Neuro Test Drugs

The nursing instructor has completed a teaching session illustrating the basics about opioid antagonists. The instructor determines the session was successful after the students correctly choose which example? A. Naloxone B. Nalbuphie C. Naproxen D. Nevirapine

A

The primary health care provider prescribes diazepam 10 mg IV to be administered to a client to control their seizures. The nurse would administer this drug over which time frame? A. 2 minutes B. 1 minute C. 10 minutes D. 5 minutes

A

A nurse is preparing to administer an antiepileptic to a client. The nurse predicts the seizure threshold will be elevated based on which additionally prescribed drug? Select all that apply. A. Lorazepam B. Clonazepam C. Valproic acid D. Trimethadione E. Gabapentin

A, B

A new nurse is administering naloxone to a client. The nursing mentor determines the new nurse potentially administered the naloxone too rapidly based on which client responses? Select all that apply. A. intense pain B. withdrawal C. respiratory depression D. vomiting E. hypotension

A, B,

A client with Parkinson disease is prescribed carbidopa/levodopa. The nurse will exercise caution when administering this drug if which disorder is noted in the client's medical history? Select all that apply. A. peptic ulcer disease B. renal disease C. asthma D. hyperthyroidism E. seizure disorder

A, B, C,

A nurse is monitoring a client who is receiving an opioid for pain management. Which adverse reaction will the nurse monitor this client for? Select all that apply. A. respiratory depression B. constipation C. miosis D. mydriasis E. diarrhea

A, B, C,

A nurse is preparing to administer naltrexone to a client. The nurse should question this order if the client is currently receiving which medication? Select all that apply. A. Diphenoxylate for diarrhea B. Oxycodone for analgesia C. Codeine for cough D. Naproxen for analgesia E. Zolpidem for sleep

A, B, C,

A client is receiving an opioid for severe diarrhea. Which assessment findings would the nurse prioritize and contact the health care provider immediately? Select all that apply. A. report of severe abdominal pain B. diarrhea unrelieved C. blood noted in the stool D. worsening of diarrhea E. constipation

A, B, C, D,

A client who received an opioid is manifesting adverse reactions. The nurse anticipates the client will be prescribed buprenorphine to reverse which adverse effects? Select all that apply. A. respiratory depression B. constipation C. analgesia D. bradycardia E. hypotension

A, B, C, D,

The nurse is conducting a preadministration assessment of a client prescribed entacapone. The nurse determines caution is warranted after discovering which disorders listed in the client's past history? Select all that apply. A. hepatic dysfunction B. renal dysfunction C. hypertension D. hypotension E. prostatic hypertrophy

A, B, C, D,

The nurse has received a verbal order to administer naloxone to a client. The nurse anticipates administering this drug via which route? Select all that apply. A. IV piggyback B. IM injections C. intrathecal injection D. IV push E. subcutaneous injection

A, B, C, D, NOT EACTLY POSITIVE WASNT AN ANSWER

The nurse is conducting an ongoing assessment in a client who has received naloxone. Which evaluations should the nurse prioritize? Select all that apply. A. Client demonstrates an understanding of the drug regimen. B. Client's respiratory rate is normal. C. Adverse reactions are identified and managed. D. Therapeutic response is achieved. E. Pain relief is resumed.

A, B, C, D, E

The nurse is preparing to administer an opioid analgesic to a client reporting pain. The nurse will collect what information from the client first? Select all that apply. A. current medication therapy B. allergy history C. health history D. pain assessment E. past medication history

A, B, C, D, E,

A client is prescribed ropinirole. The nurse is preparing to monitor the client for increased dopamine agonist effects if which additional drug is also prescribed? Select all that apply. A. Estradiol B. Ranitidine C. Lisinopril D. Verapamil E. Perphenazine

A, B, D,

A nurse is determining the differences between opioid agonists and opioid agonist- antagonists. The nurse correctly chooses which medication as an opioid agonist- antagonist? Select all that apply. A. Pentazocine B. Nalbuphine C. Meperidine D. Buprenorphine E. Alfentanyl

A, B, D,

The nurse has administered carbidopa/levodopa to a client. Which findings should the nurse prioritize on the ongoing assessment? Select all that apply. A. anorexia B. hyperglycemia C. dry mouth D. hypotension E. choreiform movements

