Neurological system questions

When instructing a client about taking buspirone, you tell the client to watch for and report a paradoxical reaction to buspirone. Which following is a paradoxical effect of buspirone? Chest pain Insomnia Diaphoresis Fever

Insomnia

Immunomodulators therapeutic use

help reduce the symptoms of multiple sclerosis.

Monoamine oxidase inhibitors therapeutic use

treat depression

3. A nurse is reinforcing teaching with a client who has a new prescription for ramelteon. The nurse should instruct the client to avoid which of the following foods at the time of medication administration? A. Baked potato B. Fried chicken C. Whole-grain bread D. Citrus fruits

B. Fried chicken

Fentanyl therapeutic use(2)

cancer pain relief and is also used in anesthesia.

Benzodiazepines therapeutic use(3)

management of anxiety disorders, relaxation of skeletal muscle spasm and spasticity treatment of seizure disorders.

You are instructing a client about taking phenelzine to treat depression. Which of the following foods should you tell the client to avoid? Aged cheese Milk Potato chips Candy

Aged cheese

3. A nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? A. Kidney toxicity B. Liver damage C. Seizure activity D. Adrenal insufficiency

B. Liver damage

You are instructing a client who has multiple sclerosis about how dantrolene will help control spasticity. With which mechanism is this drug effective in treating this manifestation? Blocks acetylcholine at the neuromuscular junction Interrupts nerve signals from the spinal cord to the muscles Inhibits destruction of acetylcholine by acetylcholinesterase Alters intracellular calcium exchange at the muscles

Alters intracellular calcium exchange at the muscles

4. A nurse is reinforcing teaching with a client who has tobacco use disorder about nicotine replacement therapy using nicotine gum. Which of the following statements by the client indicates understanding of the information? A. "I should avoid eating right before I chew a piece of nicotine gum." B. "I will need to stop using the nicotine gum after 1 year." C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant." D. "I must chew the nicotine gum quickly for about 15 minutes."

A. "I should avoid eating right before I chew a piece of nicotine gum."

4. A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and new prescription for paroxetine. Which of the following instructions should the nurse include? A. "It can take several weeks before feel like the medication is helping." B. "Take the medication just before bedtime to promote sleep." C. "You should take the medication when needed for obsessive urges." D. "Monitor for weight gain while taking this medication."

A. "It can take several weeks before you feel like the medication is helping.

5. A nurse is reinforcing instructions to a client who has a new prescription for zolpidem. Which of the following instructions should the nurse include? A. "Notify the provider if you plan to become pregnant." B. "Take the medication 1 hour before you plan to go to sleep." C. "Allow at least 6 hours for sleep when taking zolpidem." D. "To increase the effectiveness of zolpidem, take it with a bedtime snack."

A. "Notify the provider if you plan to become pregnant."

5. A nurse in a provider's office is reinforcing instructions with a guardian of a toddler how to administer ear drops. Which of the following instructions should the nurse include? (Select all that apply.) A. "Place the child on the unaffected side when you are ready to administer the medication." B. "Warm the medication by gently rolling it between your hands for a few minutes." C. "Gently shake medication that is in suspension form." D. "Keep the child on their side for 5 minutes after instillation of the ear drops." E. "Tightly pack the ear canal with cotton after instillation of the ear drops."

A. "Place the child on the unaffected side when you are ready to administer the medication." B. "Warm the medication by gently rolling it between your hands for a few minutes." C. "Gently shake medication that is in suspension form." D. "Keep the child on their side for 5 minutes after instillation of the ear drops."

5. A nurse is reviewing a new prescription for oxcarbazepine with a client who has partial seizures. Which of the following instructions should the nurse include? (Select all that apply.) A. "Use caution if given a prescription for a diuretic medication." B. "Consider using an alternate form of contraception if you are using oral contraceptives." C. "Chew gum to increase saliva production." D. "Avoid driving until you see how the medication affects you." E. "Notify your provider if you develop a skin rash."

A. "Use caution if given a prescription for a diuretic medication." B. "Consider using an alternate form of contraception if you are using oral contraceptives." D. "Avoid driving until you see how the medication affects you." E. "Notify your provider if you develop a skin rash."

