Nurs3100 exam 3
A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects? -hypotension -tinnitus -tachycardia -bronchospasm
-tachycardia
A nurse is providing teaching for a client who has a new diagnosis of hypertension and a prescription for a low-sodium diet. Which of the following client statements indicate an understanding of the teaching? (Select all that apply.) "I know that deli meats are usually high in sodium." "I need to read food labels when grocery shopping." "I should select organic canned vegetables." "I can refer to the American Heart Association's website for dietary guidelines." "I will stop eating frozen dinners for lunch at work."
"I know that deli meats are usually high in sodium." "I need to read food labels when grocery shopping." "I can refer to the American Heart Association's website for dietary guidelines." "I will stop eating frozen dinners for lunch at work."
A nurse if 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? -tonic-clonic seizures -presence of a migraine headache -exacerbation of multiple sclerosis -Alzheimer's disease
-presence of a migraine headache
A nurse is teaching a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following adverse effects? -cardiac excitability -respiratory depression -hyperthermia -hypertension
-respiratory depression
a nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients? -a client who had a mastectomy -a client who had a knee arthroplasty -a client who had a colectomy -a client who had a cholecystectomy
-a client who had a cholecystectomy
a nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make? "ibuprofen will increase your risk for developing salicylism" "ibuprofen will reduce the cardioprotective effects of low-dose aspirin" "low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen" "low-dose aspirin will reduce the analgesic efforts of ibuprofen"
"ibuprofen will reduce the cardioprotective effects of low-dose aspirin"
A nurse is caring for several clients in an extended care facility. Which of the following clients is of the highest priority to observe during meals? -A client who has Parkinson's disease. -A client who has decreased vision. -A client who has poor dentition. -A client who has anorexia.
-A client who has Parkinson's disease.
A nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) -Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops -Do not touch the tip of the dropper -Wash hangs after instilling the drops -Rub eyes gently after instilling the drops -Remove contact lenses prior to instilling the drops
-Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops -Do not touch the tip of the dropper -Remove contact lenses prior to instilling the drops
A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include? (Select all that apply.) -Change positions slowly from sitting or lying to standing -Do not stop taking the drug abruptly -Avoid crushing the tablet -Take the drug at bedtime to prevent daytime drowsiness -Increase fiber and fluid intake
-Change positions slowly from sitting or lying to standing -Do not stop taking the drug abruptly -Take the drug at bedtime to prevent daytime drowsiness -Increase fiber and fluid intake
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? -C-reactive protein -Creatinine clearance -Thyroid function -CBC
-Creatinine clearance
A nurse is planning care for a client who has mechanical fixation of the jaw following a motorcycle crash. Which of the following actions should the nurse include in the plan of care? Select all that apply. -Encourage intake of fluids between meals. -Thicken liquids to honey consistency -Assist the client to use a straw to drink liquids -Educate the client about the use of a nasogastric tube. -Ensure that the client receives ground meats
-Encourage intake of fluids between meals. -Assist the client to use a straw to drink liquids
A nurse is caring for a client who is transitioning to an oral diet following a partial laryngectomy. Which of the following actions should the nurse take to reduce the client's risk for aspiration? -Instruct the client to follow each bite of food with a drink of water. -Consult the dietitian about providing the client with a thin liquid diet -Encourage the client to tuck the chin when swallowing -Request to have the client's oral medications provided in liquid form.
-Encourage the client to tuck the chin when swallowing
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? -Neostigmine -Succinylcholine -Naloxone -Dantrolene
-Naloxone
A nurse is reviewing the medical record of a client who has a newly diagnosed seizure disorder and a new prescription 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? -Hyperammonemia -Phenytoin toxicity -Hypertension -Peptic ulcer disease
-Phenytoin toxicity
A nurse is planning care for a client who is receiving treatment for malnutrition. The client is scheduled for discharge to their home where they live alone. Which of the following actions should the nurse include in the plan of care? (Select all that apply.) -Recommend drinking a supplement between meals. -Advise the client to purchase frozen fruits and vegetables. -Educate the client on how to read nutrition labels -Encourage the client to purchase nonperishable boxed meals. -Consult social services to arrange home meal delivery.
-Recommend drinking a supplement between meals. -Advise the client to purchase frozen fruits and vegetables. -Educate the client on how to read nutrition labels -Consult social services to arrange home meal delivery.
When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following? (Select all that apply.) -Motion sickness -Seasonal affective disorder -Insomnia -Nicotine addition -Depression
-Seasonal affective disorder -Nicotine addition -Depression
The nurse educator is reviewing the process of synaptic transmission following the sympathetic pathway. In which order will the nurse explain the steps of synaptic transmission?
-action potential travels across the preganglionic neuron -action potential encounters cholinergic receptors -action potential travels across the postganglionic neuron -action potential encounters adrenergic receptors -target tissue is reached
A nurse is teaching a client who received a prescription for interferon beta-1a for the treatment of multiple sclerosis. Which of the following information should the nurse include? -have kidney function tests done every month for a year -take an extra dose in muscle aches occur -store the drug at a room temperature after mixing it -administer the drug in your thigh or upper arm
-administer the drug in your thigh or upper arm
A nurse is teaching a client who has a prescription for baclofen. Which of the following instructions should the nurse include? -avoid driving until the drug's effects are evident -stop taking the med immediately if headache occurs -take the drug as needed for spasticity -take the drug with antacids to reduce gastric effects
-avoid driving until the drug's effects are evident
A nurse is teaching a client who has Alzheimer's disease and their caregiver about memantine. Which of the following instructions should the nurse include? -increase fluid intake to improve renal excretion -report memory loss or confusion -watch for signs of liver impairment, such as jaundice & abdominal pain -avoid taking OTC antiacids
-avoid taking OTC antiacids
A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's disease about donepezil. Which of the following information should the nurse include? -monitor for constipation -the dosage will be increased weekly to provide optimum therapeutic effect -administering the drug first thing in the morning promotes effectiveness -avoid the use of NSAIDs for pain
-avoid the use of NSAIDs for pain
A nurse is teaching a client who has a prescription for carbamazepine. Which of the following instructions should the nurse include to help the client avoid adverse effects of this drug? -begin taking the drug at a low dosage -discontinue the drug immediately if diarrhea occurs -have serum glucose levels checked regularly -take the drug on an empty stomach
-begin taking the drug at a low dosage
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? -change position slowly to prevent orthostatic hypotension -eat a high-protein snack to increase absorption -take the drug at bedtime to avoid daytime drowsiness -expect eye twitching to develop with long-term therapy
-change position slowly to prevent orthostatic hypotension
A nurse is teaching a client who is about to begin sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following adverse effects? -chest pain -polyuria -joint pain -insomnia
-chest pain
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 history indicates a need to withhold the drug and notify the provider? -pancreatic cancer -hypotension -cirrhosis -osteoporosis
-cirrhosis
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? -slow heart rate -cough -diarrhea -hearing loss
-diarrhea
a nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? (select all that apply) -reduce the dose during periods of stress -discontinue the drug gradually -report illness or infection -increase intake of calcium and vitamin D -monitor for signs of gastric bleeding
-discontinue the drug gradually -report illness or infection -increase intake of calcium and vitamin D -monitor for signs of gastric bleeding
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? -tinnitus -twitching eyelids -blue-green skin discoloration -fatigue
-fatique
A nurse is teaching a client who has a new prescription 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) -hirsutism -drowsiness -headache -ataxia -rash
-headache -drowsiness -rash
A nurse is teaching a client who has a new diagnosis of Parkinson's disease about how levodopa/carbidopa can help control symptoms. The nurse should identify that the drug has which of the following pharmacologic effects? -increases available acetylcholine in the brain -inhibits norepinephrine metabolism in the brain -inhibits serotonin metabolism in the brain -increases available dopamine in the brain
-increases available dopamine in the brain
A nurse is providing teaching for a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects? -hirsutism -depression -jaundice -gum irritation
-jaundice
A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should identify that which of the following lab tests requires monitoring? -serum potassium -liver function -serum sodium -thyroid function
-liver function
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 and meperidine can result in which of the following? -frequent urination -jaundice -cellulitis -muscle rigidity
-muscle rigidity
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? -confusion -dry mouth -nausea -double vision
-nausea
A nurse is teaching a client about interferon beta-1a. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug? -premedicate with acetaminophen -take the drug with food -increase your fluid intake -take the drug in the morning
-premedicate with acetaminophen
A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include? -take the drug in the morning -take the drug 30 min before bedtime -anticipate daytime drowsiness -expect urinary frequency
-take the drug in the morning
A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of attention deficit hyperactivity disorder (ADHD) for 2 weeks. The nurse should report which of the following findings to the provider? -weight loss of 2.3 kg (5 lbs) -BP 110/70 mm Hg -apical pulse 8-/min -respiratory rate 16/min
-weight loss of 2.3 kg (5 lbs)
ATI "Pain & Inflammation"
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ATI Neurological systems (Part 2)
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ATI: The Neurological System (Part 1)
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MyLab Chapter 12
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MyLab Chapter 13
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MyLab Chapter 14
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MyLab Chapter 15
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MyLab Chapter 16
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MyLab Chapter 18
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MyLab Chapter 19
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MyLab Chapter 20
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MyLab Chapter 21
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MyLab Chapter 22
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MyLab chapter17
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Nutrition Chapter 11 quiz
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A client's heart rate is 72 beats per minute with a regular rhythm. How does the nurse interpret this data in relation to the client's peripheral nervous system? Select all that apply... 1) The sympathetic system is in control. 2) The parasympathetic system is dominating. 3) Both parasympathetic and sympathetic systems are influencing cardiac status. 4) The autonomic nervous system is affecting cardiac status. 5) The somatic nervous system is affecting cardiac status.
2) The parasympathetic system is dominating. 3) Both parasympathetic and sympathetic systems are influencing cardiac status. 4) The autonomic nervous system is affecting cardiac status.
Which should the nurse understand is the primary therapeutic goal for the use of pharmacotherapy in the treatment of a neuromuscular disorder? A. Promote independence. B. Stop the client's muscle spasms. C. Improve appearance. D. Promote the ease of exercise.
A.
A client admitted tells the nurse he or she has been taking "yellow jackets" (pentobarbital, [Nembutal]) but have not had any for a few days. Which should the nurse recognize is the highest priority? A. Prepare to manage a withdrawal that could be life threatening. B. Prepare to manage the client's depression. C. Prepare to do frequent room searches, as the client's friends will most likely bring drugs in for him or her. D. Prepare to manage the client's pain.
A
A client experiencing the effects from marijuana asks the nurse how long they will last. Which response should the nurse provide? A. "The effects can last up to 24 hours." B. "The effects will last a few hours." C. "It depends on how much you smoked." D. "It depends on your body weight."
A
A client tells the nurse he or she would like a prescription to help stop smoking. Which should the nurse anticipate the healthcare provider will prescribe? A. Bupropion (Zyban) B. Naltrexone (ReVia, Vivitrol) C. Disulfiram (Antabuse) D. Dextroamphetamine (Dexedrine)
A
A client tells the nurse "I am going to get clean. I haven't had any drugs or any alcohol for 2 days." Which substance should the nurse anticipate can result in life threatening withdrawal? A. Alcohol B. Marijuana C. Cocaine D. Heroin
A
A family member of a deceased client that overdosed on cocaine asks the nurse how he or she died. Which should the nurse recognize is the most likely caused the death of the client? A. Cardiac arrest B. Drug impurity C. Aneurysm D. Rhabdomyolysis
A
The nurse is assessing a client who has taken LSD. Which assessment finding should the nurse anticipate? A. Increased temperature B. Hypotension C. Bradycardia D. Pinpoint pupils
A
The nurse is providing education for a client who desires to stop taking heroin. Which information should the nurse include in the teaching? Select all that apply. A. "You are probably going to have some withdrawal symptoms, but there are medications that can help you." B. "Expect to remain on methadone for quite a while." C. "Methadone will produce the same high as the heroin you have been using." D. "You will need a supply of syringes and needles for your methadone treatment." E. "Methadone does not cause any withdrawal symptoms."
A,B
Which information should the nurse include in the community education for marijuana? Select all that apply. A. THC is the ingredient that causes most of the psychoactive effects. B. Metabolites of marijuana can be detected in the urine for several days after last use. C. Metabolites of marijuana can be detected in the body for months to years after last use. D. Smoking marijuana can decrease the risk of glaucoma. E. Smoking marijuana results in a greater accumulation of tar in the lungs than does cigarette smoking.
A,B,C,E
A client tells the nurse he or she has been abusing his or her antianxiety prescription. Which findings should the nurse recognize are related to a psychological dependence? Select all that apply. A. The patient's history reveals the long-term use of high doses of an antianxiety prescription. B. The client describes the "need" to use the antianxiety prescription despite not feeling anxious. C. The client describes feeling nauseous with abdominal cramping. D. The client states his or her family does not speak to him or her because of the need for the antianxiety prescription. E. The client states he or she has not slept in days and feel very anxious tired.
A,B,D
A client asks the nurse for information about cannabis infused edibles. Which information should the nurse be prepared to discuss? Select all that apply. A. Delayed onset B. Longer duration of action C. Physical dependence D. Higher risk of unintentional overdose E. Large doses are associated with psychedelic high
A,B,D,E
The nurse is preparing to assess a client that is withdrawing from opioids. Which assessment findings should the nurse anticipate? Select all that apply. A. Abdominal cramping B. Orthostatic hypotension C. Hot, dry skin D. Violent yawning E. Agitation
A,B,D,E
A client asks the nurse what physiological effects occur if he or she quit smoking. Which should the nurse include in the education? Select all that apply. A. Headaches B. Depression C. Increased appetite D. Nausea E. Insomnia
A,C,E
A client must eliminate caffeine intake due the contraindication with a newly prescribed medication. Which withdrawal symptoms should the nurse discuss with the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Depression B. Insomnia C. Weight gain D. Urinary retention E. Headache
A,E
A client asks the nurse how skeletal muscle relaxants work. Which response should the nurse provide the client? A. "They inhibit upper motor neuron activity within the central nervous system." B. "They increase the amount of neurotransmitter within the muscles." C. "They stimulate motor activity within the brainstem." D. "They work primarily by stimulating the peripheral nervous system."
