The Neurological System 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? 1) have regular kidney tests done 2) take an extra doses if muscle aches occur 3) administer the drug in your thigh or upper arm 4) store the drug at room temperature after mixing it

Administer the drug in your thigh or upper arm *SQ

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? 1) monitor for constipation 2) the dosage will be increased weekly to provide optimum effects 3) administering the drug in the morning will promote effectiveness 4) avoid the use of NSAIDs for pain

Avoid the use of NSAIDs for pain *increased risk of bleeding

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 to avoid adverse effects of this drug? 1) Begin taking the drug at a low dosage 2) discontinue the drug immediately if diarrhea occurs 3) have serum glucose levels checked 4) take the drug on an empty stomach

Begin taking the drug at a low dosage

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? 1) change position slowly to prevent orthostatic hypotension 2) eat a high-protein snack to increase absorption 3) take the drug at bedtime to avoid daytime drowsiness 4) expect eye twitching

Change position slowly to prevent orthostatic hypotension

A nurse is teaching a client who is about to genii sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following adverse effects? 1) chest pain 2) polyuria 3) joint pain 4) insomnia

Chest pain

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? 1) cancer 2) hypotension 3) cirrhois 4) osteoporosis

Cirrhosis

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? 1) slow heart rate 2) cough 3) diarrhea 4) hearing loss

Diarrhea

A nurse is teaching a client who has 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? 1) hirsutism 2) drowsiness 3) headache 4) ataxia 5) rash

Drowsiness Headache Rash

A nurse is caring for a client who has been taking selegiline to treat Parkinson disease. The provider is considering the use of analgesics for the client but should be aware that a drug interaction between selegiline and meperidine cane result in which of the following? 1) frequent urination 2) jaundice 3) cellulitis 4) muscle rigidity

Muscular rigidity

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 what which of the following can occur as a result of an interaction between these drugs? 1) hyperammonemia 2) phenytoin toxicity 3) HTN 4) PUD

Phenytoin toxicity

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? 1) tonic-clonic seizures 2) presence of a migraine headache 3) exacerbation of MS 4) alzheimer's disease

Presence of a migraine headache

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 finding to the provider? 1) weight loss of 5 lbs 2) BP 110/70 3) apical pulse 80/min 4) respiratory rate 16/min

Weight loss of 2.3 kg

A nurse is teaching a client who has a prescription for baclofen. Which of the following instructions should the nurse include? 1) Avoid driving until the drugs effects are evident 2) stop taking the drug if headache occurs 3) take the drug as needed for spasticity 4) take the drug with antacids to reduce gastric effects

Avoid driving until the drugs effects are evident

A nurse is teaching a client who has Alzheimers disease and their caregiver about memantine. Which of the following instructions should the nurse include? 1) increase fluids 2) report memory loss or confusion 3) watch for liver impairment, like jaundice and abdominal pain 4) avoid taking OTC antacids

Avoid taking over the counter antacids

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 requires monitoring? 1) C-reactive protein 2) creatinine clearance 3) thyroid function 4) CBC

Creatinine clearanceA

A nurse is caring for a client who is taking interferon beta 1b. The nurse should identify that which of the following findings indicates a potential serious adverse effect of this drug? 1) tinnitus 2) twitching eyelids 3) blue-green skin color 4) fatigue

Fatigue

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? 1) increase acetycholine 2) inhibits norepinephrine metabolism 3) inhibits serotonin metabolism 4) increase available dopamine

Increases available dopamine in the brain

A nurse is providing teaching for a client who had 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? 1) hirsutism 2) depression 3) jaundice 4) gum irritation

Jaundice

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? 1) potassium 2) sodium 3) liver function 4) thyroid function

Liver function

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? 1) confusion 2) dry mouth 3) nausea 4) double vision

Nausea

A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects? 1) hypotension 2) tinnitus 3) tachycardia 4) bronchospasm

Tachycardia

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? 1) neostigmine 2) succinylcholine 3) naloxone 4) dantrolene

Naloxone

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? 1) premeditate with acetaminophen 2) take the drug with food 3) increase fluids 4) take the drug in the morning

Premeditate with acetaminophen

A nurse is taking care of a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following adverse effects? 1) cardiac excitability 2) respiratory depression 3) hyperthermia 4) HTN

Respiratory Depression