A, C, E,

The nurse is assessing a client who recently received oxycodone and notes respiratory rate 10, SaO 90%, shallow breaths, and lethargy. The nurse anticipates the client will be administered which medication? A. Naltrexone B. Naproxen C. Nalbuphine D. Naloxone

D

The nurse is carefully monitoring a client after administering an opioid antagonist. Which possible reaction should the nurse prioritize? A. cramps B. low blood pressure C. skin inflammation D. sweating

D

A 70-year-old client with Parkinson disease is prescribed an anticholinergic drug. Which finding on assessment should the nurse prioritize? A. Confusion and disorientation B. Choreiform movements C. Psychotic episodes D. Suicidal tendencies

A

A 70-year-old client with Parkinson's disease is receiving pramipexole. Which potential adverse reaction should the nurse monitor the client for? A. muscular rigidity B. blurred vision C. visual hallucinations D. memory loss

A

A client is prescribed naloxone after a kidney transplant. When explaining the drug to the family the nurse will point out which actions is accomplished by the naloxone? A. Naloxone restores respiratory function. B. Naloxone stops internal bleeding. C. Naloxone restores reflexes of limbs. D. Naloxone helps the client overcome pain.

A

A client with an opioid addiction is to begin methadone. Which factor will the nurse include in the teaching to the client? A. Dosages vary according to length of the client's addiction. B. Dosages vary according to the client's weight. C. Male clients are prescribed higher doses than female clients. D. Methadone is discontinued on an outpatient basis.

A

A client with respiratory depression is administered an opioid antagonist by the nurse. What ongoing assessment should the nurse perform when prioritize? A. Monitor vital signs every 5 to 15 minutes. B. Monitor the blood pH level of the client. C. Review allergy history and other treatment modalities. D. Teach different breathing patterns to the client.

A

A newly admitted client with chronic back pain is to receive naloxone secondary to an inadvertent overdose of tramadol. Which action should the nurse prioritize before administering naloxone? A. Review the client's allergy history and treatment modalities. B. Monitor respiratory rate and rhythm of the client. C. Monitor the client's blood pressure every 5 minutes. D. Monitor pain level every 5 to 15 minutes if the client is responsive.

A

A nurse has administered entacapone to a 55-year-old client with Parkinson disease. Which adverse reaction should the nurse prioritize? A. dyskinesia B. constipation C. urinary retention D. increased hand tremor

A

A nurse is caring for a client who has been prescribed an opioid. What should the nurse prioritize in the ongoing assessment? A. Inquire about the pain experienced by the client. B. Accurate intake and output. C. Monitor for allergies. D. Monitor for drug interactions.

A

A nurse is preparing to administer a COMT inhibitor to a client with Parkinson disease. The nurse should question this order if which condition is recorded in the medical record? A. pregnancy B. glaucoma C. pepetic ulcer D. achalasia

A

A primary health care provider has prescribed phenytoin parenterally for a client experiencing seizures. The nurse prepares to administer this drug via which route? A. intravenously B. intramuscularly C. subcutaneously D. intradermally

A

An older adult client experiencing seizures is prescribed diazepam. Which assessment should the nurse prioritize? A. respiratory rate and depth B. blood glucose levels C. speech quality D. swalloing ability

A

An opioid-naïve client experiences acute pain after surgery and is prescribed opioid therapy. The nurse would be especially alert for the development of which reactions? A. respiratory depression B. pruritus C. urticaria D. severe headache

A

The client is reporting GI disturbances after receiving the first dose of carbidopa/levodopa for Parkinson disease. Which action should the nurse prioritize for this client? A. Observe for alterations in blood pressure. B. Administer the next drug dose with milk. C. Withhold the next drug dose. D. Administer the next drug dose with meals.

A

The health care provider has prescribed a cholinergic blocking drug for a client with Parkinson disease. Which finding in the health record alerts the nurse to the need for cautious administration? A. Decreased liver function. B. History of hallucinations or psychosis. C. Pulmonary disease. D. Cardiovascular disease.

A

The nurse educates a client diagnosed with Parkinson disease and family about managing the chronic condition and important aspects about the prescribed medications. Which client statement indicates the need for further clarification? A. "I will have my family journal about any facial grimacing, protruding tongue, exaggerated chewing, head movements and report it at the next visit to my health care provider." B. "I will suck on sugar free candies, ice chips to help keep my mouth moist." C. "I will work on my balance by enrolling into Tai Chi and practice the movements each day, and I will wear shoes with rubber soles when walking to decrease slipping." D. "I will take my meds with meals to decrease gastrointestinal symptoms."