A.
A client asks the nurse, "Can you tell me how capsaicin works to treat muscle pain?" Which statement should the nurse include in the response? A. "Decreases the sensation of pain by interfering with the chemical messengers." B. "Decreases the activity of the chemicals that stimulate muscle contraction." C. "Stimulates the body to produce endorphins that block the pain signal." D. "Interferes with the muscles ability to isometrically contract."
A.
A client has been prescribed dantrolene (Dantrium). Which question should the nurse ask the client? A. "Are you currently pregnant?" B. "Does you have a history of psoriasis?" C. "Do you have a history of gastric ulcer disease?" D. "Do you have a history of gallbladder disease?"
A.
The nurse is reviewing the prescription history for a client prescribed dantrolene (Dantrium). Which prescription should concern the nurse? A. Verapamil (Calan) B. Clarithromycin (Biaxin) C. Methylphenidate (Concerta) D. Insulin
A.
Which is the nurse's priority assessment when monitoring a client receiving dantrolene (Dantrium) intravenously? A. Intravenous site B. Breath sounds C. Urinary output D. Blood glucose
A.
Which should the nurse include in the plan of care for the client that has received baclofen (Lioresal)? A. Fall precautions B. Fluid Restriction C. Intake and Output D. Dietary restrictions
A.
Which assessment finding warrants the nurse to hold the dosage of benztropine (Cogentin) and notify the healthcare provider? A. A pulse of 112 B. Blood pressure of 142/80 mmHg C. A respiratory rate of 14 D. A temperature of 100.2°F
A. A pulse of 112
A client with an oxycodone overdose has a respiratory rate of 8 and difficult to arouse. Which prescribed treatment should the nurse anticipate administering? A. Administering opioid antagonist B. Administering activated charcoal C. Preparing for intubation and mechanical ventilation D. Administering an opioid agonist
A. Administering opioid antagonist
The educator is preparing to discuss the classifications of local anesthetics. Which should the educator include when discussing amides? Select all that apply. A. Amides have fewer side effects than esters. B. Amides block potassium entry into the cell. C. Amides are similar in structure to cocaine. D. Amides tend to last longer than esters. E. Amides block calcium entry into the cell.
A. Amides have fewer side effects than esters. D. Amides tend to last longer than esters.
The nurse is preparing to provide client education on degenerative diseases of the nervous system. Which information should the nurse include? Select all that apply. A. Amyotrophic lateral sclerosis B. Multiple sclerosis C. Alzheimer's disease D. Myasthenia Gravis E. Parkinson's disease
A. Amyotrophic lateral sclerosis B. Multiple sclerosis C. Alzheimer's disease E. Parkinson's disease
A nurse is reading about the development of drugs that inhibit the parasympathetic nervous system. The nurse would look for articles about which drug classes? Select all that apply. A. Anticholinergics B. Parasympathomimetics C. Parasympatholytics D. Cholinergics E. Muscarinic blockers
A. Anticholinergics C. Parasympatholytics E. Muscarinic blockers
A client taking risperidone (Risperdal) for schizophrenia is experiencing signs of hypotension with certain activities. Which information should the nurse provide the client? Select all that apply. A. Avoid being outside in the heat of the day. B. Avoid hot baths or hot showers. C. Avoid vitamin C-containing preparations. D. Change positions slowly, especially from lying or sitting to standing. E. Take frequent naps during the day.
A. Avoid being outside in the heat of the day. B. Avoid hot baths or hot showers. D. Change positions slowly, especially from lying or sitting to standing.
Which client should the nurse recognize a prescription for sumatriptan (Imitrex) may be beneficial? A. A 27-year-old asthmatic male B. A 73-year-old with angina pectoris C. A 36-year-old female with preeclampsia D. A 45-year-old diabetic male
A. A 27-year-old asthmatic male
A client asks the nurse which types of therapies are most helpful for depression. Which therapies should the nurse plan to discuss with the client? Select all that apply. A. Behavioral therapy B. Interpersonal therapy C. Cognitive-behavioral therapy D. Psychodynamic therapy E. Crisis therapy
A. Behavioral therapy B. Interpersonal therapy C. Cognitive-behavioral therapy D. Psychodynamic therapy
Which prescriptions should the nurse anticipate to be included in balanced anesthesia? Select all that apply. A. Benzodiazepines B. Neuromuscular blockers C. Inhaled anesthetics D. Proton-pump inhibitors E. Intravenous anesthetics
A. Benzodiazepines B. Neuromuscular blockers C. Inhaled anesthetics E. Intravenous anesthetics
A client asks the nurse what causes schizophrenia. Which contributing factors should the nurse include in the client teaching? Select all that apply. A. Biological brain disorder B. Alcohol use during pregnancy C. Stressful environment D. Genetic link E. Abnormal levels of neurotransmitters in the brain
A. Biological brain disorder D. Genetic link E. Abnormal levels of neurotransmitters in the brain
The nurse is caring for a client with multisystem organ failure. Which client assessment findings are under the control of the sympathetic nervous system? Select all that apply. A. Blood glucose level 210 mg/dL. B. Blood pressure 180/90 mmHg. C. Extremities are cool. D. Respiratory rate 14 and regular. E. Hyperactive bowel sounds.
A. Blood glucose level 210 mg/dL. B. Blood pressure 180/90 mmHg. C. Extremities are cool.
A client states to the nurse, "I stopped taking that beta blocker last week because it made me so tired." Which are the priority nursing assessments? Select all that apply. A. Blood pressure B. Heart rhythm C. Urinary output D. Presence of chest pain E. Presence of respiratory crackles
A. Blood pressure B. Heart rhythm D. Presence of chest pain
Which prescription should the nurse recognize would most benefit a client experiencing periods of mania and depression? A. Carbamazepine (Tegretol) B. Methylphenidate (Ritalin) C. Atomoxetine (Strattera) D. Amitriptyline (Elavil)
A. Carbamazepine (Tegretol)
The nurse has administered sumatriptan (Imitrex) to a client. Which effects should the nurse monitor the patient for? A. Decreased level of consciousness B. Muscle weakness C. Hypotension D. Urinary retention
A. Decreased level of consciousness
Which symptoms should the nurse assess a client for who is at risk for mania? Select all that apply. A. Decreased sleep B. Weight loss C. Sluggish activity D. Muscle pain E. Increased talkativeness
A. Decreased sleep B. Weight loss E. Increased talkativeness
While conducting a health history for a client with schizophrenia. Which behaviors associated with positive signs of schizophrenia should the nurse anticipate? Select all that apply. A. Disorganized sentence structure B. Kicking the nurse C. Not responding to questions D. Difficulty following instructions E. Stating that God wants the patient to go home
A. Disorganized sentence structure B. Kicking the nurse E. Stating that God wants the patient to go home
Which information should the nurse include in the education for a client prescribed sumatriptan (Imitrex)? Select all that apply. A. Do not drive until the effects of the medication are known. B. Avoid pseudoephedrine (Sudafed) while taking the prescription. C. Take the prescription with a meal high in protein. D. Take the prescription with food. E. Increase fluid intake.
A. Do not drive until the effects of the medication are known. B. Avoid pseudoephedrine (Sudafed) while taking the prescription.
Which effects associated with the prescription of midazolam (Versed) should the nurse anticipate when administered as part of surgical anesthesia? Select all that apply. A. Effects consistent with those observed with other benzodiazepines B. Reduction of anxiety and stress associated with surgery C. Central nervous system depression and skeletal muscle relaxation D. Maintenance of stable cardiac and respiratory activity E. Absent cardiac dysrhythmias
A. Effects consistent with those observed with other benzodiazepines B. Reduction of anxiety and stress associated with surgery C. Central nervous system depression and skeletal muscle relaxation
A client asks the nurse what causes bipolar disorder. Which neurotransmitters should the nurse include when discussing the manic phase of the disorder? Select all that apply. A. Excessive glutamate B. Excessive norepinephrine C. Deficiency of gamma-aminobutyric acid D. Deficiency of dopamine E. Excessive serotonin
A. Excessive glutamate B. Excessive norepinephrine C. Deficiency of gamma-aminobutyric acid
A client is prescribed a medication that will block muscarinic receptors. The nurse realizes that this medication has implications for which body systems? Select all that apply. A. Eyes B. Respiratory C. Cardiac D. Endocrine E. Metabolic
A. Eyes B. Respiratory C. Cardiac
A client with a history of schizophrenia has stopped his or her prescribed clozapine (Clozaril) after 4 weeks of therapy. Which should the nurse recognize may have contributed to the client abruptly stopping his or her prescription? Select all that apply. A. Feeling sedated B. Significant weight gain C. Agitation D. Fatigue and headache E. Uncontrollable sexual urges
A. Feeling sedated B. Significant weight gain C. Agitation D. Fatigue and headache
A client has been prescribed ketogenic diet to supplement pharmacotherapy for a seizure disorder. Which food items should the nurse encourage the client to consume? Select all that apply. A. Foods high in fat B. Salty foods C. Foods high in vitamin K D. Low protein foods E. Low carbohydrate foods
A. Foods high in fat D. Low protein foods E. Low carbohydrate foods
The nurse is preparing to administer chlorpromazine intramuscularly. Which anatomical location should the nurse administer the medication? A. Gluteal B. Deltoid C. Vastus lateralis D. Ventrogluteal
A. Gluteal
A client prescribed an antipsychotic tells the nurse he or she not had a bowel movement for 2 days. Which initial action should the nurse take? A. Have the client drink prune juice and additional fluids. B. Obtain a prescription for a stool softener. C. Hold the prescription until the client has a bowel movement. D. Request a prescription for a Fleet Enema.
A. Have the client drink prune juice and additional fluids.
A client has sustained a large blood loss. During the assessment, the nurse realizes that which findings are under the control of the nervous system? Select all that apply. A. Heart rate B. Blood pressure C. Pupil size D. Bowel sounds E. Fluid volume
A. Heart rate B. Blood pressure C. Pupil size D. Bowel sounds
A client who is in heart failure is administered a beta1 agonist. Which assessment finding indicates the prescription is effective? Select all that apply. A. Heart rate increases B. Pulse becomes stronger C. Pupils dilate D. Dysrhythmias dissipate E. Blood pressure drops
A. Heart rate increases B. Pulse becomes stronger
A nurse is preparing to provide education on the use of heroin. Which information should the nurse include? Select all that apply. A. Heroin is an opioid drug. B. Heroin is a narcotic drug. C. Heroin causes CNS agitation. D. Heroin is the same drug as morphine. E. Heroin is not as dangerous as oxycodone.
A. Heroin is an opioid drug. B. Heroin is a narcotic drug.
The nurse is providing education to a parent of a 5-year-old that experienced a febrile seizure. Which information should the nurse include? A. High temperatures rarely induce seizures in children. B. A five-year-old is too old for febrile seizures. C. Seizure medications are usually prescribed for febrile seizures. D. After a febrile seizure the child returns to consciousness slowly.
A. High temperatures rarely induce seizures in children.
The patient has bipolar disorder and is in a manic phase. The physician prescribes lithium (Eskalith). The client's current lithium level is 0.4. Which assessment findings should the nurse anticipate? A. Hyperactivity and pressured speech. B. A decrease in manic behavior. C. Signs and symptoms of depression. D. A return to baseline behavior.
A. Hyperactivity and pressured speech.
The nurse is preparing to provide instructions on the use of an epinephrine auto-injector. Which information should the nurse include? Select all that apply. A. If you need to use this pen, seek medical advice as follow-up. B. You can dispose of a used EpiPen in your regular trash. C. Keep an extra EpiPen on hand. D. Store this device in your refrigerator. E. Carry an EpiPen in your car's glovebox.
A. If you need to use this pen, seek medical advice as follow-up. C. Keep an extra EpiPen on hand.
A client receiving pharmacotherapy for the treatment of Parkinson's disease has experienced increased eye twitching tremors. Which treatment interventions should the nurse anticipate? Select all that apply. A. Increase in the dosage of the prescription B. Changing the interval between the doses of prescriptions C. Changing the route of administration of the prescription D. A scheduled drug holiday E. Implementing an adjunctive prescription
A. Increase in the dosage of the prescription B. Changing the interval between the doses of prescriptions E. Implementing an adjunctive prescription
A client is suspected to have been overdosed with Propofol (diprivan). Which immediate nursing actions are indicated? Select all that apply. A. Increase the intravenous fluid rate. B. Monitor the client for development of an allergic skin reaction. C. Monitor the client for respiratory depression. D. Obtain serum calcium levels. E. Administer a benzodiazepine.
A. Increase the intravenous fluid rate. C. Monitor the client for respiratory depression.
Which reflects the primary reason a neuromuscular blocking agent is used for a client receiving general anesthesia? A. Induce total skeletal muscle relaxation B. Induce unconsciousness C. Prevent adverse effects associated with inhaled gases D. Potentiate analgesic effects
A. Induce total skeletal muscle relaxation
Which statement describes the purpose for the use of acetylcholinesterase inhibitors prescribed to treat Alzheimer's disease? A. Intensify the effect of acetylcholine at the receptor. B. Increase synthesis of acetylcholine. C. Increase enzymatic breakdown leading to increased neuronal production. D. Reverse the structural damage within the brain.
