Pharmacology Made Easy 5.0 The Neurological System (Part 2) Test

A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include? A. "Take a missed dose as soon as you remember." B. "Take the drug as needed at the first sign of anxious feelings." C. "Take the drug in the morning with a glass of grapefruit juice." D. "Drink a cup of chamomile tea at night with the drug."

A. "Take a missed dose as soon as you remember."

A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse reaction caused by alprazolam? A. Anxiety B. Ringing in the ears C. Increased appetite D. Muscle spasms

A. Anxiety

The health care professional should question the use of timolol for a client who has which of the following disorders? A. Asthma B. Seizure disorder C. Diabetes mellitus D. Rheumatoid arthritis

A. Asthma

A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administering St. John's wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome? A. Hallucinations B. Decreased temperature C. Hypersexual behavior D. Constipation

A. Hallucinations

A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification? A. Renal function impairment B. Cataracts C. Recent weight loss D. Smoking

A. Renal function impairment

Which of the following instructions should the healthcare professional include when advising a client about instilling pilocarpine for managing open angle glaucoma (select all that apply)?

Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops Do not touch the tip of the dropper Remove contact lenses prior to instilling the drops

A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? A. "Weight yourself twice a month." B. "If you have persistent headaches, let the provider know." C. "Reduce your daily sodium intake." D. "If your symptoms don't improve in 10 days, you will need a higher dosage."

B. "If you have persistent headaches, let the provider know."

A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client finding should the nurse monitor after administering the medication? A. BUN level B. Blood pressure C. Urine specific gravity D. Pedal strength.

B. Blood pressure

A healthcare professional should advise a client who is taking phenelzine to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions? A. Respiratory depression B. Hypertensive crisis C. Neuroleptic malignant syndrome D. Serotonin syndrome

B. Hypertensive crisis

A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include? A. Stop taking the drug immediately with the first sign of a sore throat B. Wear sunscreen when exposed to sunlight C. Take the drug with food to reduce gastrointestinal distress D. Take the drug in the morning to prevent nocturia

B. Wear sunscreen when exposed to sunlight

nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include? A. Take the drug with grapefruit juice to increase absorption B. Use the drug as needed for anxiety C. Allow 2 to 4 weeks for full therapeutic effects D. Take the drug on an empty stomach

C. Allow 2 to 4 weeks for full therapeutic effects

A nurse is providing teaching to decline about the adverse effects of medication therapy. The nurse should include that orthostatic hypertension is a common adverse reaction of which of the following medication's? A. Venlafaxine B. Bupropion C. Amitriptyline D. Valproic acid

C. Amitriptyline

A health care professional is talking to a client who is taking lithium carbonate. Which of the following instructions should be included to reduce the risk of lithium toxicity? A. Consume a low-sodium diet B. Reduce fluid intake C. Avoid taking NSAIDs D. Take the drug with food

C. Avoid taking NSAIDs

A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine? A. Alprazolam B. Phenytoin C. Phenelzine D. Pilocarpine

C. Phenelzine

A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend periodically for the client? A. Chest x-ray B. Tonometry C. Thyroid function test D. Endoscopic retrograde cholangiopancreatography (ERCP)

C. Thyroid function test

A health care professional is caring for a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include? (Select all that apply.) Change positions slowly from sitting or lying to standing Do not stop taking the medication abruptly Wear sunscreen and protective clothing Take the medication at bedtime to prevent daytime drowsiness Increase fiber and fluid intake

Change positions slowly from sitting or lying to standing Do not stop taking the medication abruptly Take the medication at bedtime to prevent daytime drowsiness Increase fiber and fluid intake

Click to highlight the findings that indicate adverse effects from the client's prescribed medication, To deselect a finding, click on the finding again. Client reports nausea and diarrhea Client is speaking loudly and rapidly Client reports sleeping 2 to 3 hr per night. Client reports increased urination. Temperature 38.5° C (101,3° F) Blood pressure 136/90 mm Hg Laboratory Results Lithium 1.4 mEq/L (0.8 to 1.2 mEq/L.) WBC count 14,000 mm*/L (5,000 to 10,000 mm /L) Serum glucose 112 mg/dL (74 to 106 mg/dL)

Client reports nausea and diarrhea Client reports increased urination. Lithium 1.4 mEq/L (0.8 to 1.2 mEq/L.)

A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching? A. "It is not a big deal if I forget my pills for a couple of days." B. "I should limit alcohol intake to one drink daily while taking this medication." C. "I will avoid salt because this medication can increase my blood pressure." D. "If i become pregnant, it is important to let my health care provider know."

D. "If i become pregnant, it is important to let my health care provider know."

A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse suspect? A. Cholinergic crisis B. Serotonin syndrome C. Stevens-Johnson syndrome D. Acute dystonia

D. Acute dystonia

A healthcare professionals collecting data from a client who is taking bupropion hydrochloride to treat depression. The healthcare professional notes of the client has a recent history of the head injury. She should recognize that the medication is inappropriate for the client because of the increased risk for which of the following? A. Ischemic stroke B. Drowsiness C. Respiratory depression D. Seizure Activity

D. Seizure Activity

A healthcare professional is caring for a client who has been taken alprazolam for an extended period of time to treat anxiety. The healthcare professional should recognize that stopping alprazolam therapy suddenly can result in which of the following? A. Anterograde amnesia B. Respiratory depression C. Paradoxical reaction D. Withdrawal manifestations

D. Withdrawal manifestations

The nurse is evaluating the outcomes of medication therapy for the client. For each potential client finding, click to specify if the finding is expected or unexpected for the client. Pupil size Floaters Urinary elimination Heart rate Night vision

Expected: Pupil size Night vision Unexpected: Floaters Urinary elimination Heart rate

Complete the diagram by dragging from the choices below to specify the medication the nurse should anticipate the provider to prescribe, 2 teaching points the nurse should make about the medication, and 2 adverse effects the nurse should monitor.

Planned Client Teaching about medication: Decrease consumption of cheese Rise slowly when standing Anticipated Medication: Phenelzine Adverse Effects to Monitor: Hypertensive crisis Orthostatic hypotension

A health care professional should monitor an older adult client who is taking alprazolam for which of the following adverse effects? (Select all that apply.) Tolerance Anxiety Sedation Respiratory depression Constipation

Tolerance Anxiety Sedation Respiratory depression

A health care professional is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The health care professional should caution to watch for which of the following indications of lithium toxicity? (Select all that apply.) Tremors Confusion Bronchospasm Nausea Muscle weakness

Tremors Confusion Nausea Muscle weakness