Neuro 2 PME
A client is taking risperidone for schizophrenia. Recognizing the adverse effects of risperidone, you advise the client to watch for and report which of the following? a. tremor b. weight loss c. oral ulcers d. bronchospasm
a
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? a. anxiety b. ringing in the ears c. increased appetite d. muscle spasms
a
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) a. tolerance b. anxiety c. sedation d. respiratory depression e. constipation
a, b, c, d
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) a. tremors b. confusion c. bronchospasm d. nausea e. muscle weakness
a, b, d, e
benzodiazepines
anxiety disorders
A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering this medication? a. BUN level b. BP c. urine specific gravity d. pedal pulse strength
b
Which of the following drug classifications is the first line of therapy for treating open-angle glaucoma? a. glucocorticoids b. beta blockers c. anticholinergic agents d. mast cell stabilizers
b
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? a. chest x ray b. tonometry c. thyroid function tests d. endoscopic retrograde cholangiopancreatography (ERCP)
c
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? a. alprazolam b. phenytoin c. phenelzine d. pilocarpine
c
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? a. venlafaxine b. bupropion c. imipramine d. valproic acid
c
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? a. consume a low sodium diet b. reduce fluid intake c. avoid taking NSAIDs d. take the drug with food
c
lithium carbonate
controls manic episodes
The client returns to the primary care provider after 1 week. He is sweating and reports urinary urgency. He suspects systemic effects from the pilocarpine. Which of the following drugs can reverse systemic toxicity from pilocarpine? a. flumazenil b. protamine sulfate c. naloxone d. atropine sulfate
d
monoamine oxidase inhibitors
depression
cholinergic agonists
glaucoma
venlafaxine
reduces depression
betaxolol
reduces intraocular pressure
antipsychotics
schizophrenia
risperidone
treats schizophrenia
A nurse is caring for a client who has a prescription for fluoxetine and who reports self administering St. John's 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? a. hallucinations b. decreased temperature c. hypersexual behavior d. constipation
a
A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include? a. "take a missed dose as soon as you remember" b. "take the drug as needed at the first sign of anxious feelings" c. "take the drug in the morning with a glass of grapefruit juice" d. "drink a cup of chamomile tea at night with the drug"
a
A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity? a. furosemide for hypertension b. acetaminophen for headaches c. ciprofloxacin for a UTI d. montelukast for asthma
a
A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification? a. renal function impairment b. cataracts c. recent weight loss d. smoking
a
A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? a. "weight yourself twice a month" b. "if you have persistent headaches, let the provider know" c. "reduce your daily sodium intake" d. "if your symptoms don't improve in 10 days, you will need a higher dosage"
b
A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include? a. stop taking the drug immediately with the first sign of a sore throat b. wear sunscreen when exposed to sunlight c. take the drug with food to reduce GI distress d. take the drug in the morning to prevent nocturia
b
When instructing a client about taking buspirone, you tell the client to watch for and report a paradoxical reaction to buspirone. Which of the following is a paradoxical effect of buspirone? a. chest pain b. insomnia c. diaphoresis d. fever
b
A client is taking venlafaxine to treat minor depression. Which of the following instructions should you include when advising the client and family about the use of venlafaxine? (select all that apply) a. discontinue it immediately for increased depression b. take it with food to reduce gastric disturbances c. monitor and report insomnia d. have BP checked regularly e. check with the primary care provider before taking any herbal supplements
b, c, d, e
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? (select all that apply) a. motion sickness b. seasonal affective disorder c. insomnia d. nicotine addition e. depression
b, d, e
Early clinical manifestations of lithium toxicity include which of the following? (select all that apply) a. seizures b. nausea c. hypotension d. ataxia e. muscle weakness
b, e
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? a. anterograde amnesia b. respiratory depression c. paradoxical reaction d. withdrawal symptoms
d
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? a. cholinergic crisis b. serotonin syndrome c. stevens-johnson syndrome d. acute dystonia
d
A nurse is caring for a client who was admitted to the ED 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? a. ischemic stroke b. drowsiness c. respiratory depression d. seizure activity
d
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? a. constrict pupils b. discoloration of the iris c. hypertension d. bradycardia
d
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? a. "it is not a big deal if I forget my pills for a couple of days" b. "I should limit alcohol intake to one drink daily while taking this medication" c. "I will avoid salt because this medication can increase my BP" d. "If I become pregnant, it is important to let my health care provider know"
d
A nurse should identify that timolol is contraindicated for a client who has which of the following disorders. a. asthma b. seizure disorder c. diabetes mellitus d. rheumatoid arthritis
a
The primary care provider prescribes pilocarpine for the client. Which of the following information should he include when instructing the client about instilling pilocarpine eye drops? a. apply gentle pressure to the nasolacrimal duct after instillation b. massage the eyelid after instillation c. cover the eye with a patch after instillation d. blink rapidly to disperse the eye drops after intillation
a
Which of the following drugs blocks beta-adrenergic receptors and thereby decreases intraocular pressure (IOP) by reducing the amount of aqueous humor produced? a. betaxolol b. pilocarpine c. latanoprost d. acetazolamide
a
Which of the following drugs, used to treat open-angle glaucoma, should primary care providers use with caution for a client who is taking propranolol? a. betaxolol b. latanoprost c. pilocarpine d. echothiophate
a
You are instructing a client about taking phenelzine to treat depression. Which of the following foods should you tell the client to avoid? a. aged cheese b. milk c. potato chips d. candy
a
The primary care provider continues to instruct the client about using pilocarpine. He tells the client to watch for and report which of the following adverse effects of this drug? (select all that apply) a. blurred vision b. headache c. visual floaters d. dilated pupils e. tachycardia
a, b, c
A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat a major depressive disorder. Which of the following instructions should the nurse include? (select all that apply) a. change positions slowly from sitting or lying to standing b. do not stop taking the drug abruptly c. avoid crushing the tablet d. take the drug at bedtime to prevent daytime drowsiness e. increase fiber and fluid `intake
a, b, d, e
A client is to start taking amitriptyline. For which of the following should you instruct the client to watch for and report? (select all that apply) a. blurred vision b. urinary hesitancy c. diarrhea d. joint pain e. tachycardia
a, b, e
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) a. apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops b. do not touch the tip of the dropper c. wash hands after instilling the drops d. rub eyes gently after instilling the drops e. remove contact lenses prior to instilling the drops
a, b, e
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. a. respiratory depression b. hypertensive crisis c. neuroleptic malignant syndrome d. serotonin syndrome
b
A nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include? a. take the drug with grapefruit juice to increase absorption b. use the drug as needed for anxiety c. allow 2-4 weeks for full therapeutic effects d. take the drug on an empty stomach
c
During an assessment of a client taking chlorpromazine, you note a slow shuffling gait, rigid facial expression, and fine tremors. These manifestations indicate which of the following? a. acute dystonia b. tardive dyskinesia c. Parkinsonism d. akathisia
c
