Week 2
a nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the tx of adhd for 2 weeks. the nurse should report which of the following findings to the provider? A: weight loss of 2.3 kg (5 lb) B: bp 11/70 C: apical pulse 80/min D: resp rate 16/min
A
a nurse is teaching a client ab interferon beta-ia. which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug? A: premedicate w/ acetaminophen B: take the drug with food C: increase your fluid intake D: take the drug in the morning
A
a nurse is teaching a client who has a rx for baclofen. which of the following instructions should the nurse include? A" avoid driving until the drug's effects are evident B: stop taking the drug immediately if headache occurs C: take the drug as needed for spasticity D: take the drug w/ antacids to reduce gastric effects
A
a nurse is teaching a client who has an rx for modafinil to treat narcolepsy. which of the following instructions should the nurse include? A: take the drug in the AM B" take the drug 30 min before bed C: anticipate daytime drowsiness D: expect urinary frequency
A
a nurse is teaching a client who has prescription for carbamazepine. which of the following instructions should the nurse include to help the client avoid adverse effects of this drug? A: begin taking the drug at a low dosage B: discontinue the drug immediately if diarrhea occurs C: have serum glucose levels checked regularly D: take the drug on an empty stomach.
A
a nurse is teaching a client who is taking levodopa/carbidopa to treat parkinson's disease. which of the following instructions should the nurse include? A: change position slowly to prevent orthostatic hypotension B: eat high protein snack to increase absorbption C: take the drug at bedtime to avoid daytime drowsiness D: expect eye twitching to develop w/ long-term therapy.
A
a nurse teaches a client who is ab to begin sumatriptan therapy to treat migraine headaches. the nurse should instruct the client to monitor for which of the following adverse effects? A: chest pain B: polyuria C: joint pain D: insomnia
A
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 hx of alzheimer's disease and is taking donepezil. which information should be provided by the nurse? A: take the drug w/ food B: stop taking the drug right away C: take a reduced dosage of the drug D: undergo liver function tests right away
A
the HCP is talking w 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? A: good oral hygiene B: take the drug on an empty stomach C: use sun block when outdoors D: decrease dietary fiber
A
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? A: give the oral dose of carbamazepine w a sip of water B: give carbamazepine IV C: withhold the medicine D: administer half the usual morning dose of carbamazepine
A
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? A: weight loss B: insomnia C: hallucinations D: orthostatic hypotension E: flu-like sx
A, B, C
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) A: take the drug after onset of the migraine B: administer one nasal spray into each nostril C: take it once per day to prevent migraine D: repeat the dose once if the headache returns E: allow the table to dissolve under the tongue
A, D
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? A: C-reactive protein B: creatinine clearance C: thyroid function D: CBC
B
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? A: cardiac excitability B: resp. depression C: hyperthermia D: hypotension
B
a nurse is caring for a client who has a new rx for dantrolene to treat skeletal muscle spasms. the nurse should identify that which of the following lab tests requires monitoring? A: serum potassium B: liver function C: serum sodium D: thyroid function
B
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? A: tonic-clonic seizures B: presence of a migraine headache C: exacerbation of multiple sclerosis D: alzheimer's disease
B
a nurse is reviewing the medical record of a client who has a newly dx seizure disorder and a new rx for valproic acid and phenytoin. the nurse should identify that which of the following can occur as a result of an interaction between these drugs? A: hyperammonemia B: phenytoin toxicity C: hypertension D: peptic ulcer diasease
B
the HCP is now assessing the client. which of the following findings can be an early indication of phenytoin toxicity? A: nystagmus B: tachycardia C: tachypnea D: jaundice
B
the client is taking oral contraceptives for birth control. which of the following instructions should the health care professional include? A: it is safe to discontinue birth control while taking phenytoin B: additional birth control methods may be needed C: oral contraceptives may increase the risk for phenytoin toxicity D: oral contraceptives may reduce the effectiveness of phenytoin.