3. A nurse is reinforcing discharge teaching to a following statements should the nurse include? A. "You can have a decreased desire for intimacy while taking this medication." B. "You should take this medication at bedtime to help promote sleep." C. "You will have fewer urinary adverse effects if you urinate just before taking this medication." D. "You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication."

A. "You can have a decreased desire for intimacy while taking this medication."

5. A nurse is reinforcing teaching with the guardians of a school-age child about a new lisdexamfetamine. Which of the following information prescription for should the nurse include? (Select all that apply.) A. An adverse effect of this medication is CNS stimulation. B. Administer the medication before bedtime. C. Monitor blood pressure while taking this medication. D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop. E. This medication raises the levels of dopamine in the brain.

A. An adverse effect of this medication is CNS stimulation. C. Monitor blood pressure while taking this medication. E. This medication raises the levels of dopamine in the brain.

5. A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that they grind their teeth during the night. The nurse should identify which of the following interventions to manage bruxism? (Select all that apply.) A. Concurrent administration of buspirone B. Administration of a different SSRI C. Use of a mouth guard D. Changing to a different class of antidepressant medication E. Increasing the dose of paroxetine

A. Concurrent administration of buspirone C. Use of a mouth guard D. Changing to a different class of antidepressant medication

2. A nurse is reinforcing teaching with a client who has early Parkinson's disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Hallucinations B. Increased salivation C. Diarrhea D. Discoloration of urine

A. Hallucinations

1. A nurse is reinforcing teaching with a client who has been experiencing insomnia and has a new prescription for temazepam. The nurse should include that which of the following manifestations are adverse effects of temazepam? (Select all that apply.) A. Incoordination B. Hypertension C. Pruritus D. Sleep driving E. Amnesia

A. Incoordination D. Sleep driving E. Amnesia

2. A nurse is assisting with planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the nurse recommend for inclusion in the discussion? (Select all that apply) A. Lorazepam B. Diazepam C. Disulfiram D. Naltrexone E. Acamprosate

A. Lorazepam B. Diazepam

4. A nurse is caring for a client who has depression and a new prescription for venlafaxine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? (Select all that apply.) A. Mydriasis B. Dizziness C. Decreased libido D. Alopecia E. Hypotension

A. Mydriasis B. Dizziness C. Decreased libido

1. A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following developed an adverse effect of this medication? A. Orthostatic hypotension B. Hearing loss C. Gastrointestinal bleeding D. Weight loss

A. Orthostatic hypotension

2. A nurse is assisting with the care of a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take? (Select all that apply.) A. Place a cooling blanket on the client. B. Administer oxygen at 100%. C. Administer iced 0.9% sodium chloride. D. Administer potassium chloride IV. E. Monitor core body temperature.

A. Place a cooling blanket on the client. B. Administer oxygen at 100%. C. Administer iced 0.9% sodium chloride. E. Monitor core body temperature.

4. A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client to have which of the following blood laboratory tests completed periodically? (Select all that apply.) A. Thrombocyte count B. Glucose C. Amylase D. Liver function tests E. Potassium

A. Thrombocyte count C. Amylase D. Liver function tests

2. Anurse is reinforcing prescription for should the nurse clomipramine tor OCD. teaching with an adolescent client who has a new Which of the following instructions Include to minimize an adverse effect of his medication? A. Wear sunglasses when outdoors. B. Check your temperature daily. C. Take this medication in the morning. D. Add extra calories to your diet.

A. Wear sunglasses when outdoors.

1 A nurse is reinforcing instructions with a client who has a new prescription for timolol how to insert eve drops. The nurse should reinforce with the client to press on which of the following areas to prevent systemic absorption of the medication? A. Bony orbit B. Nasolacrimal duct C. Conjunctival sac D. Outer canthus

B. Nasolacrimal duct

5. A nurse is contributing to a teaching plan for a client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include? A. "This medication can safely be taken during pregnancy." B. "Eliminate grapefruit juice from your diet." C. "You will need to have a complete blood count and carbamazepine levels drawn periodically." D. "Notify your provider if you develop a rash." E. "Avoid driving for the first few days after starting this medication."

