Nclex pharm
A client reports that the prescribed levodopa / carbidopa ( Sinemet ) is not helping after 2 weeks of therapy . Which response should the nurse make ?
OA . " Clients often need as much as months of therapy before optimal effects are seen . "
The nurse reviews muscle spasms and muscle spasticity with a new colleague . For which statement should additional teaching be provided ?
OA . " Clients with muscle spasms may have an electrolyte imbalance . "
A client with Alzheimer's disease is prescribed donepezil . Which teaching should the nurse provide to the family about this medication ?
OA . " It should improve the ability to perform self - care . "
The nurse is asked about the roles of the hippocampus and amygdala in post - traumatic stress disorder . Which explanation should the nurse provide ?
OA . " The hippocampus regulates which sensory signals reach the brain , and the amygdala regulates consciousness . "
The nurse is discussing with a client the role of cholesterol in the body . Which statement should the nurse make that describes why dietary cholesterol contributes to development of atherosclerosis ?
OA . " While cholesterol is vital for several body processes , the body synthesizes most of what it needs , requiring little from the diet . "
A client taking temazepam ( Restoril ) for many years to treat insomnia says , " I'm tired of taking this medication . " Which response should the nurse make ?
OA . " You shouldn't stop the medication abruptly . "
The nurse is reviewing information about clients recovering from surgery . Which client should the nurse anticipate being the best candidate for using a patient - controlled analgesic ( PCA ) pump ?
OA . A client recovering from surgery who is alert and conscious
A child forgets to go to the school nurse to take the mid - day dose of methylphenidate and has difficulty focusing the rest of the day at school . Which information should the nurse provide the parent ?
OA . A transdermal patch can be used for medication adherence .
A client is prescribed a succinimide for seizure activity . For which type of seizure should the nurse assess this client ?
OA . Absence
A client has been prescribed a benzodiazepine for anxiety . Which should the nurse recall about this treatment ?
OA . Benzodiazepines should be used for short - term therapy .
A client's medication is changed from oral hydrochlorothiazide ( Microzide ) to intravenous mannitol ( Os - mitrol ) . Which monitoring should the nurse eliminate from the plan of care ?
OA . Glucose level
A client with chronic hypertension ( HTN ) refuses to take prescribed medications . For which potential cardiac disorder should the nurse monitor this client ?
OA . Heart failure
A client's dose of dantrolene ( Dantrium ) is increased from 25 mg by mouth once daily to 100 mg by mouth twice daily . For which risk should the nurse closely monitor ?
OA . Hepatotoxicity
A client is prescribed spironolactone ( Aldactone ) . For which electrolyte imbalance should the nurse monitor this client ?
OA . Hyperkalemia
A client is prescribed cyclobenzaprine ( Amrix ) . For which health problem should the nurse question administering this medication ?
OA . Hypothyroidism
A client receives an opioid analgesic after a head injury . For which complication should the nurse monitor this client ?
OA . Increased intracranial pressure ( ICP )
The nurse is reviewing laboratory findings for a client . Which results should the nurse identify as characteristic of familial hypercholesterolemia ?
OA . Increased low - density lipoprotein ( LDL ) and cholesterol
The nurse is teaching a client with frequent migraine headaches actions to prevent their onset . Which information should the nurse include in the teaching ?
OA . Keep a food diary to correlate with symptoms .
A client taking hydralazine for hypertension experiences a rash , itching , fever , and myalgia . Which health problem should the nurse suspect is causing these adverse effects ?
OA . Lupus - like syndrome
A client experiences throbbing head pain and an aura . Which type of headache should the nurse suspect this client is experiencing ?
OA . Migraine
A client taking chlorpromazine learns of being pregnant . Which action should the nurse Take ?
OA . Obtain a new prescription from the healthcare provider .
A client is prescribed ergotamine ( Ergostat ) for a migraine headache . For which reason should the nurse question administering the medication to the client ?
OA . The client may be pregnant
A client experienced disorientation after having a seizure that lasted 2 minutes with a period of intense muscle contraction followed by convulsions . For which type of seizure should the nurse plan care for this client ?
OA . Tonic - clonic
A client's medication is changed from bumetanide ( Bumex ) to triamterene ( Dyrenium ) . Which should the nurse expect this medication to decrease ?
OA . Urine output
A client with absence seizures asks why convulsions never occur . Which response should the nurse make ?
OB . " Convulsions are not seen in absence seizures . "
The nurse is teaching a client about safety when taking a sedative for insomnia . Which instruction should the nurse provide ?
OB . " Do not keep medications at your bedside . "
A client is prescribed escitalopram ( Lexapro ) . Which client statement indicates teaching about this medication has been effective ?
OB . " I will not ingest any alcohol while taking this medication . "
The nurse is teaching a client about zolpidem ( Ambien ) . Which client statement should indicate to the nurse that teaching was effective ?