A

The nurse has completed a teaching with a client prescribed phenytoin daily for seizure activity. The nurse determines the session is successful after the client correctly chooses which potential adverse reaction that can occur if the client misses a dose of medication? A. recurrence of seizures B. hypotension C. CNS depression D. nystagmus

A

The nurse is assessing a client who is prescribed an opioid analgesic. The nurse will monitor the client for which reaction if the client reveals the chronic use of alcohol? A. Respiratory depression B. Central nervous system depression C. Sedation D. Hypotension

A

The nurse is evaluating a client who has received naloxone for respiratory depression. Which finding on an assessment would indicate effectiveness of the drug therapy? A. Respiratory rate and depth are within acceptable parameters. B. Fluid intake and output are balanced. C. Weaning from mechanical ventilation. D. Level of pain has decreased.

A

A nurse is developing a plan of care for a client receiving anticonvulsant therapy and determines a nursing diagnosis of Risk for Injury is most appropriate. Which assessment findings would support this nursing diagnosis? Select all that apply. A. reports dizziness B. photosensitivity C. epistaxis D. reports of blurred vison E. scaling red rash

A, B, D,

A nursing instructor is teaching a group of students the basics of epidural administration of opioid analgesics. The instructor determines the teaching is successful when the students correctly choose which situations as best suited for an epidural? Select all that apply. A. Labor pain B. Intractable chronic pain C. Moderate acute pain D. Postoperative pain E. Support of anesthesia

A, B, D,

A client experiencing seizures is prescribed felbamate. Which findings on assessment should the nurse prioritize? Select all that apply. A. sore throat B. bruising C. skin rash D. gingival hyperplasia E. epistaxis

A, B, E,

A nurse is caring for the newborn of a suspected opioid-dependent mother. Which assessment findings would the nurse prioritize in the newborn? Select all that apply. A. fever B. increased respiratory rate C. decreased respiratory rate D. jaundice E. sneeezing

A, B, E,

The nurse predicts a client receiving valproic acid may experience increased effects related to which additionally prescribed medication? Select all that apply. A. Aspirin B. Cimetidine C. Lisinopril D. Metformine E. Amitriptyline

A, B, E,

A nurse is conducting an assessment on a client who is admitted with Parkinson disease. Which potential findings will the nurse anticipate noting on the physical assessment? Select all that apply. A. slurred speech B. step-like gait C. tremors D. rapid, jerky movements E. erect posture

A, C,

A nurse is reviewing the medication record of several clients with Parkinson disease. The nurse identifies which drug if included in the client's record as being classified as a catechol-O-methyltransferase (COMT) inhibitor drug? Select all that apply. A. Tolcapone B. Bromocriptine C. Entacapone D. Diphenhydramine E. Amantadine

A, C,

A nurse is working at a substance abuse clinic. The nurse would expect to administer which drug in the treatment and management of opioid dependence? Select all that apply. A. Methadone B. Oxycodone C. Levomethadyl D. Propoxyphene E. Fentanyl

A, C,

The nurse is assessing the records of a client in preparation to administer an antiepileptic and notes the new order for periodic complete blood counts. Which new medication does the nurse prepare to administer? Select all that apply. A. Carbamazepine B. Zonisamide C. Felbamate D. Phenytoin E. Valproic acid

A, C,

The nurse is conducting an ongoing assessment after administering an antiepileptic. The nurse determines the client has a risk of increased CNS depression after noting the client is also administered which additional medication? Select all that apply. A. analgesics B. antibiotics C. alcohol D. antidiabetic medications E. oral contraceptives

A, C,

recurs nurse is assessing a client's response to buprenorphine. Which actions should the nurse prioritize if the client reports increased pain again? Select all that apply. A. Begin to treat the pain again. B. Decrease the rate of opioid antagonist administration. C. Review the circumstances that led to the use of the opioid antagonist. C. Assess the client's pain level. D. Change opioid antagonists.

