saunder neuro
A client has a medication prescription for phenytoin to be administered by the intravenous route. After drawing up the medication from the vial, the nurse notes the presence of precipitate in the syringe. Which action would the nurse take?
1
A client has a prescription to receive valproic acid daily. To ensure the client's safety, when is the best time for the nurse to schedule the administration of this medication?
1
A client is receiving phenobarbital sodium. Which finding on the nursing assessment would indicate that the client is experiencing a common side or adverse effect of this medication?
1
A client is scheduled to begin medication therapy with valproic acid. The nurse looks for the results of which laboratory test(s) before administering the first dose?
1
A client with a diagnosis of trigeminal neuralgia is started on a regimen of carbamazepine. The nurse provides instructions to the client about the side and adverse effects of the medication. Which client statement indicates an understanding of the side and adverse effects of the medication?
1
A client with myasthenia gravis who is taking neostigmine is experiencing frequent exacerbations of myasthenic crisis and cholinergic crisis. The nurse teaches the client that it is most important that this medication be taken in which manner?
1
A client with status epilepticus has been prescribed phenytoin to be given by the intravenous (IV) route. The nurse administering the medication is careful not to exceed which recommended infusion rate?
1
Phenytoin 100 mg to be given orally 3 times daily has been prescribed to a client. The home health nurse visits the client and provides instructions regarding the medication. Which statement, if made by the client, would indicate an understanding of the instructions?
1
The nurse has completed discharge teaching for a client prescribed carbamazepine. Which statement by the client indicates that education about the main effect of the medication was effective?
1
The nurse has given medication instructions to a client beginning carbamazepine. The nurse determines that the client understands the use of the medication if which statement is made by the client?
1
The nurse is caring for a client who is taking oral benztropine mesylate daily. What is the priority nursing assessment for the client?
1
The nurse is caring for a client with myasthenia gravis who has received edrophonium by the intravenous route to test for myasthenic crisis. The client asks the nurse how long the improvement in muscle strength will last. Which response would the nurse make to the client?
1
The nurse is providing instructions to a client with seizures who will be taking phenytoin. Which statement, if made by the client, would indicate an understanding of the information about this medication?
1
The nurse who is caring for a client with myasthenia gravis is told by the physician that an edrophonium test will be done. After obtaining edrophonium the nurse would be certain that which also is available at the bedside?
1
The client with a head injury is experiencing signs of increased intracranial pressure (ICP), and mannitol is prescribed. The nurse administering this medication expects which as intended effects of this medication? Select all that apply.
1234
A client has a prescription for valproic acid. To maximize the client's safety, the nurse would plan to monitor for which potential complications of this medication? Select all that apply.
14
A client has been prescribed benztropine. The nurse would assess for which gastrointestinal (GI) problems as a side or adverse effect of this medication?
2
A client is having the dosage of clonazepam adjusted. The nurse would plan to perform which action?
2
A client is taking benztropine mesylate orally daily. In monitoring this client for medication side effects, the nurse would plan to focus the assessment on which item?
2
A client is taking trihexyphenidyl hydrochloride. The nurse would assess for which side or adverse effect of this medication?
2
A client receiving therapy with carbidopa/levodopa is upset and tells the home health nurse that the urine has turned a darker color since starting this medication. The client wants to discontinue its use. In formulating a response to the client's concerns, the nurse interprets that this change is indicative of which condition?
2
A client who has been taking phenytoin for seizure control has a serum phenytoin level of 8 mcg/mL (35.71 mmol/L). On the basis of this finding, which note would the nurse enter in the client's health record?
2
The clinic nurse is reviewing the record of a client scheduled to be seen in the clinic. The nurse notes that the client is taking selegiline hydrochloride. The nurse suspects that the client has which disorder?
2
The nurse has given medication instructions to a client receiving phenytoin. Which statement indicates that the client has an adequate understanding of the instructions?
2
The nurse is administering medications to a client with trigeminal neuralgia. The nurse expects that which medication will be prescribed for pain relief?