OB . " I'll take this medication on an empty stomach . "
The nurse is teaching a client about nonpharmacologic approaches to reduce blood pressure . For which client statement should the nurse intervene ?
OB . " It is okay to eat saturated fats , but I need to decrease my intake of unsaturated fats . "
The family of a client with Parkinson's disease asks why a list of current medications is necessary to provide . Which response should the nurse make ?
OB . " Ongoing assessment helps determine whether the medication is working . "
A client asks , " How did I get schizophrenia ? " Which response should the nurse provide ?
OB . " The cause has not yet been identified but it might be genetic or because of chemicals in the brain . "
The family of a client with Parkinson's disease report an increase in symptoms before the next dose of medications is due . Which response should the nurse make ?
OB . " This may be due to the wearing - off effect and should be reported . "
A client has been prescribed valerian . Which desired outcome should the nurse expect to observe ?
OB . An increase amount of relaxation
A child is prescribed amphetamines for the treatment of attention - deficit / hyperactivity disorder ( ADHD ) . For which adverse effect should the nurse assess this client ?
OB . Anorexia
A client reports impotence since beginning an antidepressant . Which action should the nurse take first ?
OB . Ask the client if considering not taking the drug because of this issue
A client is experiencing severe coughing from bronchitis . Which medication should the nurse anticipate being prescribed ?
OB . Codeine
A client is diagnosed with schizoaffective disorder . Which clinical manifestation should the nurse recognize that differentiates this disorder from schizophrenia ?
OB . Depression
A 2 - year - old child has intense muscle contractions and a fever of 104.3 ° F. Which health problem should the nurse suspect in this client ?
OB . Febrile seizure
A client's dose of tizanidine ( Zanaflex ) is changed from 4 mg by mouth every 8 hours to 8 mg by mouth every 6 hours . For which complication should the nurse closely monitor the client ?
OB . Hypotension
A client reports reliving a friend's gruesome murder . Which region of the brain should the nurse anticipate being affected by prescribed medication ?
OB . Locus coeruleus
The nurse is providing care to assigned clients . Which client should the nurse identify as being at risk for major depression ?
OB . Middle - aged client who reports extreme fatigue and despair daily , missing work , and not cleaning the house due to the inability to get out of bed for the past 3 weeks
A client is prescribed an antipsychotic medication . Which intervention should the nurse implement at this time ?
OB . Monitor ambulation until the effects of the medication are known .
A client is prescribed around - the - clock oxycodone with aspirin ( Percodan ) for postsurgical pain . Which action should the nurse take ?
OB . Monitor liver enzyme levels .
A client asks why angiotensin - converting enzyme ( ACE ) inhibitors cause coughing . Which action of an ACE inhibitor should the nurse include when responding to the client ?
OB . Prevention of bradykinin breakdown , leading to its accumulation
A client is prescribed cyclobenzaprine ( Amrix ) and a monoamine oxidase inhibitor . Which action should the nurse take ?
OB . Question giving the medication
The nurse is teaching a client starting medication for hyperlipidemia . Which follow - up action should the nurse instruct the client to do ?
OB . Schedule liver function studies and creatine kinase levels .
The nurse is assessing a client experiencing bradykinesia . For which reason should the nurse anticipate a diagnosis of secondary Parkinson's disease ?
OB . Schizophrenia treated with antipsychotics
A client taking a diuretic develops gynecomastia . Which medication should the nurse suspect as causing this finding ?
OB . Spironolactone ( Aldactone )
The nurse is teaching the parent of a child with attention - deficit / hyperactivity disorder about the medication atomoxetine ( Strattera ) . Which adverse effect should the nurse emphasize ?
OB . Suicidal thoughts
The nurse is asked how calcium channel blockers improve heart function . Which information about these drugs should the nurse include in the response ?
OB . They reduce ischemia by delivering more blood to the myocardium .
A client is recovering from an emergency appendectomy . Which action should the nurse take to ensure that medication is provided before the client's pain becomes severe ?
OB . Use pain rating scale consistently .
A client with cancer is experiencing bone pain . Which adjuvant medication should the nurse expect to be prescribed for this client ?
OB . Zoledronate .
A client has been prescribed a barbiturate for epilepsy . Which information should the nurse include in medication teaching ?
OD . " Barbiturates have a high potential for drug dependence , so you will be monitored closely by your healthcare provider . "
The nurse is providing instruction to a client who is taking a calcium channel blocker . Which client statement should indicate to the nurse that additional teaching is required ?
OD . " I don't have a scale , so I can't weight myself every day . "
A client taking a sulfonylurea medication is prescribed a thiazide diuretic . Which client statement should indicate to the nurse that teaching has been effective ?
OD . " I'll be sure to check my blood glucose more often . "
The nurse teaches a client about a prescribed thiazide diuretic . Which client statement should indicate to the nurse that teaching has been effective ?
