Neurological system pt 2

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 hear , care provider know"; congenital malformations

A nurse is providing teaching to a client who has a new prescription fluoxetine . Which of the following instructions should the nurse include ?

"If you have persistent headaches, let the provider know"; adverse drug reactions include headache, anxiety, or insomnia.

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; immediate administration of an anticholinergic drug diphenhydramine

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

Allow 2 to 4 weeks for full therapeutic effects

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; paradoxical effect, benzodiazepines

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

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

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

Asthma; can cause bronchospasm and difficulty breathing . asthma or any disorder that compromises respiratory function should not use the drug .

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; NSAIDs increase renal absorption of lithium and sodium

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 the medication ?

Blood pressure; risk for hypotension during and after IV administration

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; betaxolol causes Bradycardia because of the blockage of cardiac beta 1 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 ? ( Select all that apply . )

Change positions slowly from sitting or lying to standing, Do not stop taking the drug abruptly, Take the drug at bedtime to prevent daytime drowsiness, Increase fiber and fluid intake .

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 ?

Furosemide for hypertension; can cause lithium reabsorption

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 ?

Hallucinations; contraindicated with St. John's wort because the combination can increase the risk of developing serotonin syndrome .

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 ?

Hypertensive crisis; tyramine foods: aged cheese and processed meat

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 ?

Imipramine; tricyclic antidepressant

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 ; Clients should not take venlafaxine within 14 days of taking phenetzine , other MAOIs , or serotonergic drugs. Serotonin syndrome is a life - threatening complication characterized by anxiety , confusion , hallucinations , and fever ,

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 ?

Renal function impairment

When reviewing 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 . )

Seasonal affective disorder, Nicotine addiction, 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; atypical antidepressant

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 ?

Take a missed dose as soon as you remember; Buspirone should be taken on a regular scheduled basis

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 test; hypothyroidism is an adverse effect of lithium carbonate.

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 . )

Tolerance, Anxiety, Sedation, Respiratory depression ; benzodiazepine

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 . )

Tremors, Confusion, Nausea, 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; antipsychotic

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; benzodiazepine