B. "Eliminate grapefruit juice from your diet." C. "You will need to have a complete blood count and carbamazepine levels drawn periodically." D. "Notify your provider if you develop a rash." E. "Avoid driving for the first few days after starting this medication."

3. A nurse is reinforcing teaching with a client who has a new prescription for baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching? A. "I may develop a yellowing of the eyes with this medication." B. "I may experience difficulty with urination while taking this medication." C. "I should increase fiber to prevent constipation from this medication." D. "I won't be able to drink alcohol while I'm taking this medication." E. "I should take this medication on an empty stomach each morning."

B. "I may experience difficulty with urination while taking this medication." C. "I should increase fiber to prevent constipation from this medication." D. "I won't be able to drink alcohol while I'm taking this medication."

3. A nurse is collecting data from a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should identify which of the following findings is a possible indication of toxicity to this medication? A. Severe hypertension B. Coarse tremors C. Constipation D. Muscle spasms

B. Coarse tremors

3. A nurse is reinforcing teaching with a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? A. Diarrhea B. Dry mouth C. Insomnia D. Hypertension

B. Dry mouth

4. A nurse is preparing to administer a medication to a client who has absence seizures. The nurse should expect to administer which of the following medications to the client? (Select all that apply.) A. Phenytoin B. Ethosuximide C. Gabapentin D. Carbamazepine E. Valproic acid F. Lamotrigine

B. Ethosuximide E. Valproic acid F. Lamotrigine

5. A nurse is collecting data from a client who has been taking sertraline for the past 2 days. Which of the following data collection findings should alert the nurse to the possibility that the client is developing serotonin syndrome? A. Bruising B. Fever C. Tinnitus D. Rash

B. Fever

4. A nurse is reinforcing teaching with the caregiver of a school-age child about transdermal methylphenidate. Which of the following instructions should the nurse include? A. Apply one patch twice per day. B. Leave the patch on for 9 hr, C. Apply the patch to the child's waist, D. Use opened tray within 6 months.

B. Leave the patch on for 9 hr,

1. A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse plan to take? A. Administer a loop diuretic. B. Prepare the client for hemodialysis. C. Administer an additional oral dose of lithium. D. Restrict fluid intake to 1.5 Liters per day.

B. Prepare the client for hemodialysis.

1. A nurse is reinforcing teaching with the a child who has a new that which prescription for of the to the provider? following desipramine. guardians of The nurse should include adverse effects is the priority to report A. Constipation B. Suicidal thoughts C. Photophobia D. Dry mouth

B. Suicidal thoughts

Which of the following drugs blocks beta-adrenergic receptors and thereby decreases intraocular pressure (lOP) by reducing the amount of aqueous humor produced? Betaxolol Pilocarpine Latanoprost Acetazolamide

Betaxolol

A client is to start taking amitriptyline. For which of the following should you instruct the client to watch for and report? (Select all that apply.) Blurred vision Urinary hesitancy Diarrhea Joint pain Tachycardia

Blurred vision Urinary hesitancy Tachycardia

Which laboratory tests should you monitor for a client who is taking interferon beta-1b to treat multiple sclerosis? (Select all that apply.) A Serum osmolality B Blood glucose C Thyroid hormones E CBC

C Thyroid hormones D Liver function E CBC

A nurse is reinforcing teaching with a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the information? A. "I should take the medication on an empty stomach." B. "I will follow a low-sodium diet while taking this medication." C. "I need to discontinue this medication slowly." D. "I should not crush this medication before swallowing."

C. "I need to discontinue this medication slowly."

2. A nurse is reinforcing teaching with a client who has and wears soft contact lenses. Which of the following a new prescription for brimonidine ophthalmic drops instructions should the nurse include in the teaching? A. "This medication can stain your contacts." B. "This medication can cause your pupils to constrict." C. "This medication can absorb into your contacts." D. "This medication can slow your heart rate."

C. "This medication can absorb into your contacts."

2. A nurse is reinforcing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse reinforce in the teaching? (Select all that apply.) A. Expect therapeutic effects in 24 to 48 hr. B. Discontinue the medication after a week of improved mood. C. Change positions slowly to minimize dizziness. D. Decrease dietary fiber intake to control diarrhea. E. Chew sugarless gum to prevent dry mouth.