OD . " I'll report a blood pressure of 90/60 mm Hg or lower . "
A client asks about the benefit of changing from a tricyclic antidepressant ( TCA ) to a selective serotonin reuptake inhibitor ( SSRI ) . Which response should the nurse make ?
OD . " SSRIs have no sexual adverse effects . "
A client asks how sleep disorders can be objectively diagnosed . Which response should the nurse provide ?
OD . " Sleep disorders are diagnosed on the basis of electroencephalogram results . "
A client has no reduction in lipid levels after taking cholestyramine ( Questran ) for 4 weeks . Which response should the nurse make ?
OD . " The medication can sometimes take 30 days or more to be effective . "
The nurse is teaching a client about possible causes of insomnia . Which client statement should indicate to the nurse that further teaching is needed ?
OD . " The use of antihypertensive medications may cause insomnia .
The family asks why a client with Parkinson's disease has dark urine . Which response should the nurse make ?
OD . " This may be a side effect of the medication . "
A client is taking an antihistamine for insomnia . Which common side effect should the nurse anticipate ?
OD . Daytime drowsiness
A client is newly diagnosed with absence seizures . Which medication should the nurse anticipate will be prescribed as a first - line treatment ?
OD . Ethosuximide ( Zarontin )
An infant has been involved in a motor vehicle crash . Which assessment scale should the nurse use to assess the infant's pain level ?
OD . FLACC
A client repeatedly takes very hot baths because " they told me to do it . " Which manifestation of psychosis should the nurse recognize this to be ?
OD . Hallucinations
A client reports routinely taking kava . For which health problem should the nurse assess this client ?
OD . Insomnia
The nurse teaching a client taking phenytoin ( Dilantin ) about drug interactions . Which information should the nurse include ?
OD . It can be safely taken with steroids .
The nurse discusses the relationship between the glomerulus and medications with a colleague . Which information should the nurse include ?
OD . Medications that are bound to plasma proteins are too large to be filtered .
The nurse discovers a client " cheeking " antipsychotic medication . Which intervention should the nurse take ?
OD . Obtain a prescription for an intramuscular medication .
The nurse reviews client information obtained during hand - off communication . In which disease should the nurse expect the greatest benefit of medication therapy in clients with neurodegenerative diseases ?
OD . Parkinson's disease
A client scheduled for surgery is prescribed the benzodiazepine midazolam ( Versed ) . Which should the nurse explain about the purpose of this medication ?
OD . Reduces anxiety and stress
A client has been prescribed capsaicin cream . Which information should the nurse include when teaching the client about applying this medication to painful muscles ?
O D. Wear gloves while applying it .
A client using melatonin for insomnia reports headaches , nausea , and dizziness the next day . Which should the nurse consider as the reason for the client's symptoms ?
OC . Taking it too many days
A client is receiving an opioid medication via intravenous push . For which action should the nurse intervene ?
OC . The medication is diluted with 2 mL of sterile normal saline .
The nurse is reviewing a client's laboratory results . Which value should the nurse note as undesirable ?
OC . Total cholesterol 220 mg / dL
A client is prescribed a loop diuretic . Which medication teaching should the nurse provide ? ( Select all that apply . )
A. " Avoid alcoholic beverages . " D. " Drink fluids when you feel thirsty . " E. " Take measures to avoid excessive sweating . "
A client with a history of substance use is having seizures . Which substance should the nurse suspect is causing this activity ? ( Select all that apply . ) .
A. Alcohol D. Sedative - hypnotic drugs E. Cocaine
A client is prescribed risperidone ( Risperdal ) . Which health problem should the nurse expect this medication to treat ? ( Select all that apply . )
A. Bipolar disorder B. Schizophrenia
The nurse prepares teaching on hypertension ( HTN ) for a community health fair . Which organ should the nurse identify that is most affected by this health problem ? ( Select all that apply . )
A. Brain B. Retina C. Heart E. Kidneys
A client is taking cholestyramine ( Questran ) . Which laboratory value should the nurse expect to be decreased in this client ? ( Select all that apply . )
A. Calcium B. Potassium D. Sodium
A client with hypertension asks about types of medications that are known to reduce hypertension - related morbidity and mortality . Which drug class should the nurse include in response ? ( Select all that apply . )
A. Calcium channel blockers ( CCBS ) B. Angiotensin - converting enzyme ( ACE ) inhibitors C. Angiotensin receptor blockers ( ARBs ) E. Thiazide diuretics
The nurse is assessing a client with hypertension . Which data should the nurse obtain to ensure the best medications are prescribed for this client ? ( Select all that apply . )
A. Client readiness for learning B. Complete drug history D. Full health history E. Full set of vital signs
A client prescribed an antiepileptic drug ( AED ) asks how the best medication to treat the disorder is selected . Which determining factor should the nurse provide ? ( Select all that apply )
A. Comorbid conditions B. Type of seizure C. Electrocardiogram ( ECG ) interpretation D. Medical history
A client has been taking atorvastatin ( Lipitor ) for 4 weeks . Which effect should the nurse expect ? ( Select all that apply . )
A. Decreased low - density lipoprotein ( LDL ) levels B. Increased high - density lipoprotein ( HDL ) levels C. Decreased very - low - density lipoprotein ( VLDL ) levels D. Lowered triglycerides
The nurse is discussing the clinical manifestations of schizophrenia . Which symptom should the nurse emphasize as a positive symptom ? ( Select all that apply . )
A. Delusions B. Hallucinations C. Disorganized speech pattern
A client is prescribed a diuretic for treatment of hypertension . Which information should the nurse include when teaching about this medication ? ( Select all that apply . )
A. Diuretic use will decrease fluid volume . B. Diuretics are one of the first drugs used to treat hypertension . D. Urinary output will be increased .
