Pharm Made Easy 4.0 Neuro Part 1
A nurse is teaching a client who 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 SubQ drug
A nurse is teaching a client who is taking levodopa/carbidopa to treat parkinson's disease. Which of the following instructions should the nurse include?
Change position slowly to prevent orthostatic hypotension
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 report: pressure, pain, tightness in jaw, chest, or back *not appropriate choice for pt with CAD,
A nurse is preparing to administer memantine to a client who has Alzheimer's disease. Which of the following findings in the client's medical history indicates a need to withhold the drug and notify the provider?
Cirrhosis Memantine should be used cautiously in those with hepatic impairment.
A nurse is caring for a client is taking interferon beta-1b. The nurse should identify that which of the following indicates a potential serious adverse effect of this drug?
Fatigue others: bruising and bleeding indicate: bone marrow suppression and decreased platelet count
A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should identify that which of the following laboratory tests requires monitoring?
Liver function
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?
Naloxone (Narcan) duhh rescue drug... fenty can cause severe respiratory depression
A nurse is caring for a client who is taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor?
Nausea Most common adverse effects are n/v/d. Take w/ food to minimize effects
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 valproic acid can increase phenytoin blood levels
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 drugs can cause fever, chills, headache, and muscle aches. Acetaminophen can help minimize these symptoms
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 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
A nurse is teaching a client who has a prescription for baclofen. Which of the following instructions should the nurse include?
avoid driving until the drug's effects are evident its a muscle relaxant so understands how drug will effect them before driving.
A nurse is teaching a client who has Alzheimer's disease and their caregiver about memantine. Which of the following instructions should the nurse include?
avoid taking over-the-counter antacids antacids containing sodium bicarb. increase urine alk., decrease drug excretion, leads to toxicity
A nurse is caring for a client who has a new prescription for pramipexole to treat Parkinson's disease. The nurse should recognize that which of the following laboratory tests require monitoring?
creatinine clearance thus use cautiously in pt with renal diseases
A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should instruct the client to report which of the following adverse effects?
diarrhea
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 valproic acid can cause hepatic toxicity s/sx jaundice, abd pain, nausea
A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor he client for which of the following adverse effects?
tachycardia client should notify RN if they develop palpitations or chest pain
A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of attention deficit hyperactivity disorder (ADHD) for 2 weeks. The nurse should report which of the following findings to the provider?
weight loss of 2.3 kg (5lb) causes decreased appetite and weight loss. client should report unintended weight loss
A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's disease about donepezil. Which of the following information should the nurse include?
Avoid the use of NSAIDS for pain NSAIDs+ Donepezil can cause GI bleeding.
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, Headache, and Rash
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 adverse effects of this drug?
Begin taking the drug at a low dosage treats seizures... visual disturbances, vertigo, and ataxia can result from taking carbamazepine
A nurse is teaching a client who has a new diagnosis of Parkinson's disease about how levodopa/carbidopa can help control symptoms. The nurse should identify that the drug has which of the following pharmacologic effects?
Increases available dopamine in the brain
A nurse is caring for a client who has been taking selegiline to treat Parkinson's 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 also stupor, agitation, HTN, fever
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 methohexital, short acting barbituate causes resp. depression. mechanical vent and continuous monitoring are essential