A. Intensify the effect of acetylcholine at the receptor.
The nurse is preparing to administer phenytoin (Dilantin). Which route should the nurse anticipate to administer the prescription? A. Intravenously B. Intramuscular C. Subcutaneous D. Central venous catheter
A. Intravenously
A client has been prescribed an alpha1 adrenergic agonist drug. The nurse would plan to monitor for effects from which organs? Select all that apply. A. Kidneys B. Eyes C. Heart D. Bowels E. Lungs
A. Kidneys B. Eyes D. Bowels E. Lungs
The nurse is reviewing routine medications for a client prescribed phenylephrine (Neo-Synephrine). Which medications are most concerning? Select all that apply. A. MAO inhibitors B. Tricyclic antidepressants C. Iron supplements D. Digoxin E. Aspirin
A. MAO inhibitors B. Tricyclic antidepressants C. Iron supplements D. Digoxin
Which should the nurse understand are the primary goals for the pharmacological treatment of multiple sclerosis? Select all that apply. A. Modifying the progression of the disease. B. Treating acute exacerbations. C. Managing symptoms. D. Curing the disease. E. Remyelinating nerve fibers.
A. Modifying the progression of the disease. B. Treating acute exacerbations. C. Managing symptoms.
A client is being assessed for the presence of pheochromocytoma. Which interventions should the nurse implement? Select all that apply. A. Monitoring blood pressure. B. Monitoring bowel sounds. C. Administration of phentolamine (Regitine) D. Rapid administration of normal saline. E. Urinary catheterization to bypass prostatic enlargement.
A. Monitoring blood pressure. C. Administration of phentolamine (Regitine)
Which classification of prescription used to treat depression works by preventing enzymatic destruction of the neurotransmitter norepinephrine? A. Monoamine oxidase inhibitors (MAOIs) B. Tricyclic antidepressants (TCAs) C. Selective serotonin reuptake inhibitors (SSRIs) D. Serotonin-norepinephrine reuptake inhibitors (SNRIs)
A. Monoamine oxidase inhibitors (MAOIs)
The nurse is preparing to asses a client with amyotrophic lateral sclerosis (Lou Gehrig's disease). Which assessment findings should the nurse anticipate? Select all that apply. A. Muscle weakness B. Muscle atrophy C. Mood alterations D. Slow shuffling gait E. Abnormal posture
A. Muscle weakness B. Muscle atrophy
During an assessment, the nurse notes that the client prescribed risperidone (Risperdal) has a temperature of 102 degrees F. Which should the nurse suspect has occurred? A. Neuroleptic malignant syndrome. B. Extrapyramidal side effects. C. Acute urinary infection. D. Bacterial pneumonia.
A. Neuroleptic malignant syndrome.
A nursing instructor is reviewing receptor types with a nursing student. The instructor identifies that learning has occurred when the student responds that which type of receptor is found at the ganglionic synapse of both the sympathetic and parasympathetic nervous systems? A. Nicotinic. B. Alpha receptors. C. Beta receptors. D. Muscarinic.
A. Nicotinic.
A client who was administered prazosin (Minipress) became unconscious 30 minutes after the first dose. Which prescriptions should the nurse prepare for resuscitation? Select all that apply. A. Normal saline B. Dobutamine C. Atenolol (Tenormin) D. Carvedilol (Coreg) E. Propranolol (Inderal)
A. Normal saline B. Dobutamine
The nurse observes a client that stops talking mid-sentence and has a blank stare for 5 seconds. Which should the nurse suspect has occurred? A. Petit mal seizure B. Status epilepticus C. Drop attack D. Simple partial seizure
A. Petit mal seizure
The nurse is preparing to assess a client with Parkinson's disease. Which finding should the nurse recognize interferes with the client's ability to control their hand movements? Select all that apply. A. Pill rolling B. Tremor C. Stooped posture D. Lack of arm swing E. Difficulty bending the arms
A. Pill rolling B. Tremor
A nursing instructor is teaching student nurses about the sympathetic nervous system. The instructor recognizes that learning has occurred when the students say which of the following responses are regulated by the sympathetic nervous system. A. Pupil dilation. B. Sex organ stimulation. C. Bronchial constriction. D. Stimulates salivation.
A. Pupil dilation.
A client asks the nurse why he or she receiving is preoperative prescriptions. Which information should the nurse include in the education? Select all that apply. A. Reduce anxiety and facilitate sedation B. Facilitation of a faster recovery C. Reduce the risk of aspiration pneumonia D. Reduce the risk of a postoperative ileus E. Manage pain
A. Reduce anxiety and facilitate sedation C. Reduce the risk of aspiration pneumonia E. Manage pain
A client tells the nurse they feel depressed during the winter. Which type of depression should the nurse suspect the client is experiencing? A. Seasonal affective disorder B. Baby blues C. Bipolar disorder D. Obsessive-compulsive disorder
A. Seasonal affective disorder
Which drug category can be used for treating anxiety? A. Seizure drugs B. Anticoagulants C. Antibiotics D. Antitussives
A. Seizure drugs
Which existing pharmacological treated condition should the nurse be most concerned about for a client prescribed haloperidol (Haldol)? A. Severe depression B. Diabetes mellitus C. Hypothyroidism D. Urinary tract infection
A. Severe depression
A client is prescribed zolpidem (Ambien) for treatment of short-term insomnia. Which is the primary safety concern of the nurse? A. Sleepwalking B. Dizziness and daytime sedation C. Nausea D. Diarrhea
A. Sleepwalking
A client with Parkinson's disease is experiencing an increase in bradykinesia. Which assessment findings should the nurse anticipate? Select all that apply. A. Slow speech B. Difficulty chewing C. Shuffling the feet when walking D. Stooped posture E. Lack of facial expression
A. Slow speech B. Difficulty chewing C. Shuffling the feet when walking
The nurse preparing the education for a client prescribed risperidone (Risperdal). For which condition should the nurse inform the client to immediately notify the healthcare provider? A. Sore throat or an infection. B. Joint pain or swelling. C. Yellowish halos around lights. D. Narrowing of the field of vision.
A. Sore throat or an infection.
The educator is reviewing the neural mechanisms of pain with a nurse. Which information should the educator provide about substance P? A. Substance P controls which pain signals reach the brain. B. Substance P modifies sensory information in the spinal cord. C. Substance P is also known as an endogenous opioid. D. Substance P stimulates pain receptors in the spinal cord.
A. Substance P controls which pain signals reach the brain.
A student nurse asks a nurse which client situations are considered involuntary responses to autonomic nervous system control? What is the nurse's best response(s)? Select all that apply. A. Sweating when hot. B. Stepping over a chair to prevent falling. C. Complaining of nausea. D. Salivating at the smell of food. E. Breathing deeper when running.
A. Sweating when hot. D. Salivating at the smell of food. E. Breathing deeper when running.
Which assessment findings should the nurse anticipate if a client is diagnosed with post-traumatic stress disorder? Select all that apply. A. Tachycardia B. Panic attacks C. Inability to focus D. A fear of exposure to germs E. Hallucinations
A. Tachycardia B. Panic attacks C. Inability to focus E. Hallucinations
The nurse understands that which client description is most desirable after the administration of general anesthesia prior to a surgical procedure? A. The client is unconscious with slow eye movements. B. The client is unresponsive to pain and is unable to breath spontaneously. C. The client loses sensation, but remains awake. D. The client is unconscious, with arm and leg movement.
A. The client is unconscious with slow eye movements.
Which assessment findings should the nurse associated with a risk for suicide? Select all that apply. A. The client states that "suicide is always an option." B. The client describes a previous unsuccessful attempt at suicide by aspirin overdose. C. The client states that the prescribed medication is not working and that feelings of depression are worse. D. The client requests prescriptions for pain medication and a sleeping aid. E. The client expresses interest in meeting with friends more often.
A. The client states that "suicide is always an option." B. The client describes a previous unsuccessful attempt at suicide by aspirin overdose. C. The client states that the prescribed medication is not working and that feelings of depression are worse. D. The client requests prescriptions for pain medication and a sleeping aid.
The nurse is preparing to administer medications to a group of clients. One of the medications is atropine, an anticholinergic drug. This drug is contraindicated in which client? A. The client with glaucoma. B. The client with lung cancer. C. The client with a hiatal hernia. D. The client with hyperthyroidism.
A. The client with glaucoma.
A student nurse is learning about a medication that affects the autonomic nervous system. When instructing the student about the effects of this medication, the nurse will begin by explaining the basic structures of this system. What does this include? Select all that apply. A. The preganglionic neuron. B. The postganglionic neuron. C. The synaptic cleft. D. Norepinephrine. E. Dopamine.
A. The preganglionic neuron. B. The postganglionic neuron. C. The synaptic cleft.
The nurse is preparing to educate a client on prescribed antiepileptic drug (AED). Which information should the nurse include in the teaching? Select all that apply. A. The prescription should be taken at the same time every day. B. When a dose of the prescription is missed take both doses together when the next does is due. C. Take an additional dose of the prescription if experiencing a seizure aura. D. When experiencing side effects skip the next dose of the prescription. E. Avoid the use of dietary supplements containing kava while taking the prescription.
A. The prescription should be taken at the same time every day. E. Avoid the use of dietary supplements containing kava while taking the prescription.
Which explanation best explains why barbiturates are rarely used to treat anxiety and insomnia? A. They produce many serious adverse effects. B. They have a high risk of producing an allergic response. C. They have a greater associated cost. D. They are seldom effective.
A. They produce many serious adverse effects.
The nurse suspects a client has received too much phenylephrine (Neo-Synephrine). Which findings support the nurse's suspicion? Select all that apply. A. The client's heart rate has increased from 72 bpm to 114 bpm. B. The client reports feeling anxious. C. The client's blood pressure has increased from 140/86 mmHg to 180/98 mmHg. D. The client's stools are dark and tarry. E. The client reports burning at the injection site.
A. The client's heart rate has increased from 72 bpm to 114 bpm. C. The client's blood pressure has increased from 140/86 mmHg to 180/98 mmHg.
The nurse is assessing a client with schizophrenia prescribed a phenothiazine for anticholinergic side effects. Which finding should the nurse immediately report to the healthcare provider? A. Urinary retention B. Acute dystonia C. Complaint of a severe headache D. Hypertension
A. Urinary retention
The nurse is providing client teaching about the side effects of amitriptyline (Elavil). Which information should the nurse include in the teaching to promote prescription adherence? Select all that apply. A. Use ice chips to help alleviate dry mouth. B. Chew gum or use hard candy to help alleviate dry mouth. C. Avoid alcohol-based mouthwash to help alleviate dry mouth. D. Use "dry eye" drops to help with eye dryness. E. Request the pharmacist to fill the prescription from a different manufacturer.
A. Use ice chips to help alleviate dry mouth. B. Chew gum or use hard candy to help alleviate dry mouth. C. Avoid alcohol-based mouthwash to help alleviate dry mouth. D. Use "dry eye" drops to help with eye dryness.
Which information should the nurse include in the teaching for a client with a prescription for migraines? Select all that apply. A. Use the medication at the first sign of migraine. B. Overusing this medication may result in rebound headaches. C. Instill the spray into one nostril only. D. Increase dietary intake of tyramine-containing foods. E. Pain relief will not begin for up to an hour after administration.
A. Use the medication at the first sign of migraine. B. Overusing this medication may result in rebound headaches. C. Instill the spray into one nostril only.
A client is prescribed an anticholinergic drug. What discharge instructions should the nurse provide? Select all that apply. A. Wear sunglasses in bright light. B. Limit fluid intake. C. Increase fiber intake. D. Avoid hot showers. E. Avoid milk and dairy products.
A. Wear sunglasses in bright light. C. Increase fiber intake. D. Avoid hot showers.
A client prescribed sertraline (Zoloft) reports to the nurse that he is experiencing delayed ejaculation. Which response should the nurse provide the client? A. "I will let your healthcare provider know and most likely your prescription will be changed." B. "I am concerned that you may become suicidal if you stop the prescription." C. "This is a side effect of the prescription, but treating your depression is the priority." D. "Continue to take the prescription, as this usually goes away after a few months."
A. "I will let your healthcare provider know and most likely your prescription will be changed."
Which instruction should the nurse include for a client prescribed acetaminophen (Tylenol)? A. "Acetaminophen (Tylenol) can cause your mouth to become dry." B. "You may experience diarrhea while taking acetaminophen (Tylenol)." C. "Check your gums for bleeding when taking acetaminophen (Tylenol)." D. "Do not take any narcotics with acetaminophen (Tylenol)."
A. "Acetaminophen (Tylenol) can cause your mouth to become dry."
The nurse is preparing education for a client that will receive anesthesia for a surgical procedure. Which statement should the nurse include in the teaching? A. "An intravenous agent will initially administer to induce sleep followed by an inhaled agent." B. "If the inhaled agent is ineffective, an intravenous agent will be administered." C. "Usually all that is required is an intravenous agent to induce sleep." D. "An inhaled agent is used to induce sleep, followed by an intravenous agent for relaxation."
A. "An intravenous agent will initially administer to induce sleep followed by an inhaled agent."
A 48-year-old male client tells the nurse they want to stop taking their prazosin (Minipress). Which questions should the nurse ask the client? Select all that apply. A. "Are you experiencing impotence?" B. "Are you experiencing nasal congestion?" C. "Do you feel tired?" D. "Do you feel nervousness?" E. "Do you feel like you heart rates slows down?"
A. "Are you experiencing impotence?" B. "Are you experiencing nasal congestion?" C. "Do you feel tired?"
The nurse has provided education for a patient with depression. Which statement made by the patient indicates an understanding of the teaching? Select all that apply. A. "Depression has many causes which include brain-based disorders." B. "Depression can be an inherited illness." C. "We really don't know what causes depression." D. "Depression results from unresolved conflicts in your childhood." E. "Depression results from parental neglect."