A client is prescribed chlorpromazine ( Thorazine ) to replace an antipsychotic medication . For which anticholinergic K side effect should the nurse monitor the client ? ( Select all that apply . )
A. Dry mouth B. Blurred vision E. Constipation
The nurse is completing a health history with a client diagnosed with depression . Which factor should the nurse suspect to have contributed to the client's depression ? ( Select all that apply . )
A. Early Alzheimer's disease D. Vitamin B deficiencies E. Thyroid gland dysfunction
A client is taking an antipsychotic medication . Which laboratory test should the nurse anticipate being prescribed for K this client ? ( Select all that apply . )
A. Electrolytes B. Complete blood count . D. Glucose E. Lipid levels
The nurse is teaching a client about nonpharmacologic treatments for hypertension . Which outcome goal should the nurse suggest ? ( Select all that apply . )
A. Exhibit a measurable decrease in blood pressure B. Minimize dose of antihypertensive drugs needed D. Eliminate the need for pharmacotherapy
A client with status epilepticus is prescribed intravenous ( IV ) phenytoin ( Dilantin ) . Which should the nurse consider when administering this medication ? ( Select all that apply . )
A. Flush the intravenous line with normal saline before and after administering C. Provide the medication at a rate of 50 mg / min D. Use a filter when infusing the medication E. Monitor cardiovascular status during and after administering
A client is newly diagnosed with mixed seizure disorder . Which information should the nurse assess prior to medication administration ? ( Select all that apply . )
A. History of closed - angle glaucoma B. History of seizures D. Current medications and drug allergies
The nurse is caring for a client with chronic kidney disease ( CKD ) . For which potential complication should the nurse assess this client ? ( Select all that apply . )
A. Hypocalcemia D. Anemia E. Hyperkalemia
A client with hypertension receives an initial dose of a direct vasodilator . For which potential adverse effect should the nurse monitor this client ? ( Select all that apply . )
A. Hypotension C. Bradycardia D. Dizziness
A client with hyperlipidemia is being instructed on lifestyle changes to supplement medications . Which change should the nurse suggest to help reduce cholesterol ? ( Select all that apply . )
A. Implement a medically supervised exercise plan B. Reduce dietary saturated fats and cholesterol C. Eliminate tobacco use E. Maintain weight at an optimal level
Parents of a school - age child suspect their child has attention - deficit / hyperactivity disorder ( ADHD ) . Which clinical manifestation should the nurse expect the parents to report ? ( Select all that apply . )
A. Inattentiveness B. Poor school performance C. Hyperactivity E. Tendency to interrupt
A client's medication is changed from eplerenone ( Inspra ) to torsemide ( Demadex ) . Which effect should the nurse expect ? ( Select all that apply . )
A. Increased diuresis B. Decreased edema C. Renal potassium excretion
The nurse is preparing teaching material about migraine headaches . Which should the nurse use to describe an aura ? ( Select all that apply . )
A. Jagged lines B. Flashing lights C. Odd smell E. Odd taste
The nurse is researching causes of attention - deficit / hyperactivity disorder ( ADHD ) for a presentation to a group of parents . Which information about causes should the nurse include in the presentation ? ( Select all that apply . )
A. Lead exposure B. Alcohol exposure in utero C. Genetics
A client is prescribed diazepam ( Valium ) for a seizure disorder . For which additional medication should the nurse question providing this medication ? ( Select all that apply )
A. Levodopa B. Phenytoin C. Metoprolol D. Cimetidine
A client will be starting pharmacotherapy for hyperlipidemia . Which laboratory finding should the nurse evaluate ? ( Select all that apply . )
A. Lipid profiles C. Creatine kinase E. Liver function studies
The healthcare provider is considering a benzodiazepine for a client because of muscle relaxant properties . Which medication should the nurse expect to be prescribed ? ( Select all that apply . )
A. Lorazepam ( Ativan ) B. Clonazepam ( Klonopin ) C. Diazepam ( Valium )
An older client taking multiple medications for other health problems is prescribed an antiepileptic drug ( AED ) . Which potential issue should the nurse anticipate for this client ? ( Select All that apply . )
A. Memory impairment B. Balance deficits E. Toxic serum levels
A client is receiving lisinopril ( Prinivil ) . For which adverse effect should the nurse monitor this client ? ( Select all that apply . )
A. Orthostatic hypotension C. Cough D. Dizziness
A client has been diagnosed with secondary hypertension . For which possible cause should the nurse question the client ? ( Select all that apply . )
A. Past use of oral contraceptives B. Work exposure to asbestos D. Cushing's syndrome
The nurse is assessing an older client . Which cognitive change should the nurse report to the healthcare professional ? ( Select all that apply . )
A. Progressive memory loss B. Confusion C. Difficulty communicating D. Inability to think effectively
A client received a new prescription for a diuretic . Which baseline measurement should the nurse assess before administering the medication ? ( Select all that apply . )
A. Renal function studies B. Vital signs C. Weight D. Serum electrolytes
A client with hypertension appears confused about the treatment regimen . Which factor should the nurse discuss to individualize medication management ? ( Select all that apply . )
A. Risk factors C. Presence of comorbid medical conditions E. Degree of blood pressure elevation
Which intervention should the nurse include ? ( Select all that apply . ) The nurse is teaching a client taking an antipsychotic medication how to manage the side effect of hypotension .
