Pharm Autonomic Nervous System

1150) A client is undergoing diagnostic testing for myasthenia gravis. Which test would the nurse identify as the most specific for this diagnosis? Electromyography Pyridostigmine test Edrophonium chloride test History of physical deterioration

Edrophonium chloride test

1485) Which side effect would the nurse assess for after epinephrine is administered to an infant with severe bronchospasms? Tachycardia Hypotension Respiratory arrest Central nervous system depression

Tachycardia

327) A client receiving fluphenazine decanoate develops dystonia early in therapy. Which medication would the nurse anticipate administering to reverse this side effect? Nafarelin Fluoxetine Trandolapril Benztropine

Benztropine

A client is experiencing anaphylaxis from an insect sting. Which medication should the nurse administer? A. Dopamine. B. Ephedrine. C. Epinephrine. D. Diphenhydramine.

C. Epinephrine.

5) An 11-year-old client reports having bedwetting issues (enuresis). Which medication would the nurse anticipate when developing a teaching plan ? Alprazolam Imipramine Lithium salts Clomipramine Rationale

Imipramine

226) Which drug category applies to cocaine? Opioids Stimulants Barbiturates Hallucinogens

Stimulants

13) Which medication class includes amitriptyline? Tricyclics Monoamine oxidase inhibitors (MAOIs) Autonomic Nervous System pharmacology Selective serotonin reuptake inhibitors (SSRIs) Serotonin-norepinephrine reuptake inhibitors (SNRIs) Rationale

Tricyclics

Question 7 To which nursing home resident could a nurse safely administer tricyclic antidepressants without questioning the health care provider's order? Question 7 Answer Choices A) A client with mild hypertension B) A client with narrow-angle glaucoma C )A client with coronary artery disease (CAD) D) A client with benign prostatic hypertrophy (BPH)

A) A client with mild hypertension

116) A 65-year-old client is receiving amitriptyline. Which recommendation will the nurse make to the client concerning this medication? 'Obtain a complete cholesterol and lipid profile.' 'Have an eye examination to check for glaucoma.' 'Check your temperature daily for nighttime increases.' 'Watch for excessive sweating and possible weight loss.'

'Have an eye examination to check for glaucoma.'

802) Pyridostigmine bromide is prescribed for a client with myasthenia gravis. The nurse evaluates that the medication regimen is understood when the client makes which statement? 'I will take the medication on an empty stomach.' 'I need to set an alarm so I take the medication on time.' 'It will be important to check my heart rate before taking the medication.' 'I should monitor for an increase in blood pressure after taking the medication.'

'I need to set an alarm so I take the medication on time.'

773) The health care provider prescribes neostigmine for a client with myasthenia gravis. Which client statement indicates understanding regarding medication management plans? 'I must keep the medication in a container in the refrigerator.' 'I should take the medication at the exact time that is listed on the prescription.' 'I will plan to take the medication between meals.' 'I expect that the onset of the medication's action will occur several hours after I take it.'

'I should take the medication at the exact time that is listed on the prescription.'

478) Which instruction would the nurse give to clients prescribed psychotropic medications who are experiencing anticholinergic-like side effects? 'Restrict fluid intake.' 'Eat a diet high in carbohydrates.' 'Suck on sugar-free hard candies.' 'Avoid products that contain aspirin.'

'Suck on sugar-free hard candies.'

185) A depressed client has been prescribed a tricyclic antidepressant. Which time period indicates how long it usually takes before the client notices a significant change in the depression? 4 to 6 days 2 to 4 weeks 5 to 6 weeks 12 to 16 hours

2 to 4 weeks

1504) Pilocarpine is used as part of the diagnostic process of a toddler suspected of cystic fibrosis. The nurse knows that the pilocarpine would stimulate which process? Secretion of mucus Activity of sweat glands Excretion of pancreatic enzymes Release of bile from the gallbladder

Activity of sweat glands

Question 6 The nurse is teaching a client diagnosed with depression about a new prescription of nortriptyline. What information would be essential for the nurse to emphasize about this medication? A) Episodes of diarrhea can be expected B) The medication must be stored in the refrigerator C) The use of alcohol should be avoided D) Symptom relief occurs in a few days

C) The use of alcohol should be avoided

1016) Which body system is affected by excessive use of amphetamine/dextroamphetamine? Renal Cardiac Musculoskeletal Autonomic Nervous System pharmacology Gastrointestinal

Cardiac

305) Which body system is affected by excessive use of amphetamine/dextroamphetamine? Renal Cardiac Musculoskeletal Gastrointestinal

Cardiac

1151) A client begins treatment with pyridostigmine bromide therapy for myasthenia gravis. Which action would the nurse perform in administration of the medication? Administer the medication after meals. Administer the medication on an empty stomach. Evaluate the client's psychological responses between medication doses. Evaluate the client's muscle strength every hour after the medication is given.

