Neuro Pharm

A nurse is preparing to administer eardrops to a 2-year-old child. The nurse should pull the auricle in which of the following directions when instilling the medication?

A. Down and backward

A nurse is reinforcing teaching with a pediatric client and his and family about the purpose of methylphenidate to manage ADHD. The nurse should explain the the purpose of this medication therapy is to do which of the following?

A. Increase focus

A nurse is reinforcing teaching with lithium carbonate for bipolar disorder. For which of the following findings should the nurse as an adverse effect lithium carbonate?

A. Thyroid enlargement

A nurse is collecting data from a client who has severe dementia and a fractured femur due to a fall. Which of the following manifestations should the nurse understand is a physical finding in acute pain?

B. Increased pulse rate

A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?

C. Lorazapam

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?

C. Wait up to 3 weeks to see the full effects of the medication.

A nurse is caring for a client who states, "I am not going to take my medication anymore." Which of the following responses should the nurse make?

D. "Tell me more about this decision."

A nurse is reviewing the medical record of a client who has a new prescription for morphine. Which of the following findings should the nurse identify as a contraindication to this medication?

D. The client has a paralytic ileus.

A nurse is reinforcing teaching with a client who is prescribed olanzapine. For which of the following adverse effects should the nurse instruct the client to monitor?

D. Weight gain

A nurse is reinforcing teaching with a client who is taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

B. Difficulty voiding

A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years. The nurse notes choreiform movements, lip smacking, and spastic facial distortions. The nurse should document these findings as indicating which of the following conditions?

A. Tardive dyskinesia

A nurse is reinforcing teaching with a client who has chronic open angle glaucoma. The client has been prescribed pilocarpine ophthalmic solution. Which of the following statements by the client demonstrates an understanding of the teaching?

C. "I should expect to have blurred vision for up to two hours after using this medication."

A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include?

A. "Avoid driving until the medication's effects are evident."

A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse include?

A. "Diazepam can cause drowsiness."

A nurse in a community clinic is collecting data from a client who is withdrawing from a heavy cocaine use. When collecting data from the client, which of the following manifestations should the nurse expect to observe?

A. Apathy

A nurse is preparing a presentation for coworkers about the various herbal remedies clients might report using. Which of the following should she include as an herbal supplement clients might use to lose weight and improve mental clarity?

A. Green tea

A nurse is collecting data from client who has just begun therapy with alprazolam to treat anxiety. The nurse should observe the client for which of the following adverse effects of this medication?

A. Sedation

A nurse is reinforcing teaching with a client who has a new prescription for lithium carbonate to treat bipolar disorder. The nurse should make sure the client understands that he must maintain consistency in his intake of which of the following dietary elements?

A. Sodium

A nurse in an urgent care center is collecting data from a client who reports taking an excessive amount of aspirin. Which of the following findings should the nurse identify as an indication of salicylism?

A. Tinnitus

A nurse is collecting data from a client who is a start taking amitriptyline for depression. Which of the following dietary supplements should the nurse instruct the client to avoid?

A. Valerian

A nurse is collecting data from a client who reports taking several herbal supplements. Which of the following supplements should the nurse tell the client can increase sedation in clients who take CNS depressant medications?

A. Valerian

A nurse is reinforcing teaching with a client who reports having migraine headaches. The nurse should identify that the client can use which of the following herbal supplement clients might use to treat insomnia?

A. Valerian

A nurse is collecting data from a client who is postoperative from a mastectomy and was administered hydromorphone 1 hr. ago. The nurse should identify that which of the following findings is an adverse effect of this medication?

A. Vomiting

A nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa. Which of the following actions should the nurse take?

B. Apply gentle pressure with a finger to the tragus of the ear.

A nurse is caring for a client who is postoperative and receiving fentanyl via patient controlled analgesia. The client has a prescription for naloxone. The nurse understands that the purpose of naloxone is which of the following?

B. Block the effects of opioids on the central nervous system

A nurse is caring for an older adult client who is 5 days postoperative following a total arthroplasty and is receiving meperidine for pain. While the nurse is taking morning vital signs, the client begins to experience a seizure. Which of the following should the nurse recognize as the possible cause for this seizure?