A. Sit or lie down until the feeling passes . f dizziness occurs when standing . C. Rise slowly from lying or sitting to a standing position . D. Call for assistance when getting out of bed or attempting to walk alone . E. Avoid driving or other activities requiring mental alertness until effects of medication are known .
The nurse is asked to explain the reasons for the development of muscle spasms . Which health problem should the nurses include as being associated with muscle spasms ? ( Select all that apply . )
A. Skeletal muscle overuse C. Intermittent claudication
The nurse is reviewing causes of muscle spasms and spasticity . Which cause should the nurse recognize as being associated with muscle spasticity ? ( Select all that apply . )
A. Spinal cord injury B. Stroke D. Cerebral palsy ( CP )
A client has a history of seizure activity . For which trigger should the nurse assess this client ? ( Select all that apply . )
A. Strobe or flickering lights B. Minor electrolyte imbalances Anxiety D. Slight fluid imbalances E. Sleep deprivation
The nurse is teaching a client who is prescribed a muscle relaxant . Which information should the nurse emphasize ? ( Select all that apply . )
A. Suck on candy if dry mouth occurs . B. Report confusion to the healthcare provider . C. Do not mix opioids with muscle relaxants . E. Rise slowly when getting out of bed .
A client is given intravenous diazepam for status epilepticus . For which adverse effect should the nurse monitor this client ? ( Select all that apply . )
A. Tachycardia D. Hypotension E. Respiratory depression
A client is prescribed niacin as treatment for dyslipidemia . Which should the nurse include when teaching the client about this medication ? ( Select all that apply . )
A. Take with cold water B. Take one aspirin 30 minutes before the prescribed dose
The nurse is discussing medications with a client experiencing depression . Which advantage of selective serotonin reuptake inhibitors ( SSRIs ) should the nurse discuss ? ( Select all that apply . )
A. Therapy with an SSRI offers clients a quicker response time . B. Fewer side effects occur with SSRIs than tricyclic antidepressants ( TCAs ) . D. Most SSRIs have a good safety record . E. SSRIs are considered the drug of choice for the management of depression .
The nurse is reviewing triggers for migraine headaches with a client . Which should the nurse include in the teaching ? ( Select all that apply . )
B. Perfumes C. Alcohol E. Aspartame
The healthcare provider discontinues sertraline ( Zoloft ) in a client with obsessive - compulsive disorder . Which information should the nurse provide about discontinuing the treatment ?
OA . " Abrupt discontinuation can cause withdrawal symptoms . "
The nurse is preparing a teaching session on first - generation antipsychotic drugs . Which adverse effects of K nonphenothiazines should the nurse include ? ( Select all that apply . )
B. Less sedation . C. Fewer anticholinergic adverse effects E. Equal or greater incidence of extrapyramidal symptoms
A client has been prescribed lorazepam ( Ativan ) for anxiety . Which health problem should the nurse recognize increases the risk of drug overdose ?
OC . Sleep apnea
The nurse is teaching a community - based group about factors that contribute to the development of hyperlipidemia . Which information should the nurse include ? ( Select all that apply . )
B. Lifestyle factors C. Stress
A client taking an antiepileptic drug ( AED ) is considering becoming pregnant . Which information should the nurse provide this client ? ( Select all that apply . )
B. AEDs deplete folic acid E. AEDs have teratogenic effects .
The nurse . concerned that a client taking an antiepileptic drug ( AED ) may be overmedicated . Which sign should the nurse recognize as the result of overmedication ? ( Select all that apply . )
B. Agitation D. Disorientation E. Lethargy
The nurse is teaching a client about lorazepam . Which medication should the nurse include that alters the effectiveness of this medication ? ( Select all that apply . ) .
