ATI neuro

a nurse is teaching a client about interferon beta-1a. which of the instructions should the nurse give to help the client avoid the adverse effects of this drug?

"premedicate with acetaminophen"

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?

acute dystonia

a nurse is teaching a client who received a prescription for interferon beta-1a for the treatment of multiple scelorsis. which of the following information should the nurse include?

administer the drug in your thigh or upper arm

a nurse is providing teaching to a client who has a prescription for buspirone. which of the following instructions should the nurse include?

allow 2 to 4 weeks for full therapeutic effects

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?

anxiety

a nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. which of the following instructions should the nurse include in the teaching?

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 should identify that timolol is contraindicated for client who has which of the following disorders?

asthma

avoid driving is teaching a client who has a prescription for baclofen. which of the following instructions should the nurse include?

avoid driving until the drug's effects are evident

a nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. which of the following instructions should the nurse include?

avoid taking NSAIDs

a nurse is teaching a client who has Alzheimer's disease and their caregiver about memantine. which of the following instructions should the nurse include?

avoid taking over-the-counter antacids

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?

avoid the use of NSAIDs for pain

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 avoid adverse effects of this drug?

begin taking the drug at low dosage

a nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. which of the following client findings should the nurse monitor after administering the medication?

blood pressure

a nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. which of the following adverse effects should the nurse include in the teaching?

bradycardia

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?

change position slowly to prevent orthostatic hypotension

a nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. which of the following instructions should the nurse include?

change positions slowly from sitting or lying to standing. do not stop taking the drug abruptly. take the drug at bedtime to prevent daytime drowsiness. increase fiber and fluid intake.

a nurse is teaching a client who is about to begin sumatriptan therapy to treat migraine headaches. the nurse should instruct the client to monitor for which of the following adverse effects?

chest pain

a nurse is preparing to administer memantine to 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?

cirrhosis

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

creatinine clearance

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?

diarrhea

a nurse is teaching a client who has a new prescription for valproic acid to treat seizure disorder. the nurse should instruct the client to monitor for which of the following adverse effects?

drowsiness headache rash

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 effects of this drug?

fatigue

a nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. which of the following findings should indicate to the nurse to monitor for lithium toxicity?

furosemide for hypertension

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?

hallucinations

a nurse is providing teaching for a a client who has a prescription for phenelzineu. the nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions?

hypertensive crisis

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?

if I become pregnant, it is the important to let my health care provider know

a nurse is providing teaching to a client who has a new prescription for fluoxetine. which of the following instructions should the nurse include?

if you have persistent headaches, let the provider know.

a nurse is providing teaching to client about the adverse effects of drug therapy. the nurse should include that orthostatic hypotension is common adverse reaction of which of the following drugs?

imipramine

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?

increases available dopamine in the brain

a nurse is providing teaching for a client who has a new prescription for valproic acid to treat seizure disorder. the nurse should instruct to monitor for which of the following adverse effects?

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?

liver function

a nurse is caring for a client who has been taking selegiline to treat Parkinson's disease. the provider is considering the use of analgesics for the client but should be aware that a drug interaction between selegiline and meperidine can result in which of the following?

muscle rigidity

a nurse is administering fentanyl to client reduce pain. which of the following drugs should the nurse have available to reverse the effects of fentanyl?

naloxone

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?

nausea

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?

phenelzine

a nurse is reviewing the medical record of a client who has a newly diagnosed seizure disorder and new prescription for valproic acid and phenytoin. the nurse should identify that which of the following can occur as a result of an interaction between these drugs?

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?

presence of a migraine headache

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 the nurse the reason for the prescription modification?

renal function impairment

a nurse is caring for a client who is receiving methohexital sodium. the nurse should monitor the client for which of the following adverse effects?

respiratory depression

when reviewing the indications for various antidepressants, a nurse should identify that bupropion is an appropriate choice for a client who has which of the following?

seasonal affective disorder nicotine addiction depression

a nurse is caring for a client who was admitted to the emergency department with a head injury. the nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. for which of the following adverse effects is the client at increased risk?

seizure activity

a nurse is caring for a client who has a new prescription for amphetamine sulfate. the nurse should monitor the client which of the following adverse effects?

tachycardia

a nurse is providing teaching to client who has a prescription for buspirone to treat anxiety. which of the following instructions should the nurse include?

take a missed dose as soon as you remember

a nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. which of the following instructions should the nurse include?

take the drug in the morning

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 that the client undergo periodically?

thyroid function tests

a nurse is caring for a client who has prescription for alprazolam. for which of the following adverse effects should the nurse monitor?

tolerance, anxiety, sedation, respiratory depression

a nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. the nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity?

tremors, confusion, nausea, muscle weakness

a nurse is providing teaching to client who has a prescription for chlorpromazine. which of the following instructions should the nurse include?

wear sunscreen when exposed to sunlight

a nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for treatment of attention deficit hyperactivity disorder for 2 weeks. the nurse should report which of the following findings to the provider?

weight loss of 5 lb

a nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. the nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects?

withdrawal symptoms