A, C, D

A client with seizures presents for follow-up after being prescribed lamotrigine. Which findings on assessment should the nurse prioritize? Select all that apply. A. Blisters on the face and neck B. Recurrence of seizure activity C. Reports muscle pain D. Lesions on the mucous membranes E. Dizziness

A, C, D,

A nurse is preparing to administer pain medications to various clients. The nurse anticipates administering an opioid analgesic to clients with which assessment finding? Select all that apply. A. Sever acute pain B. Mild acute pain C. Moderate chronic pain D. Opiate dependence E. Mild chronic pain

A, C, D,

A nursing instructor is teaching a group of students about opioids antagonists. The instructor determines the teaching is successful when the students correctly choose which situations as examples for the administration of these drugs? Select all that apply. A. Suspected acute opioid overdose B. Suspected acute benzodiazepine overdose C. Reversal of opioid-induced hypotension D. Postoperative acute respiratory depression E. Reversal of phenytoin toxicity

A, C, D,

The nurse examines reviews the medical administration record and notes the medication lamotrigine needs to be administered. The client has developed a red scaly rash with fluid filled blisters and purpuric areas all over the client's body. Which actions should the nurse take? Select all that apply. A. Notify the primary care provider immediately. B. Administer the dose of lamotrigine. C. Document the skin assessment. D. Assess vital signs. E. Cleanse affected areas with soap and water.

A, C, D,

The nurse is assessing the medical history of a client before administering an opioid for pain. The nurse would question the order if which disorder was listed in the client's record? Select all that apply. A. Head injury B. Acute myocardial infarction C. Acute bronchial asthma D. Grand mal seizures E. Mild renal impairment

A, C, D,

The nurse is preparing to administer an antiepileptic to a client who is experiencing seizures. The nurse will include documentation of which factors before administering the medication? Select all that apply. A. Seizure frequency B. Dietary habits C. Description of seizures D. Average length of seizures E. Any recent infections

A, C, D,

A nurse is conducting an ongoing assessment of a client who is prescribed trimethadione. Which findings on the assessment should the nurse prioritize and contact the primary health care provider? Select all that apply. A. fever B. dry mouth C. easy bruising D. visual disturbance E. sore throat

A, C, D, E,

Before administering naloxone to a client, the nurse will examine the health record for which possible situation or disorder to develop an appropriate and cautious care plan? Select all that apply. A. opioid dependency B. alcohol dependency C. pregnant D. chronic obstructive pulmonary disease E. cardiovascular disease

A, C, E,

The nurse is teaching a client and caregivers about the prescribed phenytoin. The nurse determines the session is successful when they correctly choose which adverse reaction to report to the health care provider immediately? Select all that apply. A. ataxia B. nistagmus C. lethargy D. diplopia E. slurred speech

A, C, E,

The nursing mentor is evaluating a nursing student who is preparing to administer naloxone. The mentor notes the student is well prepared after completing which assessments before administering the medication? Select all that apply. A. pulse B. pain assessment C. respiratory rate D. blood glucose E. blood pressure

A, C, E,

The nurse is caring for a client diagnosed with Parkinson disease receiving the following medications: levodopa and cardopa, pyridoxine, bromocriptine, and entacapone. The nurse should perform which assessment(s)? Select all that apply. A. Presence of hallucinations B. Left upper abdominal quadrant tenderness C. Sclera and skin for yellowing D. Assess for food intake rich in meats, fish, nuts, bananas E. Alanine aminotransterase (ALT) level F. Serum glutamic pyruvic transaminase (SPGT) level G. Amylase level

A, C, E, F,

The nurse is preparing to administer a new drug to a client currently prescribed carbidopa/levodopa which can decrease its effects. Which medication will require the nurse to monitor for decreased carbidopa/levodopa effectiveness? Select all that apply. A. Zonisamide B. Amitriptyline C. Meperidine D. Phenytoin E. Ibuprofen

A, D,

A nurse is preparing to administer phenytoin to a client. The nurse will exercise caution after discovering which disorder listed in the client's record? Select all that apply. A. hypotension B. hyperthyroidism C. asthma D. diabetes E. hepatic impairment

A, E

A nursing instructor is teaching a session on Parkinson disease to a group of students. The instructor determines the teaching was successful when the students correctly choose which factors as potential causes of Parkinsonism? Select all that apply. A. encephalitis B. myocardial infarction C. epilepsy D. stroke E. drugS

A, E,

After teaching a group of nursing students about opioid antagonists, the instructor determines that the teaching was successful when the students correctly choose which factors as true about these drugs? Select all that apply. A. Has greater affinity for opioid receptors than do opioid agonists. B. Has lesser affinity for opioid receptors than do opioid agonists. C. Potentiates the effect of an opioid. D. Prevents a response to the opioid by binding to opioid agonists in the bloodstream. E. Prevents a response to the opioid by binding to opioid receptors.