B. Alcohol . C. Levodopa D. Phenytoin E. Opiates
A client is taking furosemide ( Lasix ) . Which finding should the nurse identify as an adverse effect of this medication ? ( Select all that apply )
B. Blood dyscrasias C. Cardiac dysrhythmia E. Hyperuricemia
The nurse is preparing to administer chlorpromazine to a client . For which reason should the nurse question giving the client this medication ? ( Select all that apply . )
B. Bone marrow depression C. Comatose state D. Alcohol withdrawal E. Subcortical brain damage
A client is taking an antidepressant . For which adverse effect should the nurse monitor this client ? ( Select all that apply . )
B. Change in bowel habits C. Reports of sexual dysfunction D. Signs of seizure activity E. Hypotension
The nurse is reviewing the progression of kidney disease . Which risk factor should the nurse identify for the development of chronic kidney disease ( CKD ) ? ( Select all that apply . )
B. Chronic nephrotoxic medication use C. Diabetes mellitus D. Uncontrolled hypertension
A client is treated with onabotulinumtoxinA ( Botox ) . Which adverse effect should the nurse instruct the client to report immediately ? ( Select all that apply . )
B. Diplopia D. Dysphagia E. Muscle weakness
A client has been taking chlorpromazine ( Thorazine ) for psychosis . For which adverse effect should the nurse monitor this client ? ( Select all that apply . )
B. Dizziness . C. Constipation D. Extrapyramidal symptoms E. Sedation
The nurse is reviewing the perception of pain in the central nervous system . Which neurotransmitter should the nurse identify that affects substance P ? ( Select all that apply . )
B. Dynorphins C. Endorphins . E. Enkephalins
The nurse is assessing a client with panic disorder . Which clinical manifestation should the nurse expect ? ( Select all that apply . )
B. Feeling of immediate apprehension C. Fast heart rate E. Feeling of terror
A client is prescribed phenobarbital ( Luminal ) for a seizure disorder . For which reason should the nurse question providing this medication to the client ? ( Select all that apply . )
B. Glaucoma D. Prostatic hypertrophy
The nurse is teaching a client about losartan ( Cozaar ) . Which should the nurse identify as a therapeutic use for this medication ? ( Select all that apply . )
B. Guards against stroke in left ventricular hypertrophy D. Treats hypertension ☐E . Prevents type 2 diabetic neuropathy
A client is prescribed galantamine ( Razadyne ) for Alzheimer's disease . For which adverse effect should the nurse carefully monitor this client ? ( Select all that apply . )
B. Heart failure C. Renal failure
A client with Parkinson's disease asks the purpose of medication therapy . Which should the nurse explain as a goal of treatment for the disease ? ( Select all that apply .
B. Improve quality of life C. Increase in self - care ability E. Decrease in symptoms
The nurse is teaching a client with hyperlipidemia about dietary changes . Which food rich in omega - 3 and coenzyme Q10 ( CoQ10 ) should the nurse encourage the client to include in the diet ? ( Select all that apply . )
B. Sardines C. Extra - virgin olive oil D. Beef E. Nuts
The nurse is teaching a client with schizophrenia how to be successful with treatment . Which information should the nurse reinforce ? ( Select all that apply . )
B. Social support groups can be instrumental sources of help . C. See the healthcare provider at regular intervals . D. Pharmacotherapy will be needed for a long period of time . E. Take medication as prescribed to prevent reappearance of symptoms .
A client has been taking levodopa for Parkinson's disease . Which symptom should the nurse expect to improve in this client ? ( Select all that apply . )
B. Tremors D. Bradykinesia E. Muscle rigidity
A client has been taking antipsychotic medication for a month . Which improvement should the nurse expect to assess ? ( Select all that apply . )
C. Fewer hallucinations D. Fewer delusions
An adolescent client takes a stimulant for attention - deficit / hyperactivity disorder ( ADHD ) . Which client report symptom should the nurse recognize as a possible cardiac adverse effect ? ( Select all that apply . )
C. Palpitations D. Light - headedness . E. Dizziness
The nurse is developing a plan of care for a client newly diagnosed with bipolar disorder . Which high - risk factor should the nurse address for the client ? ( Select all that apply . )
C. Poor adherence to medical therapy D. Increased risk for suicide
A client with a history of nonadherence to medication therapy is prescribed haloperidol ( Haldol ) for severe agitation and delirium . Which route should the nurse expect to provide this medication ?
COD . Intramuscular
A client is prescribed lorazepam . For which health problem should the nurse question this medication ? ( Select all that apply . )
D. Thoughts of suicide E. Closed - angle glaucoma
A client is prescribed a statin . At which time should the nurse instruct the client to take the medication to have the optimal effects ?