A. "Depression has many causes which include brain-based disorders." B. "Depression can be an inherited illness."
An older adult has received adrenergic eye drops prior to a retinal exam. Which information should the nurse include in the client's discharge teaching? Select all that apply. A. "Do not drive until the effects of the eye drops have worn off." B. "Wear sunglasses when in bright light." C. "You may be more comfortable in a darkened room." D. "You may experience burning in your eyes for a couple of days." E. "Do not eat or drink anything for at least an hour after discharge."
A. "Do not drive until the effects of the eye drops have worn off." B. "Wear sunglasses when in bright light." C. "You may be more comfortable in a darkened room."
A client has been prescribed an adrenergic nasal spray. Which information should the nurse include in the teaching? Select all that apply. A. "Do not share this spray with anyone." B. "Sit upright while using this spray." C. "Only use this spray for 3-5 days." D. "Do not shake the bottle before using this spray." E. "Keep this spray refrigerated."
A. "Do not share this spray with anyone." B. "Sit upright while using this spray." C. "Only use this spray for 3-5 days."
The nurse is preparing to provide education about the nonpharmacological treatment of muscle spasms for a client with a neuromuscular disorder. Which information should the nurse include? Select all that apply... A. Application of heat or cold B. Ultrasound C. Massage D. Relaxation techniques E. Guided imagery
A. B. and C.
The nurse is admitting a client that hears voices telling them to harm them self. Which questions should the nurse ask the client? Select all that apply. A. "Do you have a family history of first-degree relative with schizophrenia?" B. "Do you use any street drugs?" C. "Have you recently experienced any episodes of anxiety?" D. "Do you have a family history of heart disease?" E. "Have you experienced any emotional or physical abuse?"
A. "Do you have a family history of first-degree relative with schizophrenia?" B. "Do you use any street drugs?" E. "Have you experienced any emotional or physical abuse?"
A parent of a child pharmacologically treated for ADHD asks the nurse to explain a "drug holiday." Which information should the nurse provide about the treatment option? Select all that apply. A. "Drug holidays may be used to reduce dependence on medications or to assess symptoms." B. "If you feel like the medication is sedating your child too much, you can hold doses for up to 3 or 4 days." C. "Drug holidays are used when the dosage will be increased to assess the patient's tolerance to the prescription." D. "You should not consider using a drug holiday until you have discussed that option with your healthcare provider." E. "Drug holidays require careful scheduling."
A. "Drug holidays may be used to reduce dependence on medications or to assess symptoms." D. "You should not consider using a drug holiday until you have discussed that option with your healthcare provider." E. "Drug holidays require careful scheduling."
A client with schizophrenia whose symptoms have been controlled with a liquid prescription has reported both positive and negative symptoms have returned over the last week. Which questions should the nurse ask the patient? Select all that apply. A. "Have you mixed your prescription in any liquids?" B. "Have you changed pharmacies?" C. "What was your last fasting blood glucose?" D. "Have you the started smoking again?" E. "Are you consuming more dairy products than usual?"
A. "Have you mixed your prescription in any liquids?" B. "Have you changed pharmacies?" D. "Have you the started smoking again?"
A client recently prescribed an adrenergic drug states to the nurse, "I am so nervous and I cannot sleep." Based on the client's statement, which questions should the nurse ask? Select all that apply. A. "How much coffee do you drink?" B. "Have you recently increased your intake of dairy products?" C. "Do you eat chocolate?" D. "When was the last time you ate pickled foods or aged cheese?" E. "How much wine or other alcoholic beverages do you drink?"
A. "How much coffee do you drink?" C. "Do you eat chocolate?"
The nurse is preparing to assess an older adult for depression. Which questions should the nurse include in the assessment? Select all that apply. A. "How often do you go out to socialize with friends?" B. "Can you tell me about your self-care activities." C. "How much alcohol do you consume every day?" D. "How is living with your oldest daughter and her family working out for you?" E. "Are you feeling depressed?"
A. "How often do you go out to socialize with friends?" B. "Can you tell me about your self-care activities." C. "How much alcohol do you consume every day?" D. "How is living with your oldest daughter and her family working out for you?"
Which comment by the client receiving morphine should the nurse recognize as an adverse effect? A. "I feel like I am going to throw up." B. "My ears are constantly ringing." C. "My heart feels like it is skipping beats." D. "I feel cold shivers all over."
A. "I feel like I am going to throw up."
The nurse has provided education for a client who received a new prescription for the treatment of Parkinson's disease. Which statements made by the client indicate an understanding of the information? Select all that apply. A. "I guess I will have to give up eating my wife's banana pudding." B. "I should add some wheat germ to my breakfast cereal." C. "I should add olive oil to the salads I eat at noon each day." D. "I will most likely have to become a vegetarian." E. "I will take my medication on an empty stomach."
A. "I guess I will have to give up eating my wife's banana pudding." E. "I will take my medication on an empty stomach."
The nurse has completed the education for a client prescribed levodopa (Stalevo). Which statement made by the client indicates further education is needed? A. "I will weigh myself weekly." B. "I will increase the intake of vitamin B6 in my diet." C. "I will notify my healthcare provider if my urine darkens." D. "I will increase the protein in my diet."
A. "I will weigh myself weekly."
A client has been prescribed an oral drug containing atropine. The nurse would hold the drug and contact the prescriber if the client states which of the following? Select all that apply. A. "I would like to wait a few minutes to take this as I just drank some aloe juice." B. "Can I take this at the same time as my procainamide?" C. "I have had a headache this morning." D. "I am allergic to penicillin." E. "My gallbladder surgery is scheduled for next week."
A. "I would like to wait a few minutes to take this as I just drank some aloe juice." B. "Can I take this at the same time as my procainamide?"
The educator has discussed the protocol for the immediate availability of naloxone for a client with a patient-controlled analgesia PCA pump with a nurse. Which statement made by the nurse indicates an understanding of the information? A. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs." B. "Naloxone (Narcan) enhances the effect of the opioid in the patient-controlled analgesia (PCA) pump and increases analgesia." C. "Naloxone (Narcan) is the antidote if an anaphylactic reaction to the opioid in the patient-controlled analgesia (PCA) pump occurs." D. "Naloxone (Narcan) is available to treat any systemic side effects, like constipation, of the opioid in the patient-controlled analgesia (PCA) pump."
A. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs."
The nurse has provided discharge teaching for a client who had an abobotulinumtoxinA (Dysport) injection. Which symptoms should the nurse instruct the client to immediately report? Select all that apply... A. Chest pain B. Urinary retention C. Heart palpitations D. Difficulty swallowing E. Eye spasm
A. B. and D
The nurse has provided client education about the use of nonpharmacological techniques for pain management. Which statements indicate the client understands the information? Select all that apply. A. "Nonpharmacological techniques are a good adjunct to pharmacotherapy." B. "Nonpharmacological techniques have not reached mainstream yet." C. "Nonpharmacological techniques may be used in place of drugs." D. "Nonpharmacological techniques include an aerobic exercise." E. "Nonpharmacological techniques are not usually valued by nurses."
A. "Nonpharmacological techniques are a good adjunct to pharmacotherapy." C. "Nonpharmacological techniques may be used in place of drugs."
The educator has discussed the types of opioid receptors with a nurse. Which statement made by the nurse indicates an understanding of the information? A. "Opioid agonists will activate mu and kappa receptors, producing an analgesic effect." B. "The sigma and kappa receptors have been traditionally targeted for pain management." C. "Drugs that block opioid receptors inhibit the pain impulse." D. "Opioids exert their actions by interacting with three different receptors."
A. "Opioid agonists will activate mu and kappa receptors, producing an analgesic effect."
A client that has been taking phenytoin (Dilantin) tells the nurse they want to stop taking the medication due to the side effects. Which response should the nurse provide the client? A. "Please do not stop the prescription abruptly, as you will have withdrawal seizures." B. "Another prescription can be added to decrease the side effects." C. "Your seizures have been controlled so I will let your healthcare provider know that you no longer will be taking the prescription." D. "Side effects are a problem, but they are not as bad as the seizures you were having."
A. "Please do not stop the prescription abruptly, as you will have withdrawal seizures."
The nurse has completed group education for clients with anxiety disorders. Which statement made be a client indicates an understanding of the education? Select all that apply. A. "Relaxation techniques will often decrease anxiety." B. "Antianxiety medicine should be used until anxiety is gone." C. "Antianxiety medicine should not be used indefinitely." D. "Therapy may help identify where this anxiety comes from." E. "Different medications are required for treating anxiety than for treating difficulty sleeping."
A. "Relaxation techniques will often decrease anxiety." C. "Antianxiety medicine should not be used indefinitely." D. "Therapy may help identify where this anxiety comes from."
A client has been prescribed an adrenergic-blocker for treatment of hypertension. Which information should the nurse provide? Select all that apply. A. "Rise from a sitting position slowly B. "Sit on the side of the bed a few moments before you stand." C. "If you feel dizzy, add more salt to your diet." D. "If you feel dizzy, sit or lie down until the dizziness passes." E. "Dizziness is expected so just continue your daily activities."
A. "Rise from a sitting position slowly B. "Sit on the side of the bed a few moments before you stand." D. "If you feel dizzy, sit or lie down until the dizziness passes."
The nurse has completed the education for the parents of a child with tonic-clonic seizures. Which statements made by the parents indicate further education is needed? Select all that apply. A. "Some of the times when I thought he was ignoring me may have actually been seizure activity." B. "He just needs to focus more to prevent these attacks." C. "I know he will outgrow these seizures with time." D. "I hope we can help our son identify his seizure aura." E. "We will watch for the development of status epilepticus."
A. "Some of the times when I thought he was ignoring me may have actually been seizure activity." B. "He just needs to focus more to prevent these attacks." C. "I know he will outgrow these seizures with time."
The nursing instructor teaches the student nurses about the nervous system. The instructor determines that learning has occurred when the students make which statement(s)? Select all that apply. A. "The central nervous system includes the brain and spinal cord." B. "The peripheral nervous system has mainly sensory functions." C. "The somatic nervous system gives us voluntary control over our gastrointestinal (GI) tract." D. "The nervous system helps us react to environmental changes." E. "The somatic nervous system gives us voluntary control over moving."
A. "The central nervous system includes the brain and spinal cord." D. "The nervous system helps us react to environmental changes." E. "The somatic nervous system gives us voluntary control over moving."
A parent states, "The doctors all say that my son's problem is epilepsy, but I don't think that is correct. I have never seen him jerk or thrash." Which information should the nurse include in a response to the parent? Select all that apply. A. "The episodes of jerking and thrashing are called convulsions." B. "Seizures take many forms." C. "Your son may have seizures, but not epilepsy." D. "Seizures can be a sign that epilepsy is present." E. "If there is no physical movement, epilepsy is ruled out."
A. "The episodes of jerking and thrashing are called convulsions." B. "Seizures take many forms." D. "Seizures can be a sign that epilepsy is present."
A client ask the nurse which part of the brain controls anxiety and insomnia. Which response should the nurse provide? A. "The limbic system and reticular activating system control anxiety and insomnia." B. "The limbic system and hypothalamus control anxiety and insomnia." C. "The thalamus and reticular activating system control anxiety and insomnia." D. "The frontal lobes and limbic system control anxiety and insomnia."
A. "The limbic system and reticular activating system control anxiety and insomnia."
A client with Parkinson's disease asks the nurse how his or her prescriptions will help him or her. Which response should the nurse provide? A. "The prescriptions will help you to eat and walk." B. "The prescriptions will increase your appetite and energy." C. "The prescriptions will help prevent muscle wasting." D. "The prescriptions will balance serotonin and acetylcholine in client's brain."
A. "The prescriptions will help you to eat and walk."
Which drug toxicity is a client experiencing that exhibits tachycardia and palpitations? A. Benzodiazepines B. Nicotine C. Marijuana D. Alcohol
B
Which statements made by the client indicate he or she may be experiencing psychosis? Select all that apply. A. "The servants need to be disciplined." B. "The voice told me to cut myself." C. "I have not had an appetite for weeks." D. "Close the door so that man can't get to me." E. "I have not been able to get any sleep for months."
A. "The servants need to be disciplined." B. "The voice told me to cut myself." D. "Close the door so that man can't get to me."
The nursing instructor teaches the student nurses about the autonomic nervous system. The instructor determines that learning has occurred when the students make which statement(s)? Select all that apply. A. "The sympathetic and parasympathetic systems are not always opposite in their effects." B. "The parasympathetic nervous system is the "fight-or-flight" response." C. "Sympathetic stimulation causes dilation of arterioles." D. "The parasympathetic nervous system causes bronchial constriction." E. "The sympathetic nervous system is activated under stress."
A. "The sympathetic and parasympathetic systems are not always opposite in their effects." D. "The parasympathetic nervous system causes bronchial constriction." E. "The sympathetic nervous system is activated under stress."
A client has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. Which information about adverse effects should the nurse provide in discharge teaching? Select all that apply. A. "This drug may cause some stinging or burning in your nose." B. "You may notice that your nasal secretions take on a slightly orange tint." C. "You may feel like your blood pressure is low for the first few times you use this spray." D. "Rebound congestion may occur if the prescription is used more than a few days." E. "Do not drink herbal teas while taking this medication."
A. "This drug may cause some stinging or burning in your nose." D. "Rebound congestion may occur if the prescription is used more than a few days."
The nurse has provided education for a client prescribed a topical anesthetic. Which statements made by the client indicate an understanding of the information? Select all that apply. A. "This lotion should only be used on small areas of skin." B. "I will wear gloves when I apply the lotion." C. "This lotion will work well on cuts too." D. "I will wash my hands before touching my eyes." E. "I will be mindful of the expiration date on the prescription."
A. "This lotion should only be used on small areas of skin." D. "I will wash my hands before touching my eyes." E. "I will be mindful of the expiration date on the prescription."