Evaluate the client's muscle strength every hour after the medication is given.

374) Which action would the nurse perform when beginning pyridostigmine bromide therapy for a client with myasthenia gravis? Administer the medication after meals. Administer the medication on an empty stomach. Evaluate the client's psychological responses between medication doses. Evaluate the client's muscle strength every hour after the medication is given.

Evaluate the client's muscle strength every hour after the medication is given.

346) Which nursing action is appropriate when administering imipramine? Telling the client steroids will not be prescribed Warning the client not to eat cheese Monitoring the client for increased tolerance Having the client checked for increased intraocular pressure

Having the client checked for increased intraocular pressure

48) A client with a history of methamphetamine use is admitted to the medical unit. Which clinical manifestation would the nurse expect when assessing the client who is under the influence on admission? Constricted pupils Intractable diarrhea Increased heart rate Decreased respirations

Increased heart rate

896) A client presents to the clinic for a follow-up appointment after starting pyridostigmine for management of myasthenia gravis. Which new client problems are adverse effects of pyridostigmine? Select all that apply. One, some, or all responses may be . Respiratory depression Increased urinary frequency Diplopia Muscle twitching Diarrhea

Muscle twitching Diarrhea Increased urinary frequency

908) Which action is likely to reduce the pancreatic and gastric secretions of a client with pancreatitis? Encourage clear liquids. Obtain a prescription for morphine. Assist the client into a semi-Fowler position. Administer prescribed anticholinergic medication.

Obtain a prescription for morphine

358) Which statement accurately describes nortriptyline? Select all that apply. One, some, or all responses may be . Overdosage is often lethal. Constipation and urinary retention may occur. It is a selective serotonin reuptake inhibitor (SSRI). Weight gain is a common side effect. It increases effectiveness of monoamine oxidase inhibitors (MAOIs).

Overdosage is often lethal. Constipation and urinary retention may occur. Weight gain is a common side effect.

1156) A client with myasthenia gravis has been receiving neostigmine and asks about its action. Which information would the nurse consider when formulating a response? Stimulates the cerebral cortex Blocks the action of cholinesterase Replaces deficient neurotransmitters Accelerates transmission along neural sheaths

Replaces deficient neurotransmitters

586) The nurse is assessing an adolescent after the administration of epinephrine. Which side effect is most important for the nurse to identify? Tachycardia Hypoglycemia Constricted pupils Decreased blood pressure

Tachycardia

1053) Pyridostigmine is prescribed for a client with myasthenia gravis. Why would the nurse instruct the client to take pyridostigmine about 1 hour before meals? This timing limits first pass metabolism. Taking it on an empty stomach increases absorption. Taking it before meals decreases gastric irritation. Taking it before meals improves the ability to chew

Taking it before meals improves the ability to chew

60) Which conclusion would the nurse make about the development of loose stools and increased salivation two days after a client with myasthenia gravis begins taking pyridostigmine? The client is experiencing a myasthenic crisis. The medication is causing cholinergic side effects. The medication is triggering a paradoxical reaction. The client is exhibiting toxic effects of the medication.

The medication is causing cholinergic side effects.

638) A client with myasthenia gravis begins taking pyridostigmine. Two days later, the client develops loose stools and increased salivation. Which conclusion would the nurse make about these new developments? The client is experiencing a myasthenic crisis. The medication is causing cholinergic side effects. The medication is triggering a paradoxical reaction. The client is exhibiting toxic effects of the medication.

The medication is causing cholinergic side effects.

668) The health care provider prescribes a cholinergic medication to treat a client's urinary problem. Which effect would the nurse anticipate? Urinary frequency decreases. Urinary retention is prevented. Pain is controlled. Urinary urgency decreases.

Urinary retention is prevented.