In the evening
A client taking levodopa / carbidopa for Parkinson's disease is prescribed benztropine . Which information about the new medication should the nurse include during teaching ?
O A. " Your symptoms may improve , but there will be no change in the tardive dyskinesia . "
The spouse of a client prescribed an extended release opioid medication asks if the dose can be crushed since the client has difficulty swallowing pills . Which response should the nurse provide ?
O A. D " The medication must be swallowed whole . I'll speak with the provider about changing the prescription . "
A client with terminal cancer reports shortness of breath . Which medication should the nurse anticipate being prescribed ?
O A. Morphine
A client with muscle spasms is taking a centrally acting skeletal muscle relaxant . Which nursing observation indicates that the medication is effective ?
O A. The client walks independently to the bathroom .
A school - age client has been taking long - acting methylphenidate ( Concerta ) for 6 months for attention - deficit / hyperactivity disorder ( ADHD ) . Which assessment finding should indicate that the medication has been effective to manage the symptoms ?
O A. Weight gain .
A client is experiencing a hypertensive emergency . Which type of medication should the nurse anticipate administering concurrently with a direct vasodilator to help prevent reflex tachycardia ?
O B. Beta - adrenergic blocker
A client is taking hydrochlorothiazide ( Microzide ) . Which effect should the nurse expect from concurrent use with a corticosteroid ?
O B. Decreased serum potassium
The nurse reviews the mechanism of action for a thiazide diuretic . Which location should the nurse identify as the target for this medication ?
O B. Early distal tubule
A client with chronic kidney disease ( CKD ) has received epoetin alfa ( Epogen ) . For which therapeutic effect should the nurse monitor ?
O B. Increased RBC production
A client has unintentionally ingested a toxin . From which drug class should the nurse expect medication to be prescribed ?
O B. Loop diuretic
exld = 1 & Question A client with attention - deficit / hyperactivity disorder ( ADHD ) is prescribed methylphenidate . For which client health problem should the nurse question this medication ?
O B. Motor tics
A client with Parkinson's disease is experiencing muscle rigidity and a resting tremor . Which medication should the nurse anticipate being prescribed for this client ?
O B. Pramipexole
The nurse is completing a health history for a client with Alzheimer's disease . For which reason should the nurse obtain an accurate drug history ?
O B. Prevents a drug interaction
A client is prescribed spironolactone ( Aldactone ) . For which electrolyte imbalance should the nurse monitor this client ?
O C. Hyperkalemia
The nurse notes behavior changes in an older client . Which should the nurse identify as an early symptom of Alzheimer's disease ?
O C. Short - term memory loss
A client is prescribed cyclobenzaprine ( Amrix ) . For which reason should the nurse question providing this medication ?
O C. Takes a monoamine oxidase inhibitor ( MAOI )
The nurse records the progress of a school - age child who takes phenobarbital for seizure activity . Which statement by the mother should indicate the need for further teaching ?
O D. " I will not give my child the medication with milk . "
A client comments that several friends are all taking statins . Which response should the nurse make ?
O D. " Statins are the first - line drug of choice for lipid disorders , which is why they are so commonly used . "
A client is hospitalized multiple times for nonadherence to antipsychotic medication and reappearance of symptoms . Which intervention should the nurse consider as alternative therapy ?
O D. Administer a long - acting intramuscular depot preparation .
The nurse explains that angiotensin - converting enzyme ( ACE ) inhibitors cause bradykinins to accumulate in the blood . Which adverse effect of ACE inhibitors should the nurse recognize is due to this buildup ?
O D. Angioedema
A client develops muscle spasticity after sustaining a spinal cord injury . Which should the nurse identify as the pathophysiology for the client's muscle spasticity ?
O D. Damage to the motor areas of the cerebral cortex that control muscle movement .
A client with muscle spasticity reports a fear of developing contractures . Which intervention should the nurse recommend to prevent this health problem ?
O D. Muscle stretching
The nurse is reviewing the history of a 3 - year - old client . Which data should the nurse understand indicates the need for targeted screening of lipid levels ?
O D. Positive family history of dyslipidemia - related cardiovascular disease
A client has a new prescription for imipramine . Which information should the nurse include about a serious adverse effect ?
O D. Report any suicide ideation .
A client is receiving a statin and gemfibrozil ( Lopid ) . For which increased risk should the nurse monitor the client ?
O D. Rhabdomyolysis
A client taking a statin has an elevated creatine kinase level . Which medication change should the nurse expect ?
O D. The drug should immediately be discontinued .
A client is experiencing muscle spasticity . Which centrally acting medication should the nurse expect to be prescribed ?
O D. Tizanidine ( Zanaflex )
A client taking an angiotensin - converting enzyme ( ACE ) inhibitor to treat sustained hypertension reports a persistent cough . Which response should the nurse provide to address the client's symptom ?