B
a nurse is teaching a client who has a new rx for valproic acid to treat a seizure disorder. the nurse should instruct the client to monitor for which of the following adverse effects. (select all that apply) A: hirsutism B: drowsiness C: headache D: ataxia E: rash
B, C, E
While obtaining a client's medical hx you find that the client is taking levodopa/carbidopa for parkinson's disease. which information in the client's health hx alerts you to take further action? A: bradycardia B: pancreatic disease C: glaucoma D: impaired hearing
C
a client receives spinal anesthesia with lidocaine and epinephrine. you explain that epinephrine is used w/ lidocaine for which of the following reasons? A: decreases the risk for a spinal headache B: reduces the risk for infection C: prolongs the anesthetic effects D: prevents respiratory depression
C
a nurse is administering fentanyl to a client to reduce pain. which of the following drugs should the nurse have available to reverse the effects of fentanyl A: neostigmine B: succinylcholine C: naloxone D: dantrolene
C
a nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. the nurse should instruct the client to report which of the following adverse effects? A: slow heart rate B: cough C: diarrhea D: hearing loss
C
a nurse is caring for a client who has a new rx for amphetamine sulfate. the nurse should monitor the client for which of the following adverse effects? A: hypotension B: tinnitus C: tachycardia D: bronchospasm
C
a nurse is caring for a client who is taking donepezil to treat alzheimer's disease. for which of the following adverse effects should the nurse monitor? A: confusion B: dry mouth C: nausea D: double vision
C
a nurse is preparing to administer memantine to a client who has alzheimer's disease. which of the following findings in the client's medical hx indicates a need to withhold the drug and notify the provider? A: pancreatic cancer B: hypotension C: cirrhosis D: osteoporosis
C
a nurse is providing teaching for a client who has a new rx for valproic acid to treat a seizure disorder. the nurse should instruct the client to monitor for which of the following adverse effects? A: hirsutism B: depression C: jaundice D: gum irritation
C
What lab 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 D: liver function E: CBC
C, D, E
The healthcare professional is ab 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? A: protect the phenytoin solution from light B: make sure the phenytoin solution is cloudy. C: mix phenytoin with a dextrose solution D: infuse phenytoin slowly
D
Which of the following assessments of this client is most important immediately following the admin of IV diazepam? A: ECG B: seizure activity C: BP D: resp rate
D
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/meperidine can result in which of the following? A: frequent urination B: jaundice C: cellulitis D: muscle rigidity
D
a nurse is caring for a client who is taking interferon beta-1b. the nurse should identify that which of the following findings indicates a potential serious adverse effect of this drug? A: tinnitus B: twitching eyelids C: blue-green skin discoloration D: fatigure
D
a nurse is teaching a client who has a new dx of Parkinson's disease ab how levodopa/carbidopa can help control sx. the nurse should identify that the drug has which of the following pharmacologic effects? A: increases available acetylcholine in the brain B: inhibits norepinephrine metabolism in the brian C: inhibits serotonin metabolism in the brain D: increases available dopamine in the brain
D
a nurse is teaching a client who received a rx for interferon beta-1a for the tx of multiple sclerosis. which of the following information should nurse include? A: have a kidney function tests done every month for a year B: take an extra does if muscle aches occur C: store the drug at room temp after mixing it D: administer the drug in your thigh or upper arm
D
a nurse is teaching the family of a client who has a new dx of alzheimer's ab donepezil. which of the following info should the nurse include? A: monitor for constipation B: the dosage will be increased weekly to provide optimum therapeutic effect C: administering the drug first thing in the AM promotes effectiveness D: avoid the use of NSAIDS for pain
D
the nurse is teaching a client who has alzheimer's disease and their caregiver ab memantine. which of the following instructions should the nurse include? A: increase fluid intake to improve renal excretion B: report memory loss/confusion C: watch for signs of liver impairment, such as jaundice/abd pain D: avoid taking OTC antacids
D
you are instructing a client who has multiple sclerosis ab how dantrolene will help control spasticity. with which mechanism is this drug effective in treating this manifestation? A: blocks acetylcholine at the neuromuscular junction B: interrupts nerve signals from the spinal cord to the muscles C: inhibits destruction of acetylcholine by acetylcholinesterase D: alters intracellular calcium exchange at the muscles
D
therapeutic use for fentanyl
anesthesia/cancer pain management
therapeutic use for amphetamine/dextroamphetamine sulfate
attention-deficit/hyperactivity disorder
hydantoin helps
control seizures
therapeutic use for dantrolene
malignant hyperthermia
cholinesterase inhibitors help
minimize sx of alzheimer's disease
therapeutic use for baclofen
muscle spasms
dopamine receptor agonist helps
reduce effects of parkinson's disease
immunomodulators help
reduce sx of multiple sclerosis
