Neurological System Part 1
The client is taking oral contraceptives for birth control. Which of the following instructions should the healthcare professional include?
Additional birth control methods may be needed.
A nurse is teaching a client who received a prescription for intereeron beta-1a for the treatment of multiple sclerosis. Which of the following information should the nurse include?
Administer the drug in your thigh or upper arm.
A nurse 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 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 a low dosage.
A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease. Which of the following nursing interventions should the nurse include?
Change position slowly to prevent orthostatic hypotension.
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 a client who has Alzheimer's disease. Which of the following findings in the clients medical history indicated 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 lab tests requires monitoring?
Creatinine clearance.
A nurse is caring for a client who has a 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 a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects?
Drowsiness, headache, and rash.
A nurse is caring for a client who is taking interferon beta-1b. The nurse should identify that which of the following finding indicated a potential serious adverse effect of this drug?
Fatigue.
While obtaining a client's medical history, you find that the client is taking levodopa/carbidopa for Parkinson's disease. Which information in the client's health history alerts you to take further action?
Glaucoma.
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.
The health care professional is about to administer a loading dose of phenytoin IV. Which of the following is essential for the health care professional to do before administering phenytoin IV?
Infuse phenytoin slowly.
A nurse is providing teaching for a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor woich 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 a client to reduce pain. Which of the following drugs should the nurse have available to reserve the effects of fentanyl?
Naloxone.
A nurse is caring for a patient who is taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor?
Nausea.
The healthcare provider is now assessing the client. Which of the following finding can be an early indication of phenytoin toxicity?
Nystagmus.
A nurse is reviewing the medical record of a client who has a newly diagnosed seizure disorder and a new prescription for valproic acid and phenytoin. The nurse should include that which of the following can occur as a result of an interaction between these drugs?
Phenytoin toxicity.
A nurse is teaching a client about interferon beta-1a. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug?
Premedicate with acetaminophen.
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 caring for a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following adverse effects?
Respiratory depression.
Which of the following assessments of this client is most important immediately following the administration of IV Diazepam?
Respiratory rate.
A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects?
Tachycardia.
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.
Which lab tests should you monitor for a client who is taking interferon beta-1b to treat MS?
Thyroid hormones, liver function tests, complete blood count.
The healthcare professional is talking with the client who is soon to be discharged to home, about the adverse effects of phenytoin. Which of the following instructions may help minimize the adverse effects of phenytoin?
Use good oral hygiene.
A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of AHDH for 2 weeks. The nurse should report which of the following findings to the provider?
Weight loss of 2.3 kg (5 lbs).