A client asks the nurse why he or she are prescribed different types of medications for his or her anxiety and insomnia. Which response should the nurse provide the client? Select all that apply. A. "You will be taking medications known as sedative-hypnotics." B. "You will be taking medications known as antidepressants." C. "You will be taking a medication known as paraldehyde." D. "You will be taking medications known as barbiturates." E. "You will be taking medications known as benzodiazepines."
A. "You will be taking medications known as sedative-hypnotics." B. "You will be taking medications known as antidepressants." E. "You will be taking medications known as benzodiazepines."
A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include? A. "Take a missed dose as soon as you remember." B. "Take the drug as needed at the first sign of anxious feelings." C. "Take the drug in the morning with a glass of grapefruit juice." D. "Drink a cup of chamomile tea at night with the drug."
A. "Take a missed dose as soon as you remember."
A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse reaction caused by alprazolam? A. Anxiety B. Ringing in the ears C. Increased appetite D. Muscle spasms
A. Anxiety
A nurse should identify that timolol is contraindicated for a client who has which of the following disorders? A. Asthma B. Seizure disorder C. Diabetes mellitus D. Rheumatoid arthritis
A. Asthma
Which statement made by a client prescribed cyclobenzaprine (Amrix) requires additional teaching? Select all that apply... A. "My wife and I are driving our motor home to the beach tomorrow." B. "I am going home to mow my lawn." C. "I take a nap every afternoon." D. "I just checked out a new book from the library." E. "I am taking my grandchildren to the zoo tomorrow."
A. B. and E.
A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity? A. Furosemide for hypertension B. Acetaminophen for headaches C. Ciprofloxacin for a urinary tract infection D. Montelukast for asthma
A. Furosemide for hypertension
A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administering St. John's wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome? A. Hallucinations B. Decreased temperature C. Hypersexual behavior D. Constipation
A. Hallucinations
A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification? A. Renal function impairment B. Cataracts C. Recent weight loss D. Smoking
A. Renal function impairment
A client that experienced malignant hyperthermia is being treated with dantrolene. Which assessment findings should the nurse recognize are an adverse reaction to the treatment? Select all that apply... A. Swelling at the IV site B. Muscle weakness C. Sore throat D. Irritability E. Anorexia
A. and B.
Which information should the nurse include in the education of the body movement for a client with a neuromuscular disorder? Select all that apply... A. Body movement depends on proper functioning of muscles. B. Body movement depends on intact nerves. C. Body movement depends on an intact spinal cord. D. Body movement depends on proper endocrine functioning.
A. and B.
The nurse is reviewing the records of a client prescribed cyclobenzaprine (Amrix). Which findings should the nurse be most concerned about? Select all that apply... A. The client reports drinking wine each day with dinner. B. The client has a history of using nasal saline spray for allergies. C. The client was prescribed a MAO inhibitor last month. D. The client's blood glucose was elevated at the last visit. E. The client had an ulnar fracture repaired a year ago.
A. and C.
Which clients prescribed dantrolene (Dantrium) should the nurse recognize have the greatest risk for liver toxicity? Select all that apply... A. A 49-year-old woman who has a history of esophagitis. B. A 60-year-old man with pneumonia. C. A 38-year-old woman who has type 2 diabetes. D. An 18-year-old who injured his leg playing soccer. E. A 26-year-old woman who has an ostomy.
A. and C.
A nurse is teaching a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include? -Avoid driving or activities that require mental alertness. -avoid crushing the tablets -limit fluid intake during therapy -limit potassium while taking allopurinol
Avoid driving or activities that require mental alertness.
A client receiving a pain prescription for several weeks has required an increase of the dosage to adequately manage symptoms. Which should the nurse recognize has occurred? A. Immunity B. Tolerance C. Physiologic addiction D. Psychological addiction
B
A client tells the nurse he or she would like to stop taking methamphetamines but cannot stop. Which should the nurse recognize the client is experiencing? A. Physical dependence B. Substance dependence C. Psychological dependence D. Withdrawal syndrome
B
The nurse has provided education to a client about abuse of methylphenidate. Which response by the client indicates further teaching is required? A. "The prescription gives them more energy." B. "The prescription produces relaxation." C. "The prescription produces a euphoria." D. "The prescription heightens the awareness."
B
The nurse assessing a client suspected of hallucinogen toxicity. Which assessment findings support the nurse's suspicion? Select all that apply. A. Somnolence B. Confusion C. Panicked reactions D. Blurred vision E. Respiratory depression
B,C,D
The nurse has provided group education on the topic of addiction. Which statements made by the clients indicate an understanding of the information? Select all that apply. A. "Heroin addicts often die from heroin withdrawal." B. "Substance abuse depends on complex variables." C. "Most addicts became addicted from pain medication in a hospital." D. "Addiction includes a compulsion to use a mood-altering substance." E. "There is most likely a genetic component to addiction."
B,D,E
The educator is reviewing botulinum toxin type B (Myobloc) with a nurse. Which should the educator include in the discussion? A. The therapeutic effect can last up to a year. B. High doses are toxic causing food poisoning. C. It can take 6 months to experience the therapeutic effect. D. Classified as a cholinergic agonist.
B.
The nurse is preparing to provide education for a client prescribed cyclobenzaprine (Amrix). Which information should the nurse include in the education? A. Restrict the intake of sodium. B. Increase the intake of fiber. C. Increase the intake of protein. D. Avoid the use of caffeine.
B.
The nurse suspects that a client is developing malignant hyperthermia. Which is the priority nursing intervention? A. Control associated symptoms. B. Rapidly assess for supporting signs and symptoms. C. Discontinue the triggering prescription. D. Administer dantrolene intravenously.
B.
Which area of the body when damaged commonly results in spasticity? A. Brainstem B. Cerebral cortex C. Spinal cord D. Peripheral nerves
B.
Which lab result is a priority for the nurse to assess for a client who is prescribed dantrolene (Dantrium)? A. Hemoglobin and hematocrit. B. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT). C. Serum amylase. D. Creatinine clearance.
B.
A client who has history of severe arteriosclerosis requires a repair of a laceration. Which property contained in a local anesthetic should the nurse recognize is safe to administer to the client? A. Epinephrine B. Sodium bicarbonate C. Proparacaine (Alcaine) D. Benzocaine
B. Sodium bicarbonate
Which statement describes the primary difference between centrally acting muscle relaxants and direct-acting antispasmodics? A. Centrally acting agents stimulate the central nervous system, while direct-acting agents inhibit neuronal conduction of the central nervous system. B. Centrally acting agents inhibit neurons of the central nervous system, while direct-acting agents work at the level of the neuromuscular junction and skeletal muscles. C. Centrally acting agents stimulate neurons of the central nervous system, while direct-acting agents stimulate neurons of the peripheral nervous system. D. Centrally acting agents inhibit neurons of the central nervous system, while direct-acting agents stimulate neurons of the central nervous system.
B.
A nursing instructor is planning to teach nursing students about exogenous acetylcholine. The instructor should include which information? A. Acetylcholine will cause the heart rate to increase and blood pressure to drop. B. Acetylcholine has almost no therapeutic effects because it is rapidly destroyed once given. C. When given in small amounts, acetylcholine will produce profound parasympathetic effects. D. Acetylcholine is broken down rapidly within the body, preventing it from producing adverse effects.
B. Acetylcholine has almost no therapeutic effects because it is rapidly destroyed once given.
A client overdosed on risperidone (Risperdal). Which intervention should the nurse be prepared to perform? A. Provide symptom management B. Administer activated charcoal C. Administer a CNS depressant D. Administer anticholinergic
B. Administer activated charcoal
Which statement regarding the use of zolpidem (Ambien) for insomnia is accurate? A. Ambien is classified as a benzodiazepine. B. Ambien will take longer to produce an effect when taken with food. C. Clients using Ambien should avoid foods that contain tyramine. D. Ambien is contraindicated during pregnancy but can be taken by breastfeeding mothers.
B. Ambien will take longer to produce an effect when taken with food.
Which client conditions should the nurse anticipate to be treated with a beta2 agonists? Select all that apply. A. Heart failure B. Asthma C. COPD D. Overactive bladder E. Nasal congestion
B. Asthma C. COPD
For which client receiving an inhalation anesthesia should the nurse be most concerned? A. A 55-year-old with a serious neck injury B. A 79-year-old with arteriosclerosis C. A 15-year-old with diabetes mellitus D. A 6-year-old with no chronic health problems
B. A 79-year-old with arteriosclerosis
For which adverse effect should the nurse monitor a client prescribed phenytoin (Dilantin)? A. Hypoglycemia B. Bleeding C. Vitamin B deficiency D. Leg edema
B. Bleeding
A client has been prescribed scopolamine (Transderm-Scop) for the prevention of motion sickness. The nurse should teach the client to immediately report which adverse effects? Select all that apply. A. Slow heart rate B. Cardiac palpitations C. Decreased urinary output D. Development of tremors E. Diarrhea
B. Cardiac palpitations C. Decreased urinary output D. Development of tremors
Which atypical antipsychotic should the nurse anticipate a client with schizophrenia demonstrating both positive and negative symptoms will be prescribed? A. Chlorpromazine (Thorazine) B. Clozapine (Clozaril) C. Thioridazine HCL (Mellaril) D. Haloperidol (Haldol)
B. Clozapine (Clozaril)
The nurse is preparing education for a caregiver of a patient with Alzheimer's disease. Which information should the nurse include in the teaching? Select all that apply. A. Glutamergic inhibitors are the most common class of drugs for treating Alzheimer's disease. B. Depression and aggressive behavior are common with the disease. C. Memory difficulties are an early symptom of the disease. D. Chronic inflammation of the brain can be a causative actor in the condition. E. Pharmacologic therapies are given to help improve memory in Alzheimer's disease.
B. Depression and aggressive behavior are common with the disease. C. Memory difficulties are an early symptom of the disease. D. Chronic inflammation of the brain can be a causative actor in the condition. E. Pharmacologic therapies are given to help improve memory in Alzheimer's disease.
A client with a preexisting conditions states to the nurse, "I took my blood pressure at home and it was high so I have been taking my husband's propranolol (Inderal) for the last week." Based on the client's statement, which preexisting conditions should the nurse be most concerned with? Select all that apply. A. Obesity B. Diabetes mellitus C. COPD D. Asthma E. Rheumatoid arthritis
B. Diabetes mellitus C. COPD D. Asthma
The nurse is reviewing the prescription history for a client scheduled for an operative procedure that will require the administration of succinylcholine (Anectine). Which prescription should the nurse find most concerning? A. Citalopram B. Diazepam C. St. John's Wort D. Furosemide
B. Diazepam
The nurse is preparing to administer an adrenergic drug intravenously. Which should the nurse include in the plan of care? Select all that apply. A. Give the drug as rapidly as possible by intravenous push. B. Dilute the drug before administration. C. Use an infusion pump to control rate of administration. D. Monitor for blanching at the infusion site. E. Advise the patient that a sweet taste may occur as the drug is being given.
B. Dilute the drug before administration. C. Use an infusion pump to control rate of administration. D. Monitor for blanching at the infusion site.
Which anatomical areas should be avoided when administering lidocaine with epinephrine? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Cheek B. Earlobe C. Tip of the nose D. Top of the foot E. Fingertip
B. Earlobe C. Tip of the nose E. Fingertip
A student nurse asks a nursing instructor which part of the nervous system primarily regulates the ability of a person to use his arm muscles to lift a weight. What is the instructor's best response? A. Parasympathetic nervous system. B. Somatic nervous system. C. Sympathetic nervous system. D. Autonomic nervous system.
B. Somatic nervous system.
The nurse is preparing the education for a client with progressive multiple sclerosis prescribed alemtuzumab (Lemtrada). Which information should the nurse plan to include in the education? Select all that apply. A. Monitoring for hypertension B. Evaluation of a complete blood count (CBC) C. Requirement of two doses of treatment 12 months apart D. Dietary decrease of protein and vitamin B6 E. Intravenous administration of prescription
B. Evaluation of a complete blood count (CBC) C. Requirement of two doses of treatment 12 months apart E. Intravenous administration of prescription
Which barriers make it difficult to treat a client with schizophrenia demonstrating negative symptoms? Select all that apply. A. The client feels that their behavior is normal. B. Family members feel the client is going through a period of depression. C. The client is suspicious of the motives of the healthcare provider. D. Family members have labeled the patient as lazy. E. The client is indifferent to obtaining help.
B. Family members feel the client is going through a period of depression. D. Family members have labeled the patient as lazy. E. The client is indifferent to obtaining help.
The health-care provider has ordered bethanechol (Urecholine), a cholinergic drug, for the client with urinary retention. The client also has an enlarged prostate gland. What is the priority action by the nurse? A. Administer the drug and push fluids. B. Hold the drug and contact the health-care provider. C. Administer the drug and measure urinary output. D. Hold the drug and prepare to catheterize the client.
B. Hold the drug and contact the health-care provider.
A client who has been taking lorazepam (Ativan) for 2 years presents to the clinic and tells the nurse that her or she stopped taking his or her medication 3 days prior. Which assessment findings should the nurse anticipate? A. A sense of calmness and lack of anxiety. B. Increased heart rate, fever, and muscle cramps. C. Nothing different; it is safe to abruptly stop lorazepam (Ativan.) D. Pinpoint pupils, constipation, and urinary retention.
B. Increased heart rate, fever, and muscle cramps.
A client is prescribed prazosin (Minipress). Which information should the nurse include in the client education? A. Instruct the client to decrease his intake of sodium. B. Instruct the client to not take OTC herbal preparations containing saw palmetto. C. Instruct the client to wear sunglasses when outdoors D. Instruct the client to not take tub baths.
