydrochloride for pain. Which signs/symptoms are side and adverse effects of this medication? (SATA) 1. Diarrhea 2.Tremors 3.Drowsiness 4.Hypotension 5.Urinary frequency 6. Increased respiratory rate

2.Tremors 3.Drowsiness 4.Hypotension

The nurse is performing a follow-up teaching session with a client discharged 1 month ago who is taking fluoxetine. Which information should be important for the nurse to gather regarding the adverse effects related to the medication?

Gastrointestinal dysfunctions

The client with Myasthenia Gravis is suspected of having cholinergic Crisis. Which of the following indicate that this crisis exists?

Hypertension

614. Carbidopa-Levodopa (Sinemet) is prescribed for a client with Parkinson's disease, and the nurse monitors the client for adverse effects of the medication. Which signs/symptoms indicates the client is experiencing an adverse effect?

Impaired Involuntary Movements

A client taking buspirone for 1 month returns to the clinic for a follow-up visit. Which should indicate medication effectiveness?

No rapid heartbeats or anxiety

A client arrives at the health care clinic and tells the nurse that they have been doubling their daily dosage of bupropion hydrochloride to help them get better faster. The nurse understands that the client is now at risk for which problem?

Seizure activity

Disulfiram is prescribed for a client and the nurse is collecting data on the client and is reinforcing instructions regarding the use of this medication. Which is most important for the nurse to determine before administration of this medication?

When the last alcoholic drink was consumed