Pharmacology Test 2 (Neuro)
Sight
Occipital Lobe
A nurse is preparing to administer phenytoin (Dilantin) IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take?
Administer a saline solution before and after injection.
A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?
Bradycardia
Involuntary Motor Control
Brain Stem
Selective serotonin reuptake inhibitors (SSRIs) are a class of antidepressant drugs. What is their mechanism of action?
Decrease the pumping of serotonin back into the axon from which it was release.
What is the benefit of use of the drugs risperidone and olanzapine for Alheimer's Disease (AD) patients?
Decreased neuropsychiatric symptoms
Positive charges move inward, making the inside of the membrane more positively charged than the outside of the membrane
Depolarization
Process that leads to muscle contraction
Excitation-Contraction Coupling
Uneven distribution of electrical charges across the inner and outer cell membrane
Polarization
Pumping positively-charged ions from inside to outside the cell membrane
Repolarization
Pregabalin can cause angioedema. What should the nurse teach to the patient to do if he/she notes symptoms of angioedema?
Seek emergency medical care.
Therapeutic doses of cholinesterase inhibitors have which effects?
Strengthen skeletal muscle contraction
A nurse is assessing a client who has schizophrenia and has been on long term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?
Tardive Dyskinesia
Speech and Comprehension
Temporal Lobe
A home health nurse is assessing an older adult who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the clients falls.
The client takes alpazolam.
A nurse is assessing a client who has been taking sertaline (zoloft) for two weeks. The nurse should identify which of the following findings as an indication that the medication is effective?
The clients reports an improvement in mood.
A nurse is providing teaching for a client who has schizophrenia and a new prescription for fluphenazine. Which of the following information should the nurse provide?
This medication might turn your urine orange.
Which extrapyramidal adverse effects of antipsychotic drugs would the nurse expect to occur only after an extended period of drug therapy?
Uncontrollable need to be in motion
A nurse is teaching a clilent who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicated an understanding of the teaching?
Vomiting is an indication of toxicity.
A patient with CAD is receiving terazosin for HTN. Which of the following should the nurse teach the patient to report immediately?
Dizziness when standing
A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?
Administer the medications 5 minutes apart.
A nurse is caring for a client who is postoperative following a transuretheral resection of the prostate (TURP). The nurse should plan to administer the clients PRN medication bethanechol (urecholine) when the client reports which of the following manifestations?
An inability to void.
A nurse is teaching a client who has Multiple Sclerosis (MS) about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?
Do not take antihistamines with this medication.
Coordination and Balance
Cerebellum
Which of the following is of greatest priority to address phenytoin's (dilantin) narrow therapeutic index?
Check plasma levels of the drug as prescribed
It is important for the nurse to assess excessive hunger, thirst, and urination if a patient is prescribed which drugs (select all that apply)?
Clozapine. and Olanzapine
A nurse is teaching a client following a cystoscopy about his new prescription for tamsulosin. Which of the following adverse effects should the nurse include in the teaching?
Dizziness
The nurse is adminstering high dose IV methylprednisolone (Solumedrol) to a patient who is experiencing an acute relapse of multiple sclerosis. Which chronic condition, if also present, could be adversely affected by this treatment?
Diabetes Mellitus
It is important for the nurse to teach patients who are prescribed any neuroleptic drug to avoid taking which OTC medication?
Diphenhydramine
Muscle Twitching
Fasciculations
Decision making, impulse control
Frontal Lobe
A patient has a new prescription for bromocriptine. The nurse should teach the patient to report immediately which of the following?
Heart murmur
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin (Dilantin). Which of the following statements by the client indicated a need for further teaching?
I'll be glad when I can stop taking this medication.
A nurse is providing teaching to a client who has a new diagnosis of Parkinson's Disease (PD). On which of the following medication should the nurse prepare to instruct the client?
Levodopa/Carbidopa
A nurse is caring for a client who has bipolar disorder and has bipolar disorder and has been taking lithium for one year. Before administering the medication, the nurse should check to see that which of the following tests has/have been completed?
Liver Function Tests (LFT)
A nurse is planning to administer butophanol (Stadol) to a client who is in labor. Which of the following medication should the nurse plan to have available to reverse the action of butophanol?
Naxolone (Narcan)
Motor and sensory function
Parietal Lobe
A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?
The medication should be applied on a regular schedule for the rest of the client's life.