B. Instruct the client to not take OTC herbal preparations containing saw palmetto.
Which local anesthetic agent should the nurse recognize has the lowest rate of adverse effects? A. Chloroprocaine (Nesacaine) B. Lidocaine (Xylocaine) C. Procaine (Novocain) D. Tetracaine (Pontocaine)
B. Lidocaine (Xylocaine)
Which assessment finding in an older adult prescribed levodopa (Stalevo) should the nurse be most concerned with? A. Diarrhea B. Muscle twitching C. Hypertension D. Dark urine
B. Muscle twitching
A client who has been treated with an antipsychotic agent develops an elevated blood pressure, dyspnea, and an elevated temperature. Which disorder should the nurse suspect has occurred? A. Akathisia B. Neuroleptic malignant syndrome C. Extrapyramidal side effects D. Acute dystonia
B. Neuroleptic malignant syndrome
The nurse is assessing a female client who has been taking chlorpromazine. Which should the nurse include in the assessment? Select all that apply. A. Ask the client if she is taking any herbal medicine. B. Obtain a lipid profile. C. Ask the client questions regarding amount of alcohol intake. D. Determine the date of her last menstrual period. E. Assess thyroid function with laboratory work.
B. Obtain a lipid profile. C. Ask the client questions regarding amount of alcohol intake. D. Determine the date of her last menstrual period.
The educator is discussing the adverse effects of prescriptions used to treat seizure disorders. Which prescription should educator refer to when discussing the risk for extravasation? A. Ethosuximide (Zarontin) B. Phenytoin (Dilantin) C. Clonazepam (Klonopin) D. Phenobarbital (Luminal)
B. Phenytoin (Dilantin)
A client with a psychiatric history is attempting to communicate with the nurse using made-up words. Which condition is the client most likely exhibiting? A. Symptom of depression. B. Positive symptom of schizophrenia. C. Symptom of bipolar disorder. D. Negative symptom of schizophrenia.
B. Positive symptom of schizophrenia.
Which best describes the action of Glatiramer (Copaxone)? A. Stimulates the production of neurons B. Reduces the creation of new brain lesions C. Inhibits the destruction of myelin D. Stimulates the growth of myelin
B. Reduces the creation of new brain lesions
Which information should the nurse include in the teaching for a client prescribed ramelteon? A. Day time drowsiness is common. B. Relatively short onset of action. C. There is an increased risk of physical dependence. D. The primary action is to induce a deep sleep state.
B. Relatively short onset of action.
A client has been in the intensive care unit for a week receiving various procedures throughout the day and night. Currently the client, though physiologically stable, is irritable and paranoid and complains of vivid dreams when dozing off to sleep. Which are the best actions for the nurse to take at this time? Select all that apply. A. Check the client's oxygen status. B. Request a prescription for a for sleep hypnotic. C. Assess the client's vital signs. D. Turn down the lights at night and reduce noise to a minimum. E. Schedule all tests and procedures before 9 p.m. or after 7 a.m.
B. Request a prescription for a for sleep hypnotic. D. Turn down the lights at night and reduce noise to a minimum. E. Schedule all tests and procedures before 9 p.m. or after 7 a.m.
Which area of the brain is primarily responsible for maintaining sleep and wakefulness? A. Cerebellum B. Reticular activating system C. Cerebral cortex D. Limbic system
B. Reticular activating system
The nurse is preparing to assess a client that had a tonic-clonic seizure. Which assessment findings should the nurse anticipate? Select all that apply. A. Incontinence of urine. B. The client is in a deep sleep. C. Confusion in relation to place and time. D. The client reports of an odd taste in the mouth. E. The client attempting to remove their hospital gown.
B. The client is in a deep sleep. C. Confusion in relation to place and time.
Which is a priority outcome for a client with schizophrenia that has been prescribed haloperidol (Haldol)? A. The client will report symptoms of restlessness. B. The client will be compliant with taking the medication as prescribed. C. The client will consume adequate fluids and a high-fiber diet. D. The client will report a decrease in auditory hallucinations.
B. The client will be compliant with taking the medication as prescribed.
The nurse is preparing to administer benztropine (Cogentin), which is an anticholinergic drug. The nurse understands this drug is contraindicated in which client? A. The client with diarrhea. B. The client with tachycardia. C. The client with a fractured femur. D. The client with an irritable colon.
B. The client with tachycardia.
Which substance is used in the initial production of catecholamines? A. Norepinephrine B. Tyrosine C. Dopamine D. L-dopa
B. Tyrosine
The healthcare provider has prescribed intravenous phenytoin (Dilantin) IV piggyback. The client is currently receiving 5% dextrose in water (D5W) intravenously (IV). Which action should the nurse take? Select all that apply. A. Use a large vein for the infusion. B. Use an intravenous (IV) line with a filter. C. Flush the intravenous (IV) line with saline. D. Monitor the patient for hypertension. E. Monitor the patient for Stevens-Johnson syndrome.
B. Use an intravenous (IV) line with a filter. C. Flush the intravenous (IV) line with saline.
A client refuses his or her antipsychotic and tells the nurse he or she frequently experience a dry mouth. Which response should the nurse provide? A. "Can you tell me why you are refusing the medicine?" B. "A dry mouth is common, but drinking more water will help." C. "I can give you another prescription to help with the dry mouth." D. "I will let your healthcare provider know about your dry mouth."
B. "A dry mouth is common, but drinking more water will help."
Which statement should the educator use to describe to the nurse the neural mechanism responsible for signaling sharp pain? A. "Unmyelinated fibers carry the pain signal faster resulting in the feeling of sharp pain." B. "Alpha fibers are wrapped in myelin that speed up the signal resulting in the sensation of sharp pain." C. "Once the pain impulse reaches the spinal cord, the neurotransmitters speed up the signal for sharp pain." D. "Both the alpha and beta fibers in the spinal cord work together to signal sharp pain."
B. "Alpha fibers are wrapped in myelin that speed up the signal resulting in the sensation of sharp pain."
A client with anxiety and insomnia asks the nurse about the benefits of treatment with a benzodiazepine. Which response should the nurse provide the client? A. "Benzodiazepines are the most effective." B. "Benzodiazepines have the lowest risk of dependency and tolerance." C. "Benzodiazepines are most affordable." D. "Benzodiazepines are most likely to be covered under insurance premiums."
B. "Benzodiazepines have the lowest risk of dependency and tolerance."
A client asks the nurse about bipolar disorder. Which response should the nurse provide? A. "Bipolar disorder is a type of depression that includes attention deficit disorder symptoms." B. "Bipolar disorder means you have cycles of depression as well as hyperactivity, or mania." C. "Bipolar disorder is just another type of depression, except the depression occurs in cycles." D. "Bipolar disorder just means that the mood alternates with the seasons, and becomes worse in the winter."
B. "Bipolar disorder means you have cycles of depression as well as hyperactivity, or mania."
A client has returned to the clinic for follow-up after being prescribed an adrenergic blocking medication for benign prostatic hypertrophy (BPH.) Which assessment questions should the nurse ask? Select all that apply. A. "What color is your urine?" B. "Do you have any difficulty starting to urinate?" C. "Do you have the feeling that your bladder is full?" D. "When was your last bowel movement?" E. "Have you noticed being more hungry than usual?"
B. "Do you have any difficulty starting to urinate?" C. "Do you have the feeling that your bladder is full?"
The nurse has provided education for a client diagnosed with epilepsy. Which statement made by the client indicates an understanding of the information? Select all that apply. A. "Excessive stress levels cause disruptions in how the brain receives oxygen, leading to epilepsy." B. "Epilepsy may be caused by a head injury." C. "Eating disorders, like anorexia nervosa, increase the risk for developing epilepsy." D. "A stroke, or brain attack, could increase the risk for developing epilepsy." E. "With some cases of epilepsy, the cause is never determined."
B. "Epilepsy may be caused by a head injury." D. "A stroke, or brain attack, could increase the risk for developing epilepsy." E. "With some cases of epilepsy, the cause is never determined."
A client is to be prescribed an antidepressant. Which question is most important when performing the initial assessment? A. "How much alcohol do you consume during the week?" B. "Have you had any thoughts about killing yourself?" C. "Are you allergic to any medications?" D. "How long have you been depressed?"
B. "Have you had any thoughts about killing yourself?"
A client has been receiving clozapine (Clozaril) for the treatment of schizophrenia. Which statement made by the client indicates the prescription is effective? A. "I will start going to group therapy." B. "I am not hearing the voices anymore." C. "I promise not to skip breakfast anymore." D. "I think I am ready for discharge, as I feel better."
B. "I am not hearing the voices anymore."
The client receives methyldopa (Aldomet). Which statement below indicates the patient is experiencing side effects? A. "Will you check my pupils? I can't see very well at all." B. "I am so anxious; I really need to walk around the room." C. "I am so thirsty; will you please bring me another pitcher of water?" D. "I feel so sleepy that I don't think I can eat my dinner."
B. "I am so anxious; I really need to walk around the room."
The nurse has completed the education for a client prescribed buspirone (BuSpar). Which statement made by the client indicates further teaching is required? A. "This prescription should be taken on a regular basis for it to help me." B. "I can take this prescription when I feel anxious and it will relax me." C. "I don't need to worry about becoming dependent on this prescription." D. "The side effects I might experience include dizziness, headache, and drowsiness."
B. "I can take this prescription when I feel anxious and it will relax me."
Which statements made by a client scheduled for an operative procedure for which isoflurane (Forane) will be administered should the nurse immediately report to the healthcare provider? Select all that apply. A. "I stopped taking my vitamin C supplement last week because it upset my stomach." B. "I don't think my St. John's Wort is helping my depression." C. "I have not eaten anything since before my CT scan yesterday." D. "My brother ran a high fever and had seizures after his surgery." E. "My last dose of levodopa was yesterday."
B. "I don't think my St. John's Wort is helping my depression." D. "My brother ran a high fever and had seizures after his surgery."
The nurse has provided the education for the client prescribed atenolol (Tenormin). Which statement made by the client indicates an understanding of the information? A. "I cannot take this drug if I develop glaucoma." B. "I need to take my pulse every day." C. "I cannot continue to have my morning cup of coffee." D. "If I have any side effects, I will stop the medication."
B. "I need to take my pulse every day."
the nurse has completed medication education for a client prescribed phenelzine (Nardil). Which statements made by the client indicate an understanding of the teaching? Select all that apply. A. "I am really going to miss my morning coffee and sweet roll." B. "I'll have to give up my beer at the football games." C. "I can't eat fried chicken and gravy." D. "I am not supposed to have processed meats or cheese." E. "I really shouldn't eat at a restaurant; too many foods are on my restricted list."
B. "I'll have to give up my beer at the football games." D. "I am not supposed to have processed meats or cheese."
A client asks the nurse how morphine will control pain. Which response should the nurse provide the client? A. "Inhibits the primary pain neurotransmitters in your brain." B. "Interacts with receptors in your body that produce analgesia." C. "Promotes the primary pleasure neurotransmitters in your brain." D. "Stimulates the receptors that secrete endorphins in your brain."
B. "Interacts with receptors in your body that produce analgesia."
The nurse has completed medication education about pyridostigmine (Mestinon), an indirect cholinergic drug, for a client with myasthenia gravis. The nurse determines that learning has occurred when the client makes which statement? A. "I will need to increase my fluid intake with this medication." B. "It is really important to take my medication on time." C. "My heart may beat slower while I am on this drug." D. "I must take this medication immediately before eating a full meal."
B. "It is really important to take my medication on time."
Which statement made by a client prescribed acetylsalicylic acid (aspirin) indicates the client is experiencing an adverse reaction? A. "I have to get up a lot at night to urinate." B. "My stools have been dark in color." C. "Bright lights give me a headache." D. "My nose is stuffed up."
B. "My stools have been dark in color."
A client taking phenobarbital (Luminal) for seizure control asks the nurse how the prescription can control seizures. Which response should the nurse provide the client? A. "Phenobarbital (Luminal) stops seizures by decreasing the sodium in brain, which is responsible for the seizures." B. "Phenobarbital (Luminal) stops seizures by increasing a chemical called GABA that calms down the excitability in the brain." C. "Phenobarbital (Luminal) stops seizures by increasing a chemical called glutamate that calms down the excitability in the brain." D. "Phenobarbital (Luminal) stops seizures by decreasing the calcium in the brain, which is responsible for the seizures."
B. "Phenobarbital (Luminal) stops seizures by increasing a chemical called GABA that calms down the excitability in the brain."
A client with epilepsy prescribed Phenobarbital (Luminal) tells the nurse she is planning a pregnancy. Which statement should the nurse provide the client? A. "Please talk to your doctor; you will need a safer drug like valproic acid (Depakene)." B. "Please talk to your doctor; this drug is contraindicated in pregnancy." C. "Your medication dose will need to be increased during your pregnancy." D. "Your medication dose will need to be decreased during your pregnancy."
B. "Please talk to your doctor; this drug is contraindicated in pregnancy."
A client has been prescribed prazosin (Minipress). Which information should the nurse provide? Select all that apply. A. "Stay out of the sun until you determine if you become sun-sensitive." B. "Take this medication just before you go to bed." C. "This medication may make you dizzy." D. "This medication may slow your heart rate noticeably." E. "Do not take this medication with milk."
B. "Take this medication just before you go to bed." C. "This medication may make you dizzy."
A client asks the nurse why he or she will receive IV anesthesia before inhaled anesthesia. Which response should the nurse provide? A. "The IV is used to administer large amounts of solutions required by the anesthesia." B. "The IV anesthesia will produce a rapid unconsciousness." C. "The IV is used to administer a volatile liquid that will help maintain a deep sleep." D. "The IV anesthesia is easier to reverse if adverse effects occur."
B. "The IV anesthesia will produce a rapid unconsciousness."
The educator is discussing pain transmission with the nurse. Which statement made by the nurse indicates an understanding of the process? A. "The transmission process begins with the sensory neurons in the spinal cord." B. "The transmission process begins with the nociceptors." C. "The transmission process begins with the A and C fibers." D. "The transmission process begins with the activation of substance P."
