NCLEX Ch. 56

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The client with myasthenia gravis is receiving pyridostigmine. The nurse monitors for signs/symptoms of cholinergic crisis caused by overdose of the medication. The nurse checks the medication supply to ensure that which medication is available for administration if a cholinergic crisis occurs

Atropine sulfate

The nurse is caring for a client who is taking phenytoin (dilantin) for control of seizures. During data collection, the nurse notes that the client is taking birth control pills. Which information should the nurse provide to the client.

The potential for decrease effectiveness of the birth control pills exists while taking phenytoin (Dilantin)

The client with trigeminal neuralgia is being treated with carbamazepine (Tegretol). Which laboratory result indicates that the client is experiencing an adverse reaction to the medication?

White blood cell count, 3000 cells/mm3

Phenytoin (Dilantin), 100 mg orally three times daily, has been prescribed for a client for seizure control. The nurse reinforces instructions regarding the medication to the client. Which statement by the client indicates an understanding of the instructions?

"I will use a soft toothbrush to brush my teeth"

The client is taking phenytoin (Dilantin) for seizure control and a blood sample for a serum drug level is drawn. Which laboratory finding indicates a therapeutic serum drug result?

15 mcg/mL

The client is receiving meperidine hydrochloride for pain. Which signs/symptoms are side and adverse effects of this medication? (SATA) 1. Diarrhea 2.Tremors 3.Drowsiness 4.Hypotension 5.Urinary frequency 6. Increased respiratory rate

2.Tremors 3.Drowsiness 4.Hypotension

The client with Myasthenia Gravis is suspected of having cholinergic Crisis. Which of the following indicate that this crisis exists?

Hypertension

614. Carbidopa-Levodopa (Sinemet) is prescribed for a client with Parkinson's disease, and the nurse monitors the client for adverse effects of the medication. Which signs/symptoms indicates the client is experiencing an adverse effect?

Impaired Involuntary Movements

Ibuprofen is prescribed for a client. Which instruction would the nurse give the client about taking this medication?

Take with 8 oz of milk


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