unit 3

when a pt taking a monoamine oxidase B inhibitor receives his dietary tray the nurse knows to remove the

cheese

a pt taking rasagline is assessed by the nurse to have a lasting significant increase in bp when reviewing the pts current list of meds the nurse decides to hold the next dose of

ciprofloxacin

before the inhalation of anticholinergic medications it is important for the nurse to screen pts for

closed angle glaucoma

an older pt with parkinsons disease who was started o entacapone 1 week ago the pt has a history of coronary artery disease and takes an antihypertensive and aspirin what would support the need for a reduction in med dosage by the health care provider

constipation

an older adult pt received a hypotonic agent at 9:00 pm at 2:00 am the nurse discovers that the pt has removed her gown and is attempting to get out of the bed without assistance what type of med effect is the pt exhibiting

paradoxical

the nurse is caring for an older pt recently admitted to an assisted living center who is experiencing insomnia associated with the recent relocation, at bedtime which nursing action will assist the pt to sleep

performing back massage

for what conditions are benzodiazepines prescribed

preoperative sedation

when reviewing a pts history and physical info the nurse notes that the pt has physicians orders for chloral hydrate and warfarin during the assessment of this pt the nurse observes areas of petchiae and ecymosis on the upper and lower extremities the most appropriate lab work for the nurse to assess next is

prothombin time

a long term care resident is taking an anticholinergic agent , the nurse observes the resident to be disoriented and hallucinating the nurses priority action is

provide for residents safety

the outcome of a pt suffering from anxiety disorder reads after 1 week on Xanax therapy pt will exhibit a manageable level of anxiety what assement finding validates that this outcome is met

pt reports sleeping better and increased interest in activities

which pt is most likely to respond quickly to antianxiety therapy with benzodiazepines

pt with recent anxiety reactions

what is the pharmacologic action of entacapone a potent catechol O methyl transferase COMT inhibitor

reduces the destruction of dopamine in peripheral tissues

barbiturates have which common adverse effects

residual daytime sedation headache blurred vision impaired coordination

what will the nurse caution a pt about when providing info about the prescribed azaspirone antidepressant

risk of injury when using machinery

which benzodiazepine of choice when treating anxiety associated with alcohol withdrawl

serax

you find a pt is extremely agitated yells frequently, and is attempting to get out of bed without assistance what is the nurses initial action

spend uninterrupted time listening to the pt

what sleep pattern stage as an effect in aging

stage IV

dopamine agonists have been linked with which adverse effects in pts with parkinsons disease

sudden sleep agents

the nurse is teaching a pt with parkinsons disease about levodopa which statement by the nurse is accurate regarding drug administration

take this med in between meals

a COPD pt reports having insomnia and a racing heart after starting terbutaline therapy, which nurse is most accurate

the symptoms will lend to resolve with continued therapy

why are benzodiazepines often preferred over barbiturates

there is a wide range of safety between therapeutic and lethal levels accidental overdoses are well tolerated

the nurse is developing a teaching plan for pts prescribed buspar which info about this med should be included

there is minimal potential for abuse

a pt with parkinsonism disease asks the nurse why anticholinergics are used in the treatment , which response by the nurse is most accurate

these drugs inhibit the action of acetylcholine

why are beta blockers used cautiously in pts with respiratory conditions

they may produce severe bronchoconstriction

which statements are true about efferent nerves

they transmit signals to the spinal cord and brain they are part of the peripheral nervous system

the nurse is providing info to a pt recently prescribed entacapone what would be correct

this med increases the production of dopamine in the brain

a pt with history of type 1 diabetes after myocardial infraction has been placed on a beta adrenergic blocking agent which statement by the pt indicates a need for further teaching

this med lowers my bp by helping me get rid of fluid

the nurse is assessing a pt who is being evaluated in an outpatient clinic for complaints of back pain the pts reports taking diphenhydramine for insomnia related to job stress which statement by nurse is accurate regarding this med

this med should only be taken for 1 week

the nurse is providing education to a pt recently placed on selegiline disintegrating tabs what response indicates the pt needs further teaching