B. "The transmission process begins with the nociceptors."
Which non pharmacological interventions should the nurse recommend for a client that is having difficulty sleeping? Select all that apply. A. "Make certain your bedroom is nice and warm." B. "There are alternative methods to treat insomnia, such as yoga, meditation, and massage therapy." C. "Eating a large meal at bedtime will help induce sleep." D. "Avoid caffeinated beverages, nicotine, and alcohol immediately prior to bedtime." E. "Play your favorite type of music when you go to sleep."
B. "There are alternative methods to treat insomnia, such as yoga, meditation, and massage therapy." D. "Avoid caffeinated beverages, nicotine, and alcohol immediately prior to bedtime."
A client asks the nurse about the characteristics of absence seizures. Which explanation should the nurse provide the client? A. "Absence seizures are characterized by twitching of the arms and legs." B. "This type of seizure manifests is characterized by staring into space for a few seconds." C. "This type of seizure is similar to drop attacks." D. "Absence seizures are basically the same kind of seizures as grand mal, but they are less frequent."
B. "This type of seizure manifests is characterized by staring into space for a few seconds."
A client prescribed lithium (Eskalith) asks the nurse why they should continue to use salt. Which response should the nurse provide the client? A. "You should use sea salt to avoid lithium (Eskalith) toxicity." B. "You must use table salt or your kidneys will retain lithium (Eskalith), and you will become toxic." C. "The amount of salt is not important; just increase your table salt if you notice signs of lithium (Eskalith) toxicity." D. "Salt is very important to avoid lithium (Eskalith) toxicity, but not as important as drinking 1 to 1.5 L of water per day."
B. "You must use table salt or your kidneys will retain lithium (Eskalith), and you will become toxic."
A client diagnosed with epilepsy ask the nurse why he or she will have to take a prescription. Which response should the nurse provide the client? A. "You might not need prescription; the epilepsy may be controlled with a ketogenic diet." B. "You will need to take a prescription on a continual basis to control the seizures." C. "You will need a prescription for a little while to cure the seizures." D. "The prescription will decrease the intensity of the seizures."
B. "You will need to take a prescription on a continual basis to control the seizures."
Which food items should the nurse advise a client taking a monoamine oxidase inhibitor (MAOI) to avoid? A. Spinach, rice, and venison B. Chocolate, wine, and fava beans C. Orange juice, cottage cheese, and turkey D. Spring water, ice cream, and salmon
B. Chocolate, wine, and fava beans
A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? A. "Weight yourself twice a month." B. "If you have persistent headaches, let the provider know." C. "Reduce your daily sodium intake." D. "If your symptoms don't improve in 10 days, you will need a higher dosage."
B. "If you have persistent headaches, let the provider know."
A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering the drug? A. BUN level B. Blood pressure C. Urine specific gravity D. pedal pulse strength
B. Blood pressure
The nurse has provided parental education of the treatment plan for the spasticity their 2-year-old is experiencing. Which statements by the parents indicate additional teaching is required? Select all that apply... A. "At some point, our child may require surgery to correct this spasticity." B. "As long as we continue our child's medications, the spasticity can be controlled." C. "Our physical therapy sessions should focus on flexing our child's muscles." D. "We should repeat the exercises several times with each muscle group." E. "It is best to give our child a rest from physical therapy by skipping 1 week a month."
B. C. and E.
The nurse is preparing to discharge an older adult prescribed cyclobenzaprine (Flexeril) 10 mg three times per day. The prescription is written for 90 tablets and with three refills available. Which information should the nurse recognize requires collaboration with the healthcare provider? Select all that apply... A. The dosage amount is too low for the type of injury this patient sustained. B. Cyclobenzaprine should be used with caution in those over 65. C. If taken as directed, the patient would be able to take the medication for 120 days. D. Cyclobenzaprine is not effective for back pain. E. Cyclobenzaprine should not be taken with food.
B. C. and E.
A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions? A. Respiratory depression B. Hypertensive crisis C. Neuroleptic malignant syndrome D. Serotonin syndrome
B. Hypertensive crisis
A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include? A. Stop taking the drug immediately with the first sign of a sore throat B. Wear sunscreen when exposed to sunlight C. Take the drug with food to reduce gastrointestinal distress D. Take the drug in the morning to prevent nocturia
B. Wear sunscreen when exposed to sunlight
A client with alcoholism prescribed disulfiram (Antabuse) tells the nurse that he or she stopped taking the prescription a week prior and have begun drinking again. Which assessment finding should the nurse anticipate? A. Confusion and fine tremors B. An absence of symptoms C. Headache, nausea, and vomiting D. Severe hyperglycemia
C
A parent expressed concern that his or her adolescent son is up late at night, is listless, and frequently uses eye drops for his bloodshot eyes. Which statement should the nurse include in the discussion with the parent? A. "Sounds like he is using cocaine." B. "He might be depressed; insomnia is common with depression." C. "He could be smoking marijuana." D. "Your son could be studying too hard."
C
The nurse is providing education to a client that has smoked 1 pack of cigarettes daily for the past few years and is currently prescribed oral contraceptives. Which statement should the nurse include in the teaching? A. "The nicotine will decrease the effectiveness of your birth control pills." B. "You are at a higher risk for emphysema than general smokers." C. "You are at a higher risk for a heart attack than nonsmokers." D. "You are at a higher risk for developing diabetes than smokers who do not use birth control pills."
C
Which symptoms should the nurse anticipate are associated with alcohol withdrawal? A. Anxiety, seizures, hearing loss, and alopecia B. Abdominal pain, chills, pupil dilation, and lethargy C. Tremors, anxiety, confusion, and delirium D. Lethargy, constipation, light sensitivity, and weight loss
C
A client tells the nurse he or she is experiencing muscle discomfort resulting from weight lifting. Which prescription should the nurse anticipate will be included in the treatment? A. Clonidine (Catapres) B. Baclofen (Lioresal) C. Ibuprofen D. Clonazepam (Klonopin)
C.
A client tells the nurse they are awakened during the night with leg and foot cramps. Which response should the nurse provide the client? A. "Take a warm bath before going to bed." B. "Apply heat to relieve the cramping." C. "Increase your intake of vitamin B6." D. "You may need a muscle relaxant."
C.
The nurse is creating a plan of care for a client prescribed cyclobenzaprine experiencing muscle spasms. Which outcome should the nurse anticipate? A. Improved self-concept. B. Stabilized vital signs. C. Uninterrupted sleep. D. Increased bladder tone.
C.
Which characteristics of sedation describe a client that has been administered general anesthesia? A. A sleeping state that can be awakened easily B. An unconscious state, without analgesia C. A total loss of body movements D. A conscious but sleepy state of being
C. A total loss of body movements
A client prescribed haloperidol (Haldol) is observed making wormlike movements with their tongue. Which should the nurse associate this finding with? A. A symptom of the underlying psychosis B. An indication that the patient has not taken the prescription C. An adverse effect likely caused by the medication D. A normal reaction to the medication that will resolve within a few weeks
C. An adverse effect likely caused by the medication
A client with type I diabetes mellitus has been prescribed phenytoin (Dilantin). Based on the client's medical history, which should the nurse anticipate to be included in the treatment plan? A. A decrease in the patient's insulin. B. Implement fall precautions. C. An increase the patient's insulin. D. Monitor coagulation studies.
C. An increase the patient's insulin.
The nurse is preparing to assist a healthcare provider suture a laceration on a 2-year-old child. Prior to the procedure, which initial intervention should the nurse anticipate? A. Requesting the parents to leave the room prior to the procedure. B. Wrapping the child in a blanket for restraint and safety during suturing. C. Applying a topical anesthetic prior to administering a local anesthetic with a needle. D. Administering a small dose of lorazepam (Ativan).
C. Applying a topical anesthetic prior to administering a local anesthetic with a needle.
A client with gastroesophageal reflux disease receives lidocaine viscous prior to an endoscopy. Which is the nurse's priority assessment after the procedure? A. Assess for a headache. B. Assess for nausea and vomiting. C. Assess for a return of the gag reflex. D. Assess for any damage to the teeth or gums.
C. Assess for a return of the gag reflex.
The nurse is caring for a client suspected of overdosing on donepezil (Aricept). Which prescription should the nurse prepare to administer? A. Physostigmine B. Gastric lavage with charcoal C. Atropine D. Epinephrine
C. Atropine
For which client is acetaminophen (Tylenol) contraindicated? A. A 2-year-old with a high fever B. A 65-year-old with osteoarthritis C. A 55-year old who drinks alcohol D. A 19-year-old with a bladder infection
C. A 55-year old who drinks alcohol
Which is an adrenergic receptor associated with the sympathetic nervous system? A. Norepinephrine B. Dopamine C. Beta D. Muscarinic
C. Beta
A client has been prescribed isoproterenol (Isuprel). The nurse understands that which receptors will be stimulated? Select all that apply. A. Alpha1 B. Alpha2 C. Beta1 D. Beta2 E. Beta3
C. Beta1 D. Beta2
The nurse has completed the dietary education for a patient prescribed an antipsychotic. Which food identified by the client has to be eliminated indicates an understanding of the teaching? A. Meats with a high-fat content B. Refined breads and desserts C. Beverages with caffeine D. Shellfish and peanuts
C. Beverages with caffeine
The nurse asks the educator how local anesthetics work. Which response should the educator provide the nurse? A. Occupy potassium receptors. B. Increase nerve impulse transmission. C. Block the sodium channels. D. Enhancing the influx of calcium into the cell.
C. Block the sodium channels.
A student nurse asks a nurse how atropine (Atropair) increases heart rate. What is the nurse's best response? A. Blocking the beta receptors of the parasympathetic nervous system. B. Directly stimulating the sympathetic nervous system. C. Blocking the effects of acetylcholine by occupying muscarinic receptors. D. Potentiating the effects of acetylcholine on nicotinic receptors.
C. Blocking the effects of acetylcholine by occupying muscarinic receptors.
The nurse is caring for an older adult prescribed benztropine (Cogentin). For which adverse effect should the nurse monitor the patient? A. Confusion B. Diarrhea C. Bradycardia D. Agitation
C. Bradycardia
The client receiving valproic acid (Depakene) for treatment of seizures has been taking 81 mg aspirin daily. For which should the nurse monitor the client? A. Increased seizure activity. B. Stevens-Johnson syndrome. C. Bruising of the skin. D. Migraine headaches.
C. Bruising of the skin.
Which should the nurse recognize are the traditionally prescribed drug classifications used to treatattention-deficit/hyperactivity disorder (ADHD)? A. Sympathomimetics B. Parasympathomimetics C. CNS stimulants D. CNS depressants
C. CNS stimulants
The nurse is reviewing the prescription history for a client receiving levodopa (Stalevo). Which routine prescription is most concerning? A. Aspirin B. Metformin C. Calcium antacid D. Synthroid
C. Calcium antacid
A client is brought to the emergency department suspected of overdosing on imipramine (Tofranil). Which is the nurse's priority assessment? A. Neurological function B. Liver function C. Cardiac function D. Renal function
C. Cardiac function
The nurse is providing education for a client about the characteristics of Alzheimer's disease. Which information should the nurse include? Select all that apply. A. More women than men have Alzheimer's disease. B. The disease is characterized by the degeneration of the neurons. C. Chronic inflammation of the brain may be a cause of the disease. D. The disease mainly affects people over 50 years of age.
C. Chronic inflammation of the brain may be a cause of the disease.
A student nurse is reviewing the autonomic nervous system. The student understands that which substance would inhibit the function of the autonomic nervous system? A. Drugs that bind and then stimulate the postsynaptic neuron. B. Drugs that prohibit neurotransmitter reuptake. C. Drugs that prevent the storage of neurotransmitter in vesicles. D. Drugs that increase neurotransmitter synthesis.
C. Drugs that prevent the storage of neurotransmitter in vesicles.
Which type of local anesthesia should the nurse anticipate will be administered to a laboring client? A. Infiltration B. Topical C. Epidural D. Nerve block
C. Epidural
Which should the nurse understand is the purpose of the epinephrine added to local anesthetics? A. Promotion of patient relaxation. B. Promotion of blood flow to the area. C. Extension of the duration of the action of the local anesthetic. D. Decrease the amount of pain experienced.
C. Extension of the duration of the action of the local anesthetic.
A client tells the nurse he or she worries about everything all day, feels confused, restless. Which should the nurse suspect the client is experiencing? A. Panic disorder B. Post-traumatic stress disorder (PTSD) C. Generalized anxiety D. Social anxiety
C. Generalized anxiety
Which prescription should the nurse anticipate to be included in the treatment of a client experiencing mild migraine headaches? A. Amitriptyline (Elavil) B. Ergotamine (Ergostat) C. Ibuprofen D. Sumatriptan (Imitrex)
C. Ibuprofen
Which should the nurse understand is the action of the pharmacotherapy used to treat Parkinson's disease? A. Increase the amount of dopamine and acetylcholine. B. Reduce the amount of dopamine and increase the amount of acetylcholine. C. Increase the amount of dopamine and reduce the amount of acetylcholine. D. Reduce the amount of dopamine and acetylcholine.
C. Increase the amount of dopamine and reduce the amount of acetylcholine.
A client who takes benztropine (Cogentin) has developed constipation. Which interventions should the nurse implement? Select all that apply. A. Instruct the client to administer an enema. B. Encourage the client to take docusate (Colace) daily. C. Instruct the client to increase their fluid intake. D. Encourage the client to walk daily E. Instruct the client to discontinue their prescription until their bowel function returns to normal.
C. Instruct the client to increase their fluid intake. D. Encourage the client to walk daily
Which should the nurse recognize is a benefit of obtaining a thorough history from a client who is experiencing anxiety? A. The type of counseling can be prescribed based on the history. B. The category of anxiety disorder can be identified. C. Pharmacotherapy can be prescribed. D. The treatment plan can be created.