A, E,

A client is prescribed a transdermal opioid. After teaching the client and family how to administer this drug, the nurse determines that the teaching was successful when they make which statement? A. "A hairy area, like the forearm, is an appropriate place to apply the patch." B. "The site should only be cleaned with water before each application." C. "The drug should be reapplied every 24 hours." D. "We should try to apply the patch to about the same site each time."

B

A client with seizures is prescribed phenytoin. Which assessment should the nurse prioritize? A. Check the client's temperature every 3 to 4 hours. B. Obtain serum plasma drug levels regularly. C. Evaluate the client's pulse rate and rhythm. D. Assess the client's respiratory rate.

B

A nurse is administering lorazepam to a client with status epilepticus. The nurse will be prepared to administer which additional drug to treat the status epilepticus? A. Ethotoin B. Phenytoin C. Ethosuximide D. Zonisamide

B

A nurse is caring for a client who is prescribed an opioid analgesic by the primary health care provider. Which assessment finding would lead the nurse to suspect that the client is experiencing an adverse reaction? A. Decreased intracranial pressure B. Tachycardia C. Urinary frequency D. Increased breathing rate

B

A nurse is preparing a teaching plan for a client prescribed oxazolidinedione. Which instruction will the nurse point out during the teaching session? A. Take the drug with milk B. Avoid exposure to ultraviolet light C. Avoid carbonated drinks during therapy D. Take the drug 2 hours after a meal

B

A nurse is to administer a prescribed opioid to a client. The nurse would question administering this drug if which disorder were noted in the client's history? A. Acute pre-existing liver disease. B. Acute bronchial asthma. C. Decreased intracranial pressure. D. Acute diabetic retinopathy.

B

Assessment of a client receiving anticonvulsant therapy reveals: sore throat, chills, fever, gingival bleeding, and bruising. Which nursing diagnosis would the nurse most likely prioritize? A. Risk for Injury B. Risk for Infection C. Impaired Oral Mucous Membranes D. Risk for Impaired Skin Integrity

B

The nurse is preparing to administer pramipexole to a client with Parkinson disease. The nurse notes the client is also prescribed verapamil. Which potential reaction should the nurse prioritize for careful monitoring? A. Psychotic behavior B. Agonist effectiveness C. Toxicity of both drugs D. Cardiac symptoms

B

The nurse is preparing to administer phenytoin to a client. The nurse should question this order if which disorder is noted in the client's past history? Select all that apply. A. atrial fibrillation B. pregnancy C. sinus braycardia D. diabetes E. hepatic disease

B, C,

A group of students are differentiating the various classifications of drugs used to treat Parkinson's disease. The instructor determines the session is successful when the students correctly choose which drugs as belonging to the dopaminergic classification? Select all that apply. A. Benztropine B. Amantadine C. Carbidopa D. Bromocriptine E. Trihexyphenidyl

B, C, D,

A nurse has administered naloxone to a client emergently. The nurse will continue to monitor the client for the development of which possible adverse reactions? Select all that apply. A. hypotension B. tachycardia C. nausea D. tremors E. constipation

B, C, D,

The health care provider has prescribed an opioid antagonist for a client. The nurse should appraise the medical record for which components if time allows? Select all that apply. A. Family medical history B. Allergy history C. Initial health history D. Current treatment modalities E. Bowel history

B, C, D,

A nurse is assessing a client who is to receive an opioid analgesic. The nurse would contact the primary health care provider immediately if which event occur? Select all that apply. A. Increase in blood pressure B. Increase in pulse C. Blood pressure of 90/65 mm Hg D. Decrease in pulse E. Respiratory rate of less than 10 breaths/min

B, C, D, E,

A postoperative client has a nursing diagnosis of Ineffective Breathing Pattern and is fearful that movement may result in more pain. Which activities would be most appropriate for the nurse to teach the client? Select all that apply. A. Administer more pain medication. B. Get the client to cough every 2 hours. C. Get the client out of bed. D. Encourage the client to lie still in bed. E. Have the client do deep breathing.