OC . " A persistent cough is common with ACE inhibitors , particularly early in therapy . "
A client receiving lithium for treatment of bipolar disorder reports feeling weak and urinating more frequently . Which question should the nurse ask to obtain further information ?
OC . " Are you more thirsty than usual ? "
A young client taking pramipexole for Parkinson's disease reports dizziness when changing positions . Which should the nurse instruct this client ?
OC . " Dangle your feet off the side before getting out of bed . "
The nurse is asked about the process for selecting a statin . Which statement should the nurse make to describe this process ?
OC . " Generally , the experience of the healthcare provider and the individual client response guide selection . "
A client is taking benztropine for Parkinson's disease . Which client statement should the nurse report to the healthcare provider ?
OC . " I am taking medication for narrow - angle glaucoma . "
The nurse instructs a client about a thiazide diuretic . Which client statement should indicate to the nurse the need for additional teaching ?
OC . " I can eat as many salty foods as I want , as long as I take the diuretic as prescribed . "
The nurse teaches a client being treated for major depression . Which client statement should indicate that teaching was effective ?
OC . " I should weigh myself weekly and contact the provider if I have gained or lost 5 pounds or more . "
The nurse is teaching a client about a prescribed selective serotonin reuptake inhibitor ( SSRI ) medication . Which client statement should indicate to the nurse that further teaching is needed ?
OC . " I started taking the medication 2 days ago , but it doesn't seem to be working . "
The nurse teaches a client about prescribed extended - release cyclobenzaprine capsules . Which client statement should indicate that teaching has been effective ?
OC . " I will not open the capsules . "
A client with Alzheimer's disease is prescribed rivastigmine ( Exelon ) . Which should the nurse instruct the client and family about this medication ?
OC . " Take with food . "
A client asks which medication blocks the absorption of cholesterol from the small intestine . Which response should the nurse provide ?
OC . " The drug is called ezetimibe , or Zetia . "
The nurse prepares teaching for the family and client with Parkinson's disease . Which information about home safety should the nurse include ?
OC . " There is a risk for falling . "
The nurse is teaching a client's family and caregiver how to monitor for nonadherence to antipsychotic medications . Which information should the nurse include ?
OC . " Watch for original symptoms or adverse effects suddenly appearing or increasing in frequency or severity . "
A client with muscle spasms reports leg pain and leg muscle contractions . Which question should the nurse ask first to help determine the most likely cause of the client's symptoms ?
OC . " Will you tell me about your daily activities ? "
The nurse is discussing glomerular filtration rate ( GFR ) changes that occur with chronic kidney disease ( CKD ) . Which statement should the nurse recognize is accurate ?
OC . A low GFR indicates a low number of functioning nephrons .
A client does not want to take prescribed morphine because it causes nausea . Which action should the nurse take ?
OC . Administer prescribed antiemetic 30 minutes before the next scheduled dose .
A client being treated for psychosis is concerned their significant other will have negative feelings about the prescribed medication that may affect sexual function . Which suggestion should the nurse make to the healthcare provider regarding this concern ?
OC . Change to a drug that does not cause sexual dysfunction .
A client is in status epilepticus . Which medication should the nurse anticipate being prescribed for this client ?
OC . Diazepam
Gemfibrozil ( Lopid ) is being considered for a client . For which preexisting condition should the nurse recognize the medication is contraindicated ?
OC . Gallbladder disease
A client is prescribed the muscle relaxant metaxalone ( Skelaxin ) . For which adverse effect should the nurse monitor this client ?
OC . Laryngospasm
A client with severe opioid addiction asks how withdrawal can be treated . Which medication should the nurse discuss with the client ?
OC . Methadone
A client is prescribed a carbonic anhydrase inhibitor . Which response should the nurse expect after administering this medication ?
OC . Minimal diuresis
A client recovering from surgery reports a pain level of 3. Which medication should the nurse anticipate being prescribed ?
OC . Nonsteroidal anti - inflammatory drugs ( NSAIDs )
consider when responding to the client ? A client prescribed cyclobenzaprine ( Amrix reports not understanding the importance of moving slowly when getting out of bed each morning . Which adverse effect should the nurse
OC . Orthostatic hypotension
A client is being treated for an anxiety disorder . For which reason should the nurse question providing escitalopram ( Lexapro ) to this client ?
OC . Prescribed a monoamine oxidase inhibitor
A client is beginning therapy with phenelzine ( Nardil ) . Which food should the nurse instruct the client to avoid due to possible hypertensive crisis ?
OC . Red wine
A client is experiencing severe nausea and vomiting from a migraine headache . Which should the nurse include when teaching this client ?
OC . Self - injection of prefilled triptan syringes
The nurse is teaching about Parkinson's disease . Which area of the brain should the nurse identify as the primary production site for dopamine ?
Substantia nigra