C. Change positions slowly to minimize dizziness. E. Chew sugarless gum to prevent dry mouth.

1. A nurse in the operating room is assisting with the care of a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity and a rise in body temperature. The nurse should expect a prescription for which of the following medications? A. Neostigmine B. Naloxone C. Dantrolene D. Vecuronium

C. Dantrolene

1. Anurse is reinforcing teaching with a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include? A. Increases the risk for seizure activity B. Provides a form of aversion therapy C. Decreases cravings D. Can increase blood pressure

C. Decreases cravings

5. A nurse is collecting data from a client who has a prescription for bethanechol to treat urinary retention. The nurse should identify that which of the following findings is a manifestation of muscarinic stimulation? A. Dry mouth B. Hypertension C. Excessive perspiration D. Fecal impaction

C. Excessive perspiration

3. A nurse is reinforcing teaching with a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include? A. Increase intake of protein-rich foods. B. Expect muscle twitching to occur. C. Expect urine to be dark in color. D. Anticipate relief of manifestations in 24 hr.

C. Expect urine to be dark in color.

2. Anurse is assisting in the care of a client who is receiving moderate sedation with diazepam IV. The client is oversedated. Which of the following medications should the nurse expect the provider to prescribe? A. Ketamine B. Naltrexone C. Flumazenil D. Fluvoxamine

C. Flumazenil

1. A nurse is collecting data from a client who is experiencing a cholinergic crisis. Which of the following findings should the nurse expect? (Select all that apply.) A. Tachycardia B. Constipation C. Salivation D. Gl cramps E. Excessive tearing of the eyes

C. Salivation D. Gl cramps E. Excessive tearing of the eyes

. A nurse who is assisting in the emergency department is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. Which of the following findings are indicative of this condition? A. Insidious onset of painless loss of vision B. Gradual reduction in peripheral vision C. Severe pain around eyes D. Intraocular pressure 12 mm Hg

C. Severe pain around eyes

A nurse is reinforcing teaching with a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse reinforce? A. "Take this medication on an empty stomach." B. "Expect optimal therapeutic effects within 24 hr." C. "Take this medication when needed for anxiety." D. "This medication has a low risk for dependency."

D. "This medication has a low risk for dependency."

4. A nurse is reviewing the medical record of a client who reports urinary incontinence and asks about a prescription for oxybutynin. The nurse should recognize that oxybutynin is contraindicated in the presence of which the following conditions? A. Bursitis B. Sinusitis C. Depression D. Glaucoma

D. Glaucoma

A nurse is collecting data from a client who is suspected of having benzodiazepine toxicity. Which of the following findings should the nurse identify as the priority to report to the provider? A. Drowsiness B. Confusion C. Ataxia D. Hypotension

D. Hypotension

2. A nurse is caring for a client who has a new prescription for lithium carbonate. When reinforcing teaching with the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? A. Avoid the use of acetaminophen for headaches. B. Restrict intake of foods rich in sodium. C. Decrease fluid intake to less than 1,500 mL daily. D. Limit aerobic activity in hot weather.

D. Limit aerobic activity in hot weather.

5. A nurse in an acute mental health facility is assisting with the care of a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority? A. Administer the clonidine on the prescribed schedule. B. Provide ice chips at the client's bedside. C. Instruct the client on the effects of clonidine. D. Obtain baseline vital signs.

D. Obtain baseline vital signs.

4. A nurse is caring for a client who is to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of ketamine as an intravenous anesthetic? A. Peptic ulcer disease B. Breast cancer C. Diabetes mellitus D. Schizophrenia

D. Schizophrenia

4. A nurse is reinforcing teaching with a client about preventing otitis externa. Which of the following instructions should the nurse include? A. Clean the ear with a cotton-tipped swab daily. B. Place earplugs in the ears when sleeping at night. C. Use a cool water irrigation solution to remove earwax. D. Tip the head to the side to remove water from the ears after showering.

D. Tip the head to the side to remove water from the ears after showering.

You are caring for a client who is preoperative and is NPO. The client takes carbamazepine, 200 mg PO BID for a seizure disorder. Which action should the nurse take? Give the oral dose of carbamazepine with a sip of water. Give carbamazepine IV. Withhold the carbamazepine. Administer half the usual morning dose of carbamazepine.