744) Cholinergic agonists are prescribed for which type of urinary condition? Kidney stones Urine retention Spastic bladder Urinary tract infections

Urine retention

4) A client develops extrapyramidal effects after taking a neuroleptic medication, and the nurse notes extrapyramidal effects. Which medication can limit these side effects? Zolpidem Hydroxyzine Dantrolene Benztropine mesylate Rationale

Benztropine mesylate

86) A client is admitted to the acute medical unit for severe amphetamine intoxication. Which medications are indicated to counteract the effects of stimulant intoxication? Select all that apply. One, some, or all responses may be Diazepam Propranolol Benztropine Bupropion Amitriptyline

Diazepam Propranolol

68) Nortriptyline is prescribed for a depressed client. Which time period identifies when the nurse would expect a therapeutic response? 1 to 3 days Autonomic Nervous System pharmacology 12 to 24 hours 30 minutes to 2 hours 2 to 3 weeks

2 to 3 weeks

7. An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise. Which information should the nurse provide to the client? A. Apply the patch at least 4 hours prior to departure. Autonomic Nervous System pharmacology B. Change the patch every other day while on the cruise. C. Place the patch on a hairless area at the base of the skull. D. Drink no more than 2 alcoholic drinks during the cruise.

A. Apply the patch at least 4 hours prior to departure.

820) When a client exhibits severe bradycardia, which type of medication will the nurse be prepared to administer? Nitrate Anticholinergic Antihypertensive Cardiac glycoside

Anticholinergic

Question 14 The nurse has administered fentanyl, atropine, cefazolin and benzocaine to a client for an endoscopic procedure. The nurse is monitoring the client and notes that the heart rate has increased from the pre-procedure baseline. The nurse knows that which of the following medications is most likely responsible for the client's increased heart rate? A) Fentanyl B) Atropine C) Cefazolin D) Benzocaine

B) Atropine

Question 19 The nurse in a urology office is developing a plan of care for a client newly diagnosed with urge urinary incontinence due to an overactive bladder. Which interventions should the nurse include? A) Administer ant-seizure medications B) Administration of cholinergic drugs C) Administration of anticholinergic drugs D) Administration of loop diuretics

C) Administration of anticholinergic drugs

799) A client suspected of having myasthenia gravis is scheduled for an edrophonium chloride test. To treat a common complication associated with the test, the nurse will have which medication available? Atropine Phenytoin Neostigmine Diphenhydramine

Atropine

1052) A client with myasthenia gravis is receiving pyridostigmine bromide to control symptoms. Recently, the client has begun experiencing increased difficulty in swallowing. Which nursing action is effective in preventing aspiration of food? Place a tracheostomy set in the client's room. Assess respiratory status after meals. Request for the diet to be changed from soft to clear liquids. Coordinate mealtimes with the peak effect of the medication.

Coordinate mealtimes with the peak effect of the medication.

423) The nurse is teaching a nursing student about tricyclic antidepressant medications. Which statement made by the student indicates the need for further teaching? Select all that apply. One, some, or all responses may be . Nortriptyline is contraindicated in older adult clients. Desipramine is preferred for use in older adult clients. Imipramine is used as an adjunct in the treatment of childhood enuresis. Tricyclic antidepressant medications are prescribed for clients with seizure disorders. Tricyclic antidepressant medications are contraindicated in clients with a history of seizures.

Desipramine is preferred for use in older adult clients.

604) The nurse is teaching a client about tricyclic antidepressants. Which potential side effects would the nurse include? Select all that apply. One, some, or all responses may be . Dry mouth Drowsiness Constipation Severe hypertension Orthostatic

Dry mouth Drowsiness Constipation Severe hypertension Orthostatic

208) Which adverse effect of imipramine requires further assessment and possible immediate medical intervention? Dry mouth Weight gain Blurred vision Urinary hesitancy

Urinary hesitancy

Question 7 The nurse is caring for a client who has been prescribed atropine preoperatively. The nurse understands the intended purpose for administering this preoperatively is to induce which effect? A) Reduce heart rate B) Elevate blood pressure C) Enhance sedation D) Decrease secretions

C) Enhance sedation

376) Which test would the nurse identify as specific for the diagnosis of myasthenia gravis? Electromyography Pyridostigmine test Edrophonium chloride test History of physical deterioration

Edrophonium chloride test

A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is the expected outcome for this client following administration of this pharmacologic agent? A. Progressive difficulty with swallowing. B. Decreased respiratory effort. C. Improvement in generalized fatigue. D. Decreased muscle weakness.

D. Decreased muscle weakness.

1494) A 12-year-old child has just received a dose of epinephrine. Which assessment is the priority after this medication is administered? Heart rate Glucose level Neurological status Blood pressure

Heart rate

710) The anticholinesterase medication pyridostigmine is prescribed for the client with myasthenia gravis. When providing medication teaching, the nurse explains that the client should expect a decrease in which function? Bowel function Heart rate Skeletal muscle contraction Urinary frequency

Heart rate

92) An 80-year-old client with depression requires the prescription of antidepressant medication. Which tricyclic antidepressant medication causes fewer complications in older clients? Doxepin Amoxapine Nortriptyline Trimipramine

Nortriptyline