Pharm Quiz 4 Book Questions

C. Dantrolene

** A nurse in the OR is caring for a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity and his body temperature begins to rise. The nurse should anticipate a prescription for which of the following medications

A. Placing a cooling blanket on the client B. Administer oxygen at 100% C. Administer iced 0.9% NaCl E. Monitor core body temp

**A nurse in the post-anesthesia unit is caring for a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take?

C. Excessive perspiration

**A nurse is caring for a client who has a prescription for bethanechol to treat urinary retention. The nurse should recognize that which of the following findings is a manifestation of muscarinic stimulation?

C. Flumazenil

**A nurse is caring for a client who is receiving moderate sedation with diazepam IV. The client is oversedated. Which of the following meds should the nurse anticipate administering?

A. Negostamine

**A nurse is in the post-anesthesia recovery unit is caring for a client who received a non depolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate a prescription for which of the following meds?

A. Disorganized speech B. Bizzare behavior D. Hallucinations

**A nurse is preparing to perform a follow-up assessment on a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations?

A. Hallucinations

**A nurse is providing information to a client who has early Parkinson's disease and a new prescription or pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?

A. Incoordination D. Sleep driving E. Amnesia

**A nurse is providing instructions to a client who has been experiencing insomnia and has a new prescription for temazepam. The nurse should inform the client that which of the following manifestations are adverse effects for temazepam?

A. Notify the provider if you plan to become pregnant

**A nurse is providing instructions to a female client who has a new prescription for zolpidem. Which of the following instructions should the nurse include?

D. Glaucoma

**A nurse is reviewing the health care record of a client who reports urinary incontinence and asks about a prescription of oxybutynin. The nurse should recognize that oxybutynin is contraindicated in the presence of which of the following conditions?

C. Take this medication with food

**A nurse is teaching a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?

B. Coarse tremors

A nurse is assessing a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should recognize which of the following findings as a possible indications of toxicity to this medication?

Neck spasms

A nurse is assessing a male client who recently began taking haloperidol. Which of the following findings is the highest priority to report to the provider?

D. Limit aerobic activity in hot weather

A nurse is caring for a client who has a ew prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following?

A. Orthostatic hypotension

A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?

A. Thrombocyte count C. Amylase D. LFTs

A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client that while taking this medication he will need to have which of the following lac tests completed periodically?

B. Fever

A nurse is caring for a client who has been taking sertraline for the past two days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome?

A. Cough B. Dizziness C. Decreased libido

A nurse is caring for a client who has depression and a new prescription for venlafaxine. For which of the following adverse effects should the nurse monitor the client?

D. Schizophrenia

A nurse is caring for a client who is admitted to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of ketamine as an IV anesthetic

A. Concurrent administration of busprione C. Use a mouth guard D. Changing to a different class of antidepressent meds

A nurse is caring for a client who takes paroxetine to treat PTSD and reports that he grinds his teeth during the night. The nurse should identify which of the following interventions to manage bruxism?

B. Eliminate grapefruit juice from the diet C. You will need to have a CBC and carbamazepine levels drawn periodically D. Notify your provider if you develop a rash E. Avoid driving for the first few days after starting this medication

A nurse is preparing a teaching plan for a female client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include in the teaching?

B. Ethosuximide E. Valproic Acid F. Lamotrigine

A nurse is preparing to administer a medication to a client who has absence seizures. The nurse should anticipate administering which of the following medications to the client?

D. You should have your WBC count monitored every week

A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?

A. "You may have decreased desire for intimacy while taking this medication"

A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for PTSD. Which of the following statements should the nurse include in the teaching?

B. Notify the provider if you develop breast enlargement

A nurse is providing teaching for a male client who has schizophrenia and is taking risperidone. Which of the following instructions should a nurse include in a teaching?

C. Change positions slowly to minimize dizziness E. Chew sugarless gum to prevent dry mouth

A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching?

D. "This medication has a low risk for dependency"

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

A. Use caution if given a prescirption for a diuretic B. Consider using an alternative form of contraception if you are using oral contraceptives

A nurse is reviewing a new prescription for oxcarbazepine with a female client who has partial seizures. Which of the following instructions should the nurse include?

A. Perform immediate gastric lavage

A nurse is reviewing lab findings and notes that a client's plasma lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse?

B. I know the doctor will gradually increase my dose of his med for a while C. I should increase fiber to prevent constipation D. I won't be able to drink alcohol while taking this med

A nurse is teaching a client who ahs a new prescription for baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching?

A. "It can take several weeks before you feel like the medication is helping"

A nurse is teaching a client who has OCD and a new prescription for paroxetine. Which of the following instructions should the nurse include?

C. "I need to discontinue the medication slowly"

A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching?

B. Fried Chicken

A nurse is teaching a client who has a new prescription for ramelteon. The nurse should insrcut the client to avoid which of the following foods?

B. Chew sugarless gum to moisten the mouth

A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of he following should the nurse suggest to the client to minimize anticholinergic effects?

B. Identify the clients level of orientation

A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. Which of the the following actions is the nurse's priority?