Pharm - ATI Neurological System (Part 2)
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?
- 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 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?
- 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
When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following?
- Seasonal affective disorder - Nicotine addiction - - 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 indications of lithium toxicity?
- Tremors - Confusion - Nausea - Muscle weakness
A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor?
-Tolerance - Anxiety - Sedatiotion - Respiratory depression
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?
Acute dystonia
A nurse is providing teaching to a client who has a prescription for busirone. Which of the following instructions should the nurse include?
Allow 2 to 4 weeks for full therapeutic effect
A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse drug reaction caused by alprazolam?
Anxiety
A nurse should identify that timolol is contraindicated for a client who has which of the following disorders?
Asthma
A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instruction should the nurse include?
Avoid taking NSAIDS
A nurse is caring for a client who has schioaffective disorder and who has been prescribed chlorpromazine. Which of the following laboratory values should the nurse monitor during and immediately after IV administration of the drug?
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?
Bradycardia
A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administering St. Johns 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?
Hallucination
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?
Hypertensive crisis
A nurse is providing teaching to a client who has a new prescription for diazedpm for anxiety disorder. Which of the following client statements indicates an understanding of teaching?
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 instruction should the nurse include?
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 that orthostatic hypotension is a common adverse reaction of which of the following drugs?
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 followings drugs can cause serotonin syndrome when taken concurrently with venlafaxine?
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
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?
Seizure activity
A nurse is providing teaching to 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
A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnositc tests should the nurse recommend that the client undergo periodically?
Thyroid function tests
A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include?
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 that abruptly stopping alprazolam therapy can result in which of the following adverse effects?
Withdrawal symptoms
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 to monitor for lithium toxicity?
furosemide for hypertension