B. Cumulative Effect

A nurse is reinforcing teaching with a client who reports having migraine headaches. The nurse should identify that the client can use which of the following herbal supplements prophylactically to manage migraine headaches?

B. Feverfew

A nurse is reinforcing teaching with a client who reports constipation and wants to use an herbal supplement. The nurse should identify that the client can use which of the following herbal supplements to treat constipation?

B. Flaxseed

A nurse is collecting data for a client who has been taking cyclobenzaprine for the past weeks. Which of the following therapeutic effects should the nurse expect to find?

B. Relief of muscle spasms

A nurse is assisting with the admission of a client to the medical unit. The client's valuables include a container of ginkgo biloba. The client states he takes a dose each day to improve his memory. Which of the following statements should the nurse make?

C. "I will check with your doctor to be sure it's okay for you to take is while you're in the hospital."

A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recomend the client take with the medication?

C. 1 cup (8oz) of applesauce

A nurse is reinforcing dietary teaching for dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Which of the following food choices should the nurse identify as having the highest tyramine content?

C. Avacadoes

A nurse is caring for a client who has schizophrenia and is receiving clozapine. For which of the following findings should the nurse monitor to determine if the medication is having a therapeutic effect?

C. Decreased auditory hallucinations

A nurse is collecting data from a client who self-administered pilocarpine ophthalmic drops. Which of the following findings by the nurse indicates a systemic adverse effect of this medication?

C. Diarrhea

A nurse is preparing a prescription for coworkers about the various herbal clients might report using. Which of the following should she include as an herbal supplement clients might use to help boost their memory?

C. Ginkgo bilboba

A nurse is administering risperidone to a client who has schizophrenia. For which of the following adverse effects should the nurse monitor?

C. Increased triglyceride level

A nurse is reinforcing teaching a client who has a new prescription for phenytoin. The nurse should instruct the client to monitor and report which of the following adverse effects of this medication?

C. Skin rash

A nurse in a provider's office is reinforcing teaching with a client who is taking multiple medications. The nurse should instruct the client to avoid performing hazardous activities while taking which of the following medications that can cause daytime sedation?

C. Triazolam orally at bedtime

A nurse is reinforcing teaching with client who is to start taking hydeoxychloroquine to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

C. Wear sunglasses when out in bright sunshine.

A nurse is collecting data from a client admitted to an inpatient mental health unit and has a new prescription for disulfiram. Which of the following information is most important for the nurse to obtain before administering this medication?

C. When the client last drank alcohol

A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder. Which of the following instructions should the nurse include when reinforcing the teaching?

C. Withhold dose if having a fine hand tremor.

A nurse is caring for a client who reports daily use of acetaminophen to manage mild knee pain. Which of the following statements by the client should the nurse investigate further?

D. "I take over-the-counter cold medicine for my dinus congestion."

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?

D. "I'll be glad when my seizures stop so i can quit taking this medicine."

A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?

D. "I'll need to report weight loss or gain to my provider while taking this medication."

A nurse is reinforcing teaching with a client who is to start taking perphenazine. Which of the following information should the nurse to include in the teaching?

D. "You should change positions slowly while you are taking this medication."

A nurse is reinforcing teaching with a client who has a new prescription for codeine. Which of the following information should the nurse include in the teaching?

D. Change positions slowly.

A nurse is caring for a postoperative client who is receiving fentanyl. Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?

D. Naloxone

A nurse is administering meperidine 100 IM for a client who is admitted with a pelvic fracture. Following the injection, which of the following data is the priority for the nurse to check?

D. Respiratory rate

A nurse is preparing a presentation for coworkers about the various herbal remedies clients might report using. Which of the following should she include as an include as an herbal supplement clients might use to treat the symptoms of depression?

D. St. John's wort

A nurse in an urgent care center is collecting data from a client who reports taking an excessive amount of acetaminophen. Which of the following findings should the nurse identify as an indication of acute acetaminophen toxicity?

D. Vomiting