Give the oral dose of carbamazepine with a sip of water.

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? Bradycardia Pancreatic disease Glaucoma Impaired hearing

Glaucoma

Early clinical manifestations of lithium toxicity include which of the following? (Select all that apply.) Seizures Nausea Hypotension Ataxia Muscle weakness

Nausea Muscle weakness

During an assessment of a client taking chlorpromazine, you note a slow shuffling gait, rigid facial expression, and fine tremors. These manifestations indicate which of the following? Acute dystonia Tardive dyskinesia Parkinsonism Akathisia

Parkinsonism

A client receives spinal anesthesia with lidocaine and epinephrine. You explain that epinephrine is used with lidocaine for which of the following reasons? Decreases the risk for a spinal headache Reduces the risk for infection Prolongs the anesthetic effects Prevents respiratory depression

Prolongs the anesthetic effects

A client is taking venlafaxine to treat major depression. Which of the following instructions should you include when advising the client and family about the use of venlafaxine? (Select all that apply.) Discontinue it immediately for increased depression. Take it with food to reduce gastric disturbances. Monitor and report insomnia. Have blood pressure checked regularly. Check with the primary care provider before taking any herbal supplements.

Take it with food to reduce gastric disturbances. Monitor and report insomnia. Have blood pressure checked regularly. Check with the primary care provider before taking any herbal supplements.

A primary care provider prescribes sumatriptan to treat a client's migraine headaches. Which instructions should the nurse include when telling the client how to take sumatriptan? (Select all that apply.) Take the drug after onset of the migraine. Administer one nasal spray into each nostril. Take it once per day to prevent migraine. Repeat the dose once if the headache returns. Allow the tablet to dissolve under the tongue.

Take the drug after onset of the migraine. Repeat the dose once if the headache returns.

At a visit to the provider's office, an older adult client's partner reports that the client has nausea, diarrhea, and a loss of appetite. He has a history of Alzheimer's disease and is taking donepezil. Which information should be provided by the nurse? Take the drug with food. Stop taking the drug right away. Take a reduced dosage of the drug. Undergo liver function tests right away.

Take the drug with food.

A client is taking risperidone for schizophrenia. Recognizing the adverse effects of risperidone, you advise the client to watch for and report which of the following? Tremor Weight loss Oral ulcers Bronchospasm

Tremor

You are instructing a school-age child and his parent about the use of amphetamine-dextroamphetamine to manage the child's attention- deficit/hyperactivity disorder. Which clinical manifestations should the nurse instruct the parent to report? (Select all that apply.) Weight loss Insomnia Hallucinations Orthostatic hypotension Flu-like symptoms

Weight loss Insomnia Hallucinations

Dopamine receptor agonists therapeutic use

control the symptoms of Parkinson's disease

hydantoins therapeutic use

control tonic-clonic seizures, as well as partial seizures.

Cholinesterase inhibitors therapeutic use

help improve cognitive function in clients with mild to moderate Alzheimer's disease

Amphetamineldextroamphetamine sulfate therapeutic use(2)

helps clients with attention- deficit/hyperactivity disorder focus and lengthen their attention span.

Lithium carbonate therapeutic disorder

helps control acute mania and the acute manic episodes associated with bipolar disorder.

Venlafaxine therapeutic use(3)

helps manage major depression, social anxiety disorder, and generalized anxiety disorder.

Baclofen therapeutic use

helps manage muscle spasms and rigidity.

Dantrolene therapeutic use

helps reverse malignant hypertension,

Betaxolol therapeutic use (2)

lowering intraocular pressure to treat chronic open-angle glaucoma helps with the emergency treatment of acute closed-angle glaucoma.

cholinergics agonists therapeutic use

reduction of intraocular pressure for clients who have glaucoma.

antipsychotics therapeutic use(2)

suppression of the symptoms of schizophrenia, such as hallucinations, delusions, and paranoia. treat the acute manic phase of bipolar disorder.

Risperidone therapeutic use(3)

treats a wide range of symptoms of schizophrenia and bipolar disorder and helps manage the irritability associated with autism.