Neuro

A nurse is providing teaching to a client who has seizures and has a prescription for phenytoin. Which of the following information should the nurse provide? A) Phenytoin turns urine blue B) Alcohol increases the chance of phenytoin toxicity C) Avoid flossing teeth to prevent gum irritation D) Take an antacid with the medication of indigestion occurs

B) Alcohol increases the chance of phenytoin toxicity

A nurse is assessing a client who has been taking setraline for two weeks. The nurse should identify which of the following findings as an indication that the medication is effective? A) The client's BP is within expected reference range B) Client reports a recent weight loss C) Client reports increase in mood D) Client's legs are not swollen

C) Client reports increase in mood setraline is an SSRI to treat depressive disorders

A nurse is teaching a client who has a new prescription for phenytoin. The nurse should instruct the client to monitor for and report which of the following adverse effects? A) Metallic taste B) Diarrhea C) Skin rash D) Anxiety

C) Skin rash Used to treat partial and tonic-clonic seizures. Can cause rash that can lead to SJS or toxic epidermal necrolysis

A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestation of toxicity. Which of the statements indicates and understanding? A) I will report any loss of appetite B) Increased flatulence is an indication of toxicity C) Vomiting is an indication of toxicity D) I will call my provider if I experience any headaches

C) Vomiting

A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity? A) constipation B) urinary retention C) muscle weakness D) hyperactivity

C) muscle weakness

A nurse is performing discharge teaching for a client who has seizures and a prescription for phentoin. Which of the following statements by the client indicates need for further teaching? A) I will notify my doctor before taking any other medication B) I have made an appointment to see my dentist next week C) I know that I cannot switch brands of this medication D) I'll be glad when I can stop taking this medication

D) I'll be glad when I can stop taking this medication

The nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include? A) Avoid activities that require alertness such as driving B) Increase caffeine intake C)Take this medication before bedtime D) Reduce calorie intake

A) Avoid activities that require alertness such as driving Avoid activities that require alertness until effects are known

A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the following antagonist medications is used for benzodiazepines? A) Flumazenil B) Diphenhydramine C) Protamine D) Naloxone

A) Flumazenil Reverses effects of benzodiazepines

A nurse is providing teaching to a client who has schizophrenia and is receiving chlorpromazine. Which of the following client statements indicates an understanding of the teaching? A) I will contact the provider if I have difficulty urinating B) I am less likely to get an infection taking this medication C) Weight loss is a sign that my medication dose is too high D) I may need to take this medication with an antacid due to stomach upset

A) I will contact the provider if I have difficulty urinating It has anticholinergic effects

A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take? A)Administer medication at 100mg/min B) Administer saline solution after injection C)Hold injection is seizure is already present D)Dilute the medication with dextrose 5% in water

B) Administer saline solution after the injection The nurse should flush injection site with saline solution after injection of phentoin to reduce and prevent venous irritation

A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse expect? Select all that apply A)Report of tinnitus B)Fever C)Bradycardia D) Tremor E) Agitation

B) Fever D) Tremor tremor and dizziness are manifestations E) Agitation agitation and hallucinations are manifestations

A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the adverse effects? A)Insomnia B)Bradycardia C)Hearing loss D) Hypertension

A) Insomnia Monitor for insomnia and excitation

A nurse is teaching a client who has a new prescription for diazepam. What should the nurse include in the teaching? A)It causes drowsiness B)This med must be swallowed whole C)It is important to avoid foods that contain tyramine D)Grapefruit juice inactivates this medication

A) It causes drowsiness It has sedative properties Client should not engage in potentially hazardous activities

A nurse is teaching a client who has a new prescription of lithium to treat bipolar. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements? A) Sodium B) Potassium C) Vit. K D) Vit. C

A) Sodium

A nurse is teaching a client who has multiple sclerosis about baclofen. Which instructions should be included in the teaching? A) Do not take antihistamines with this med B) Take the med on an empty stomach C) stop taking the medication immediately for a headache D) expect to develop diarrhea initially

A) do not take antihistamines with this medication antihistamines will intensify the depressant effects of baclofen

Nurse is assessing client who has schizophrenia and has been on long-term treatment with chlorpromazine. Notes that client is experiencing some involuntary movements of tongue and face. The nurse should expect the client has developed which of the following? A) Tardive dyskinesia B) parkinsonism C) dystonia D) akathisia

A) tardive dyskinesia

A nurse provides teaching for a client who has schizophrenia and a new prescription for flupenazine. Which of the following information should the nurse include? A) This medication might turn your urine orange B) Sleepiness should subside within a week C) Stop this medication if hypotension occurs D) A low-grade fever is expected with the first dose

B) Sleepiness should subside within a week May cause sedation with early treatment but should subside

A nurse in a mental health clinic is caring for a client who has bipolar disorder and a prescription for an antipsychotic medication. The provider and nursing staff suspect the client is not adhering to his medication therapy. Which of the interventions should the staff use to encourage the client's adherence? Select all that apply A) Perform mouth checks following administration of the medication B) Provide for once-daily dosing C) Use sustained-release forms D) Engage client in conversation following medication administration E) Rotate staff that administers medication

B)Provide once-daily dosing Simplifies the therapy C) Use sustained-release forms Remain in system longer, requiring less frequent dosing D) Engage client in conversation following medication administration Client can't hide medication in mouth

A nurse is teaching a client who has a new prescription for disulfiram. Which of the following information should the nurse include? A) Avoid grapefruit juice while taking this med B)Do not crush this medication before swallowing C) Do not drink alcohol D) Take the med with food

C) Do not drink alcohol while taking this med Disulfiram helps maintain abstinence from alcohol.

A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority? A) He takes a two hour nap every day after school B) He says he feels sick to his stomach after taking the med C) He has so many new bruises on his body D) He says his mouth is always dry

C) He has so many new bruises on his body Bruising is a priority concern because this is a manifestation of carbamazepine toxicity. Bone marrow depression including leuopenia, anemia, and thrombocytopenia. Monitor for bleeding, bruising, sore throat

A nurse is providing teaching to a client who has a new diagnosis of PD. Which of the following meds should the nurse prepare to instruct the client? A)Piperacillin/tazobactam B)Levothyroxine C)Levodopa/carbidopa D)carbamazepine

C) Levodopa/carbidopa

A nurse is teaching a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse include? A) Take the med every night before you go to sleep B) take the med with a high fat meal C) avoid activities that require alertness such as driving D) monitor for urinary retention

C) avoid activities that require alertness such as driving

A nurse is providing dietary teaching for a client taking monoamine oxidase inhibitor. When the client develops a sample lunch menu, which of the following requires an intervention? A) glass of whole milk B) celery sticks C) bologna sandwhich D) sliced apples

C) bologna sanwhich it has a high tyramine content

A nurse is caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestations as an expected response to the med A)a decrease in resting BP B) control of seizure activity C) decreased auditory hallucinations D) increased energy level and involvement in activities

C) decreased auditory hallucinations

A nurse is providing discharge teaching to a client who has a new prescription for lithium. Which of the following information should the nurse include in the teaching? A). Follow a low sodium diet B). Limit daily fluid intake C) Obtain weight daily D) Avoid foods that have a high tyramine content

C. Obtain daily weight Monitor weight due to the risk of fluid imbalance