B, C, E,

The nurse has administered tolcapone to a client. Which findings on the ongoing assessment should the nurse prioritize? Select all that apply. A. dry mouth B. anorexia C. dyskinesia D. renal failure E. orthostatic hypotension

B, C, E,

The nurse is caring for a client after a recent traumatic brain injury and development of tonic--clonic seizures. The client is receiving treatment of seizures with anti-epileptic drugs (AEDs). The nurse should perform which assessment(s) for safe administrations of AEDs? Select all that apply. A. Assessment of disturbing dreams about the accident that interrupt sleep. B. Hepatic and metabolic profiles at baseline and subsequent levels. C. Description of seizure activity from family member who witnessed it. D. Obtain a family history of relatives with headaches, if applicable. E. Assessment of client's description of the aura that occurs before a seizure.

B, C, E,

The nurse is caring for a client who is receiving an opioid. Which action by the nurse will help decrease the risk of injury to this client? Select all that apply. A. Advise the client to stay in bed all night. B. Assist the client with hall-walking activities. C. Assist the client with rising from a lying position. D. Keep the lights in the client's room turned down. E. Assist the client from the bed to the toilet.

B, C, E,

A client is questioning the recent prescription of Stalevo. The nurse explains it is a combination drug consisting of which medications? Select all that apply. A. Tolcapone B. Carbidopa C. Benztropine D. Levodopa E. Entacapone

B, D,

A nursing student is assigned to lead a class discussion on opioid antagonists. Which factor would the student include as the mechanism of action between opioid antagonists and opioid agonists? Select all that apply. A. Mutation of the opioid receptor B. Competitive inhibition of the opioid receptor C. Direct binding to the opioid agonist Displacement of the opioid agonist from the opioid receptor E. Irreversible inhibition of the opioid receptor

B, D,

After teaching a group of nursing students about antiepileptics, the instructor determines the teaching was successful after the students correctly choose which drug that exerts a stabilizing effect on the brain motor cortex? Select all that apply. A. Ethosuximide B. Ethotoin C. Topiramate D. Phenytoin E. Valproic acid

B, D,

The nurse has administered benztropine to a client. The nurse will monitor the client for increased anticholinergic effects after administering which additional drug? Select all that apply. A. Quetiapine B. Amantadine C. Glycopyrrolate D. Perphenazine E. Tiotropium

B, D,

The nurse is examining a client's mouth to assess for potential adverse effects related to the long term use of which medication? Select all that apply. A. Carbamazepine B. Ethotoin C. Valproic acid D. henytoin E. Felbamate

B, D,

A group of nursing students are examining information about epidural pain management with opioid analgesics. The instructor determines the session is successful when the students correctly choose which results as advantages for administering the drug via an epidural route over other routes? Select all that apply. A. Longer time to tolerance development B. Fewer adverse reactions C. Decreased demand on nursing staff D. Lower total dose of opioid E. Greater client comfort

B, D, E,

The nurse has administered oxymorphone and promethazine to a client. Which assessment will the nurse prioritize? Select all that apply. A. temperature B. pulse C. blood glucose D. respiratory rate E. blood pressure

B, D, E,

The nurse is monitoring a client who has developed an opioid-induced respiratory depression. Which actions should the nurse prioritize in this client? Select all that apply. A. Administering more of the opioid B. Turning the client to the side as needed C. Stopping the opioid antagonist D. Maintaining a patent airway E. Suctioning the client as needed

B, D, E,

When developing the teaching plan for a client receiving ethosuximide, the nurse would include instructions to notify the primary health care provider if which adverse reaction occurs? Select all that apply. A. ataxia B. blurred vision C. slurred speech D. bruising E. Joint pain

B, D, E,

A client with severe chronic pain is to receive an opioid analgesic agent. The nurse will monitor the client for signs of tolerance which can develop at different rates related to which factors? Select all that apply. A. age B. route of administration C. body weight D. gender E. dosage

B, E,

The nurse is preparing to administer carbidopa/levodopa to a client recently diagnosed with Parkinson disease. The nurse should question this order if which disorder is noted in the client's record? Select all that apply. A. Renal disease B. Use of MAOI antidepressants C. Psychosis D. Hepatic disease E. Narrow-angle glaucoma

B, E,

A client with alcohol dependence is admitted for care at a local health care facility. The nurse anticipates the health care provider will prescribe which medication for this client? A. Methadone B. Levorphanol C. Naltrexone D. Naproxen

C

A nurse completed teaching a client with influenza A about the prescribed amantadine. The nurse determines the session was successful when the client correctly chooses which action to counter adverse reactions to the drug? A. Encourage the client to take small, frequent meals. B. Stop the use of the antiparkinsonism drug by the client. C. Instruct the client to take ice chips frequently. D. Instruct the client to avoid protein-rich foods.