this medication will help slow the development of symptoms

which cholinergic symptoms of parkinsons disease are reduced with anticholinergic drugs

tremors and drooling

what is the primary response to alpha 1 receptor stimulation

vasoconstriction

an older adult pt is to receive atenolol a beta andrenergic blocking agent , prior to administration of the drug the nurse assesses an apical pulse rate of 58 and notes ankle edema, which action will the nurse take first

withhold the med

the nurse is caring for a pt taking a cholinergic agent , when auscultating lung sounds, the nurse notes inspiratory and expiratory wheezing bilaterally , the best action for the nurse to take would be to

withhold the next dose and notify the physician

what instruction is most important for the nurse to teach the pt who has recently been prescribed xanax

you may feel dizzy or unsteady when rising to a standing position

which vitamin will reduce the therapeutic effects of levodopa

B

which category of medications is used for peripheral vascular diseases characterized by excessive vasoconstriction , such as Raynaud's disease

alpha adrenergic blocking agents

the autonomic nervous system can be subdivided into which types of adrenergic receptors

alpha and beta

what can occur as a result of rapid withdrawal from long term use of barbiturates therapy

anxiety delirium weakness grand mal seizures

a pt has been prescribed Ativan a benzodiazepine used to treat insomnia which action should the nurse take

assess the pts bp in sitting and lying positions

prior to administration of metroprolol a beta adrenergic blocking agent which is most important for the nurse to assess

blood pressure

which body functions are controlled by the autonomic nervous system

blood pressure GI secretion body temp urination

a pt is being discharged on an adrenergic bronchodilator which common adverse effect will the nurse include in discharge teaching

palpations dizziness orthostatic hypotension tremors

a pt is hospitalized in an acute care setting reports to the nurse that since starting on an adrenergic med he has been feeling dizzy and weak the most appropriate action for the nurse is to

monitor the bp in both supine and standing positions

what is the recommended time over which antianxiety meds must gradually tapered before discontinuation

1 month

parkinsons disease has which characteristic symptoms

muscle tremor posture alterations muscle flaccidity slow body movement

which disease is associated with insufficient sleep

myocardial infraction

which adverse effects are common when a pt is receiving a cholinergic agent

nausea, dizziness, bradycardia

which adverse effects associated with levodopa therapy would support the nursing diagnosis risk for injury?

orthostatic hypotension

which two phases make up normal sleep

REM and non REM

what points should be included when teaching a pt about the use of apomorphine for treatment of Parkinson's disease

a multidose injector pen is commonly used to administer apomorphine you may experience nausea and vomiting which can be treated with tigan you may experience sleep attacks or episodes of daytime sleepiness

which nerve endings liberate norepinephrine

adrenergic

in addition to facilitating sleep, what is another benefit of sedatives

decreased pt anxiety

the nurse is preparing to educate the pt and significant other about antianxiety meds before the pts discharge what is pertinent info to be included in teaching a pt

discuss the possible dependence associated with the med at length to make sure the pt does not overuse the drug

which condition would you alert the nurse of the need to use beta blockers?

emphysema

neurotransmitters include

gamma aminobutyric acid acetylcholine epinephrine

which disorder would indicate the use of anticholinergic agents

glaucoma bradycardia parkinsons disease

which instructions given by the nurse will assist a pt to cope with the common adverse effects of anticholinergic medications

increase fluids daily suck on candy or ice chips monitor blood glucose

which is true regarding psychological drug dependence

it requires med intervention to treat

the nurse is assessing a pt prior to discharge from same day surgery following an incisional breast biopsy when assessing the pts cns function following sedative hypotonic therapy what will the nurse include

level of alertness orientation ability to preform motor functions

a pt receiving valium is complaining of nausea and vomiting and is becoming jaundiced. Which type of blood work will be preformed

liver function tests

which is the drug of choice to treat a pt with OCD

luvox

the nurse is preparing to begin administration of apomorphine to a pt before administering the nurse will perform a baseline assessment of the pts

mobility orientation alertness vital signs