ATI - The Neurological System (Pt. 2)

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? - Cholinergic crisis - Serotonin syndrome - Stevens-Johnson syndrome - Acute dystonia

Acute dystonia

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

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 he following findings should the nurse identify as an adverse drug reaction caused by alprazolam? - Anxiety - Ringing in the ears - Increased appetite - Muscle spasms

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? (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 - Wash hands after installing the drops - Rub eyes gently after instilling the drops - Remove contact lenses prior to instilling the drops

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 a client who has which of the following disorders? - Asthma - Seizure disorder - Diabetes mellitus - Rheumatoid arthritis

Asthma

A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing risk for lithium toxicity. Which of the following instructions should the nurse include? - Consume a low-sodium diet - Reduce fluid intake - Avoid taking NSAIDS - Take the drug with food

Avoid taking NSAIDS

A nurse is caring for a client who has schizoaffective disorder and who has be prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering he medication? - BUN level - Blood pressure - Urine specific gravity - Pedal pulse strength

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? - Constricted pupils - Discoloration of the iris - Hypertension - Bradycardia

Bradycardia

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? (Select all that apply) - Change positions slowly from sitting or lying to standing - Do not stop taking the drug abruptly - Avoid crushing the tablet - Take the drug 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 drug abruptly Take the drug at bedtime to prevent daytime drowsiness Increase fiber and fluid intake

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 two monitor for lithium toxicity? - Furosemide for hypertension - Acetaminophen for headaches - Ciprofloxacin for a urinary tract infection - Montelukast for asthma

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 - Decreased temperature - Hypersexual behavior - Constipation

Hallucinations

A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions? - Respiratory depression - Hypertensive crisis - Neuroleptic malignant syndrome - Serotonin syndrome

Hypertensive crisis

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

If I become pregnant, it is 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? - Weigh yourself twice a month - If you have persistent headaches, let the provider know - Reduce your daily sodium intake - If your symptoms don't improve in 10 days, you will need a higher dosage

If you have persistent headaches, let the provider know

A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include the orthostatic hypertension is a common adverse reaction of which of the following drugs? - Venlafaxine - Bupropion - Imipramine - Valproic acid

Imipramine

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? - Alprazolam - Phenytoin - Phenelzine - Pilocarpine

Phenelzine

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? - Renal function impairment - Cataracts - Recent weight loss - Smoking

Renal function impairment

When reviewing the indications for various antidepressants, a nurse should identify the bupropion hydrochloride is an appropriate choice for clients who have which of the following? (Select all that apply) - Motion sickness - Seasonal affective disorder - Insomnia - Nicotine addiction - Depression

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? - Ischemic stroke - Drowsiness - Respiratory depression - Seizure activity

Seizure activity

A nurse is providing teaching two a 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 - Take the drug as needed at the first sign of anxious feelings - Take the drug in the morning with a glass if grapefruit juice - Drink a cup of chamomile tea at night with the drug

Take a missed dose as soon as you remember

A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic test should he nurses recommend hat the client undergo periodically? - Chest x-ray - Tonometry - Thyroid function tests - Endoscopic retrograde c-something

Thyroid function tests

A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor? (Select all that apply) - Tolerance - Anxiety - Sedation - Respiratory depression - Constipation

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 an indication of lithium toxicity? (Select all that apply) - Tremors - Confusion - Bronchospasm - Nausea - Muscle weakness

Tremors Confusion Nausea Muscle weakness

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

Wear sunscreen when exposed to sunlight

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 the abruptly stopping alprazolam therapy can result in which of the following adverse effects? - Anterograde amnesia - Respiratory depression - Paradoxical reaction - Withdrawal symptoms

Withdrawal symptoms