C

A nurse is caring for a client who is receiving naloxone intravenously. The client develops acute pain while the drug is being administered. Which factor should the nurse investigate first? A. The client's pain wasn't controlled before the administration of naloxone. B. The dosage of the naloxone was too small. C. The drug was administered as too rapid a dose. D. The change in respiratory status has caused the increase in pain.

C

A nurse is preparing to administer carbamazepine to a client. The nurse should question the health care provider about this order if which disorder is noted in the client's history? A. respiratory depression B. bipolar disorder C. renal impairment D. hearing impairment

C

A nurse is teaching a client about the use of a PCA infusion pump. The nurse determines the teaching is successful when the client correctly indicates which factor about the system? A. The control button and the button to call the nurse are the same. B. The machine delivers the drug every time the control button is used. C. The control button activates administration of the drug. D. Pain relief should occur 1 hour after pushing the control button.

C

After teaching a group of nursing students about opioids, the instructor determines that additional teaching is needed when the students choose which drug as a natural opioid? A. Codeine B. Morphine C. Meperidine D. Opium

C

The nurse is assessing a client for the effectiveness of the antiparkinson drug. If the nurse determines the client has improvement in these movements, which factor will the nurse point out has improved? A. choreiform movements B. akathisia C. bradykinesia D. achalasia

C

The nurse is caring for a client who has taken hydantoins for several years. The nurse noted that the client has an unsteady gait, dizziness, nystagmus, acute confusion, a non- raised red rash on one arm, and has not been to the dentist for 2 years. Based upon the findings, what is the priority nursing diagnosis? A. Risk for impaired skin integrity related to adverse reactions to hydantoin B. Risk for impaired oral mucous membranes related to hydantoin therapy C. Risk for injury related to untoward effect of hydantoin D. Risk for infection related to immunosuppression from hydantoin

C

The nurse is conducting an ongoing assessment on a client who was administered ethotoin. Which finding should the nurse prioritize? A. diarrhea B. urinary frequency C. slurred speech D. constipation

C

The nurse is monitoring a client who has received naloxone as emergent treatment. Which reaction should the nurse prioritize if noted on the ongoing assessment? A. dry, flushed skin B. tremors C. bradycardia D. diarrhea

C

The nurse is monitoring the effects of naloxone after administering the drug to a client with respiratory depression. The nurse anticipates to monitor changes in which time frame? A. 3 to 4 minutes B. 7 to 8 minutes C. 1 to 2 minutes D. 5 to 6 minutes

C

The nurse is preparing to administer the next dose of methsuximide to a client experiencing partial seizures. The client remarks about hoping their stomach will do better this time. Which suggestion from the nurse will best assist this client when administering this next dose? A. Daily at bedtime B. First thing in the morning on arising C. With some food or milk D. Immediately before eating a meal

C

A nurse is assessing a client who has a known history of substance abuse. Which signs and symptoms should the nurse prioritize? Select all that apply. A. increased blood pressure B. miosis C. tachycardia D. mydriasis E. rhinorrhea

C, D,

After teaching a group of nursing students' issues and problems commonly associated with antiparkinson drug therapy, the instructor determines that the teaching was successful when the students correctly choose which nursing diagnoses as common? Select all that apply. A. Risk for Infection B. Diarrhea C. Risk for Injury D. Impaired Physical Mobility E. Imbalanced Nutrition: More Than Body Requirements

C, D,

The nurse has administered naloxone on an emergent basis. Which actions should the nurse now prioritize? Select all that apply. A. Monitoring is less frequent if respiratory depression occurs in the immediate postoperative setting. B. After the client has shown a response to the drug, the nurse monitors vital signs every 30 to 60 minutes. C. The nurse should notify the primary health care provider if any adverse drug reactions occur. D. Monitoring of the client's respiratory status includes rate, rhythm, and depth. E. The nurse monitors the client's blood pressure, pulse, and respiratory rate at frequent intervals, usually every 3 minutes, until the client responds.