2
The nurse is caring for a client receiving mannitol via intravenous (IV) infusion. A vial is sent from the pharmacy, and in preparing the medication the nurse notes that the vial contains crystals. What is the most appropriate nursing action?
2
The nurse is observing a new nursing graduate who is preparing an intermittent intravenous (IV) infusion of phenytoin for a client with a diagnosis of seizures. Which solution used by the nursing graduate would indicate to the nurse an understanding of proper preparation of this medication?
2
The nurse is preparing an intravenous (IV) infusion of phenytoin as prescribed by the primary health care provider for the client with seizures. Which solution would the nurse plan to use to dilute this medication?
2
The nurse is told that the result of a serum carbamazepine level for a client who is receiving the medication for the control of seizures is 13 mcg/mL (55.03 mmol/L). Based on this laboratory result, the nurse anticipates that the primary health care provider (PHCP) will document which prescription?
2
The nurse teaches the spouse of a client who is receiving levodopa/carbidopa to avoid pyridoxine medications. Which statement by the wife indicates an understanding of the instructions?
2
The primary health care provider is preparing to administer edrophonium to the client with myasthenia gravis. In planning care, the nurse understands which about the administration of edrophonium? Select all that apply.
2345
The nurse is assisting in the care of a client being discharged on phenytoin 100 mg 3 times daily. When providing client teaching about this medication, the nurse would be sure to include which points? Select all that apply.
245
A client began taking amantadine approximately 2 weeks ago. The nurse determines that the medication is having a therapeutic effect if the client exhibits which finding?
3
A client is taking clorazepate. The client asks the nurse if there is a risk of addiction with this medication. Which information would the nurse provide?
3
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 laboratory result?
3
A client taking carbamazepine asks the nurse what to do if a dose is inadvertently missed. The nurse responds that which action would be taken?
3
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?
3
After review of the client's laboratory values, the nurse notes that a phenytoin level for a client receiving phenytoin is 7 mcg/mL (27.78 mmol/L). The nurse makes which interpretation regarding this laboratory result?
3
Benztropine mesylate is prescribed for a client. What statement by the client indicates that the client needs further teaching about the medication?
3
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 would the nurse include in the teaching plan?
3
The nurse has a prescription to administer diazepam 5 mg by the intravenous (IV) route to a client. The nurse would administer the medication over a period of at least how long?
3
The nurse has a prescription to administer phenytoin 100 mg mixed in 5% dextrose in water by the intravenous (IV) route to a client. After reading this prescription, which action would the nurse take?
3
The nurse in the primary health care provider's office is reviewing the results of a client's phenytoin level determination performed that morning. The nurse identifies that a therapeutic medication level has been achieved if which result is noted?
3
The nurse is assessing a client who is sedated. The client displays no response to voice, no response to physical stimuli, and no eye-opening response. Under which sedation level would the nurse categorize this response?
3
The nurse is assisting in the care of a client who is being evaluated for possible myasthenia gravis. The primary health care provider gives a test dose of edrophonium. Evaluation of the results indicates that the test is positive. Which would be the expected response noted by the nurse?
3
The nurse is assisting in the care of a client with myasthenia gravis who is receiving pyridostigmine. Which medication would the nurse plan to have readily available should the client develop cholinergic crisis because of excessive medication dosage?
3
The nurse is preparing to ambulate a client with Parkinson's disease who has recently been started on levodopa/carbidopa. Before performing this activity with the client, the nurse would include which most important assessment in the client's plan of care?
3
The nurse is providing instructions to an adolescent prescribed phenytoin for the control of seizures. Which statement by the adolescent indicates a need for further teaching regarding the medication?
3
The nurse is reading the laboratory results for a client being treated with carbamazepine for prophylaxis of complex partial seizures. When evaluating the client's laboratory data, the nurse determines that which value is consistent with a side or adverse effect of this medication?
3
The nurse preparing to administer carbamazepine notices a number of items on the client's breakfast tray. Which item would be a cause for concern and would be removed from the tray?