C, D,

The nurse is assessing the medical records of several clients and notes documentation of nonergot dopamine receptor agonists. Which medications did the nurse discover documented? Select all that apply. A. Amantadine B. Entacapone C. Ropinirole D. Pramipexole E. Benztropine

C, D,

The nursing instructor is teaching a group of nursing students about opioid analgesics. The instructor determines the teaching is successful when the students correctly choose which classifications? Select all that apply. A. a partial antagonist B. an antagonist C. an agonist D. a partial agonist E. an agonist-antagonist

C, D, E

A nurse is investigating for the potential source of the Parkinson-like signs a client is suddenly exhibiting. Which potential medications should the nurse question in the client's medical record? Select all that apply. A. opioids B. NSAIDs C. conventional antipsychotics D. antidepressants E. lithium

C, D, E,

After teaching the family of a client with Parkinson disease about possible adverse reactions, the nurse determines that the teaching was successful when the family states they will withhold the drug if the client experiences which adverse reaction? Select all that apply. A. lack of appetite B. constipation C. protruding tongue D. exaggerated chewing motions E. facial grimacing

C, D, E,

A client is receiving an opioid analgesic. Assessment reveals that the respiratory rate has dropped. Which steps would the nurse expect to implement? Select all that apply. A. Oxygen administration B. Discontinuation of the opioid analgesic C. Naloxone administration D. Albuterol administration E. Coaching of the client to breathe

C, E,

A client has developed a hepatic injury related to the administration of tolcapone. Which activity does the nurse anticipate will be added to the plan of care for this client? A. Perform serum transaminase level testing every day. B. Monitor the client for signs of dystonic movements. C. Monitor the client for signs of tactile hallucinations. D. Perform regular blood tests of the client.

D

A client is receiving an opioid analgesic following abdominal surgery. On assessment the nurse notes the client has been in a chair, ambulating with assistance, fluids and food intake is good with active bowel sounds with minimal bowel movement. Which nursing diagnosis would be most appropriate? A. Deficient Knowledge B. Risk for Injury C. Imbalanced Nutrition: Less Than Body Requirements D. Constipation

D

A client with chronic pain has been prescribed an epidural analgesia. Which possible reaction should the nurse prioritize for treatment? A. nervousness B. fever C. abdominal pain D. respiratory depression

D

A client with respiratory depression is prescribed appropriate treatment by the health care provider. The nurse will monitor the client for which potential reaction? A. lightheadness B. headache C. dizziness D. vomiting

D

A nurse has administered an opioid to a client. Which activities should the nurse encourage the client to do? A. Restrict consumption of liquids. B. Get up and walk once every hour. C. Maintain complete bed rest. D. Cough and breathe every 2 hours.

D

The nurse is caring for a client in the emergency department who is experiencing status epilepticus. The client's electronic medical record reveals a recent diagnosis of tonic clonic seizures and prescription for phenytoin. Which is the priority action? A. Provide phenytoin IV. B. Obtain phenytoin level. C. Assess length of seizure. D. Provide lorazepam IVP.

D

The nurse is monitoring a client who has been given an opioid drug for postoperative pain. The nurse will assess the client for which reaction if the breathing pattern lowers? A. nausea B. anorexia C. anxiety D. somnolence

D

The nurse is providing care for a client with Parkinson disease. Which nursing intervention should the nurse prioritize during the ongoing assessment? A. Prepare a baseline for future evaluations of the client's drug therapy. B. Observe the current mental condition of the client. C. Assess the client for ability to perform the daily activities. D. Observe the client for various neuromuscular signs.

D

The nurse notes a client who is receiving naloxone suddenly goes from sleepy and calm to grimacing, moaning and drawing their legs up to the abdomen. The nurse determines which nursing diagnosis is most appropriate? A. Impaired Spontaneous Ventilation B. Deficient Knowledge C. Ineffective Coping D. Acute Pain

D

A client with a terminal illness is prescribed an opioid for pain management. The nurse should carefully monitor the client for development of which adverse reaction? A. emphysema B. severe anorexia C. alopecia D. dehydration

WASNT AN ANSWER

A nurse is performing a preadministration assessment of a client who is to receive an opioid analgesic. Which activity should the nurse prioritize? A. Obtain client's blood pressure and pulse within 5 to 10 minutes. B. Monitor the client for symptoms of respiratory depression. C. Record each bowel movement and its appearance, color, and consistency. D. Document description of pain and an estimate of when the pain began.

d