3
A client began taking amantadine approximately 2 weeks ago. The client reports to the clinic for a follow-up evaluation. The nurse determines that the client is experiencing a side or adverse effect related to the use of this medication if which is noted?
4
A client has been prescribed dextroamphetamine. The client complains to the nurse that the client cannot sleep well at night and does not want to take the medication any longer. Before making any specific comment, the nurse plans to investigate whether the client takes the medication at which proper time schedule?
4
A client is receiving phenytoin. To monitor for side and adverse effects of this medication, the nurse assesses the results of which laboratory test?
4
A client is scheduled to begin therapy with carbamazepine. The nurse would assess the results of which test(s) before administering the first dose of this medication to the client?
4
A client is suspected of having myasthenia gravis. Edrophonium is administered intravenously to determine the diagnosis. Which indicates that the client may have myasthenia gravis?
4
A client who is taking phenytoin for a seizure disorder is being admitted to the hospital because of an increase in seizure activity. The client reports severe vomiting for the last 24 hours and an inability to take phenytoin during that time. The nurse anticipates that the primary health care provider will most likely prescribe which medication?
4
A client who was started on clonazepam tells the nurse of increasing clumsiness and unsteadiness since starting the medication. The client is visibly upset by these manifestations and asks the nurse what to do. The nurse's response is based on which understanding?
4
A client with Parkinson's disease has begun therapy with levodopa/carbidopa. The nurse determines that the client understands the action of the medication if he or she verbalizes that results may not be apparent for approximately how long?
4
A client with myasthenia gravis becomes increasingly weaker. The primary health care provider injects a dose of edrophonium to determine whether the client is experiencing a myasthenic crisis or a cholinergic crisis. The nurse expects that the client will have which reaction if in cholinergic crisis?
4
A client with myasthenia gravis has difficulty chewing and has received a prescription for pyridostigmine. The nurse would check to see that the client takes the medication at what time?
4
A home care nurse visits a client at home. Clonazepam has been prescribed for the client, and the nurse teaches the client about the medication. Which client statement indicates that further teaching is necessary?
4
A hospitalized client has a prescription for dextroamphetamine daily. The unit nurse collaborates with the dietitian to limit the amount of which item on the client's dietary trays?
4
Carbamazepine has been prescribed for a client. The nurse would tell the client that which blood test will be done periodically while the client is taking this medication?
4
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?
4
Propofol is being administered to induce sedation in a client who is intubated and is being mechanically ventilated. The nurse would monitor for which adverse effect during infusion of the medication?
4
The nurse in a long-term care facility is reviewing the primary health care provider's (PHCP's) prescriptions on an assigned client. The nurse notes that the PHCP prescribed ropinirole hydrochloride. The nurse determines that this medication has been prescribed to treat which condition in the client?
4
The nurse is collecting data from a client and notes that the client is taking carbamazepine. The nurse determines that this medication has been prescribed to treat which condition?
4
The nurse is giving medication instructions to a client who is receiving phenytoin for epilepsy. Which instruction would the nurse include to promote adherence to the medication?
4
The nurse is providing instructions to a client beginning medication therapy with divalproex sodium for the treatment of absence seizures. The nurse instructs the client that which represents the most frequent side or adverse effect of this medication?
4
The nurse is reviewing the results of a test on a blood sample drawn from a child who is receiving carbamazepine for the control of seizures. The results indicate a serum carbamazepine level of 10 mcg/mL (42.33 mmol/L). The nurse analyzes the results and anticipates that the primary health care provider (PHCP) will note which prescription?
4
The nurse is speaking with a client taking phenytoin for seizure control. The client states has started using birth control pills to prevent pregnancy. Which would be an important point for the nurse to emphasize to the client?
4
The primary health care provider (PHCP) writes a prescription for carbamazepine for a client who was admitted to the hospital. The nurse contacts the PHCP to verify the prescription if which condition is noted in the assessment data?
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