C. Pharmacotherapy can be prescribed.
A client asks the nurse which prescriptions are commonly used to treat insomnia. Which pharmacological agents should the nurse discuss with the client? Select all that apply. A. Diphenhydramine (Benadryl) B. Valerian root C. Ramelteon (Rozerem) D. Flurazepam (Dalmane) E. Zolpidem (Ambien)
C. Ramelteon (Rozerem) D. Flurazepam (Dalmane) E. Zolpidem (Ambien)
Which classification of prescription is often used as a first-line treatment for depression due to their safety profile? A. Monoamine oxidase inhibitors (MAOIs) B. Beta-adrenergic blockers C. Selective serotonin reuptake inhibitors (SSRIs) D. Tricyclic antidepressants (TCAs)
C. Selective serotonin reuptake inhibitors (SSRIs)
A client has taken different prescriptions over the past two years that have been unsuccessful in treating his or her insomnia. Which condition should the nurse suspect the client may be experiencing? A. Personality disorder B. Addiction C. Sleep apnea D. Anxiety disorder
C. Sleep apnea
The nurse is preparing to provide education for a client prescribed carbidopa (Sinemet). Which information should the nurse include? A. Take the medication with a protein food. B. Avoid drinking caffeinated beverages. C. Take the medication on an empty stomach. D. Take the medication with meals.
C. Take the medication on an empty stomach.
Which statement is accurate concerning drugs classified as adrenergic antagonists? A. They are also known as anticholinergics. B. They will stimulate the sympathetic nervous system. C. The actions are the opposite of those of sympathomimetics. D. The actions will block the neurotransmitter acetylcholine.
C. The actions are the opposite of those of sympathomimetics.
Which is the priority outcome for a 6-year-old child that has been prescribed methylphenidate (Ritalin)? A. The child will be able to complete age-appropriate chores at home. B. The child will avoid altercations with peers. C. The child will use age-appropriate play with peers. D. The child will maintain weight within norms for this age group.
C. The child will use age-appropriate play with peers.
A client with schizophrenia sits quietly in a chair and minimally responds to the environment. Which of the following assessment findings should the nurse interpret? A. The client is most likely very depressed. B. The client is experiencing positive symptoms. C. The client is experiencing negative symptoms. D. The client is most likely hearing voices.
C. The client is experiencing negative symptoms.
The nurse has completed the education for a client prescribed lithium (Eskalith). Which should the nurse anticipate is a priority outcome of the treatment? A. The client will engage in activities of daily living and report enjoyment with them. B. The client will be able to work a normal work schedule and will receive adequate sleep. C. The client will identify signs of lithium (Eskalith) toxicity and verbalize measures to avoid it. D. The client will report stabilization of mood, including absence of mania or depression.
C. The client will identify signs of lithium (Eskalith) toxicity and verbalize measures to avoid it.
The nurse has provided teaching for a client prescribed clonazepam (Klonopin). Which is an important outcome when evaluating the client's understanding of the teaching? A. The client will verbalize the importance of dietary restrictions related to this drug. B. The client will verbalize the signs of developing Stevens-Johnson rash. C. The client will verbalize the consequences of abruptly stopping the drug. D. The client will verbalize the importance of having routine laboratory work.
C. The client will verbalize the consequences of abruptly stopping the drug.
The nurse is preparing to assess a client suspected of experiencing tardive dyskinesia. Which findings should the nurse anticipate that support the diagnosis? A. Severe muscle spasms of the back, neck, and tongue B. Tremor, muscle rigidity, and a shuffling gait C. Unusual facial movements and lip smacking D. An inability to rest or relax, and restlessness
C. Unusual facial movements and lip smacking
A client tells the nurse he or she has a dull, aching pain in his or her lower back. Which type of pain should the nurse recognize the client is experiencing? A. Neuropathic B. Somatic C. Visceral D. Acute
C. Visceral
The nurse is preparing the education for a client prescribed a selective serotonin reuptake inhibitors (SSRI). Which adverse effects should the nurse include in the teaching? A. Drowsiness and coma B. Dry mouth and urine retention C. Weight gain and sexual dysfunction D. Headache and nausea
C. Weight gain and sexual dysfunction
A client with a generalized anxiety disorder asks the nurse if he or she will need medication for treatment. Which response should the nurse provide the client? A. "A prescription is a common treatment for clients with anxiety disorders." B. "A prescription is necessary initially; followed by therapy." C. "A prescription is necessary when anxiety interferes with your quality of life." D. "You most likely will not require a prescription."
C. "A prescription is necessary when anxiety interferes with your quality of life."
A parent of an 8-year-old child prescribed methylphenidate (Ritalin) tells the nurse the child will not eat. Which response should the nurse provide the parent? A. "It sounds like your child may be experiencing depression." B. "Your child may require an appetite stimulant." C. "Administer the prescription after meals and encourage snacks between meals." D. "I will get you a consult with a nutritionist."
C. "Administer the prescription after meals and encourage snacks between meals."
A client asks the nurse if there are any over-the-counter herbs or nonprescription medications that can be used to improve insomnia. Which response should the nurse provide the client? Select all that apply. A. "Ginger root is commonly taken to improve sleep." B. "Ginkgo is an herb commonly taken to improve sleep." C. "Diphenhydramine (Benadryl) and doxylamine are over-the-counter meds sometimes taken to produce drowsiness." D. "Valerian and melatonin are herbs commonly taken to improve sleep." E. "Kava is an herb taken to improve sleep."
C. "Diphenhydramine (Benadryl) and doxylamine are over-the-counter meds sometimes taken to produce drowsiness." D. "Valerian and melatonin are herbs commonly taken to improve sleep."
A client has been prescribed several different prescriptions for seizure control without any improvement. Which initial question should the nurse ask the client? A. "Have you noticed any decrease in the amount of seizures you have?" B. "Have you thought about taking a nontypical prescription?" C. "Do you take your medication as prescribed?" D. "Do you drink alcohol?"
C. "Do you take your medication as prescribed?"
The nurse provided education for a client prescribed risperidone (Risperdal). Which statement made by the client indicates an understanding of the teaching? A. "I must call my healthcare provider if I start to have a lot of nightmares." B. "I must call my healthcare provider if I start to lose a lot of weight." C. "I must have my blood work done while taking this medication." D. "I must call my healthcare provider if I notice any a metallic taste in my mouth."
C. "I must have my blood work done while taking this medication."
The nurse has provided the education to the parent of a young child prescribed valproic acid (Depakene) syrup. Which statement made by the parent indicates an understanding of the teaching? A. "I can give this on a full stomach or an empty stomach." B. "If my child gets a headache from this, I can administer a baby aspirin." C. "I should not mix this with carbonated beverages." D. "I can still give the clonazepam (Klonopin) prescribed by the psychiatrist for sleep."
C. "I should not mix this with carbonated beverages."
The nurse has provided education for a client prescribed ethosuximide (Zarontin). For which information offered by the client should the nurse notify the healthcare provider? Select all that apply. A. "Did I mention that I used to take phenobarbital for my seizures?" B. "I forgot to tell the doctor that I am allergic to penicillin." C. "I take ginkgo to help improve my memory." D. "My husband and I plan to have a baby in a couple of years." E. "My husband and I are leading a 20-mile bicycle tour next weekend for the company we have just started."
C. "I take ginkgo to help improve my memory." E. "My husband and I are leading a 20-mile bicycle tour next weekend for the company we have just started."
The nurse has provided teaching about the use of an auto injection of epinephrine. Which statement made by the client indicates further teaching is required? A. "I will make sure I have my auto-injector available at all times." B. "I will use my auto-injector immediately if I think I am having an allergic reaction." C. "I will call 911 after I inject the epinephrine." D. "I will notify my healthcare provider after I inject the epinephrine."
C. "I will call 911 after I inject the epinephrine."
A client prescribed sertraline (Zoloft) calls the clinic reporting increased moodiness and feeling disconnected from life. Which response should the nurse provide the client? A. "Try taking diphenhydramine (Benadryl) to help you relax." B. "Do not take your prescription until your mood improves." C. "It is important that you come into the clinic today." D. "Double the prescribed dose of sertraline (Zoloft) today."
C. "It is important that you come into the clinic today."
A client asks the nurse how methadone (Dolophine) can help with a heroin dependence. Which response should the nurse provide? A. "Methadone (Dolophine) will cause illness heroin is used." B. "Methadone (Dolophine) can cure an addiction to heroin." C. "Methadone (Dolophine) does not cause euphoria like heroin does." D. "Methadone (Dolophine) causes an allergic reaction to heroin."
C. "Methadone (Dolophine) does not cause euphoria like heroin does."
The student nurse asks the nursing instructor, "Do medications actually make more neurotransmitters?" What is the best response by the nursing instructor? A. "Yes, but the newer drugs that do this have some serious side effects." B. "Yes, some of the newer medications are very good at doing this." C. "No, medications can only increase or decrease the action of neurotransmitters." D. "No, but medications can heal diseases of the autonomic nervous system."
C. "No, medications can only increase or decrease the action of neurotransmitters."
A client with epilepsy who has been seizure free and prescribed phenytoin (Dilantin) asks the nurse why he or she needs to still have blood testing. Which response should the nurse provide the client? A. "Phenytoin (Dilantin) can cause blood-thinning in some patients." B. "Phenytoin (Dilantin) can deplete your system of potassium." C. "Phenytoin (Dilantin) has a very narrow range between a therapeutic dose and a toxic dose." D. "Phenytoin (Dilantin) can cause Stevens-Johnson syndrome, which can be detected through blood testing."
C. "Phenytoin (Dilantin) has a very narrow range between a therapeutic dose and a toxic dose."
A client prescribed quetiapine (Seroquel) asks the nurse how the prescription works. Which response should the nurse provide the client? A. "Quetiapine (Seroquel) increases norepinephrine in the brain, which decreases the feelings of depression." B. "Quetiapine (Seroquel) increases dopamine in the brain, which helps to think more clearly." C. "Quetiapine (Seroquel) decreases dopamine in the brain, which decreases your symptoms." D. "Quetiapine (Seroquel) decreases norepinephrine in the brain, which decreases your auditory hallucinations."
C. "Quetiapine (Seroquel) decreases dopamine in the brain, which decreases your symptoms."
A client taking amitriptyline (Elavil) for 2 weeks tells the nurse the prescription is not working. Which response should the nurse provide the client? A. "You might still feel depressed, but you are looking much better." B. "You may need additional pharmacotherapy." C. "The prescription can take several weeks to have an effect." D. "This may not be the best prescription for you; I will notify your healthcare provider."
C. "The prescription can take several weeks to have an effect."
A client with multiple sclerosis asks the nurse how Dalfampridine (Ampyra) will help them. Which response should the nurse provide? A. "Dalfampridine will decrease the number of mood alterations." B. "The prescription will disrupt the visual disturbances that occur with MS." C. "The prescription will improve your ability to walk." D. "Dalfampridine will lessen the cognitive deficits that occur with MS."
C. "The prescription will improve your ability to walk."
A client experiencing nervousness asks the nurse why escitalopram was prescribed. Which response should the nurse provide the client? A. "You are really depressed; it is just manifested as anxiety. These medications are safer than benzodiazepines." B. "The two disorders are similar, and if you treat depression, the anxiety goes away." C. "The same brain chemicals are involved with anxiety and depression." D. "Your doctor thinks that this is the best treatment for your anxiety, and these medications are safer than benzodiazepines."
C. "The same brain chemicals are involved with anxiety and depression."
A parent tells the nurse they are concerned because their child is easily distracted in school, cannot complete assignments on time, and interrupts other children while they are speaking. Which response should the nurse provide the parent? A. "This sounds like your child is depressed; depression looks different in children and is very serious." B. "This sounds like bipolar disorder; you might want to have your child tested by a child psychiatrist." C. "This could be attention-deficit/hyperactivity disorder (ADHD); you might want to have your child tested." D. "This sounds like typical 7-year-old behaviors to me; if they do not resolve, have your child tested."
C. "This could be attention-deficit/hyperactivity disorder (ADHD); you might want to have your child tested."
A client who has used an adrenergic nasal spray for 2 weeks states to the nurse, "I am more stuffed up now than I was when I was sick." Which information should the nurse provide the patient? Select all that apply. A. "You are having an allergic reaction to the nasal spray. Stop using it immediately." B. "You are having an allergic reaction to the nasal spray. Stop using it immediately." C. "Try increasing the amount of fluids you are drinking." D. "Switch to a saline-based nasal spray." E. "Continue to use your current nasal spray until the congestion goes away."
C. "Try increasing the amount of fluids you are drinking." D. "Switch to a saline-based nasal spray."
The nurse is obtaining a history from a client that experienced an atonic seizure. Which information is the most important for the nurse to obtain? A. "Do you have a history of infertility?" B. "Have you ever been pregnant?" C. "What method of birth control do you use?" D. "Are your periods regular?"
C. "What method of birth control do you use?"
Which question should the nurse ask a postsurgical client prior to the administration of an opioid analgesic? A. "Have you ever been addicted to prescription pain prescriptions?" B. "Would you like me to help you change your position for comfort?" C. "Would you please rate your pain on a scale of 1 to 10?" D. "Do you understand how this pain prescription works?"
C. "Would you please rate your pain on a scale of 1 to 10?"
A pregnant client requiring a skin biopsy expresses concern about the anesthesia that will be administered. Which response should the nurse provide? A. "There are newer general anesthetics available that are safe for your baby." B. "Inhalation anesthetics are safe because they remain in your lungs and will not affect the baby." C. "You will most likely receive local anesthesia so this will not affect your baby." D. "You will most likely have an epidural so there is no risk to your baby."
C. "You will most likely receive local anesthesia so this will not affect your baby."
A client prescribed valproic acid (Depakene) for seizure control is planning a pregnancy. Which statements should the nurse include in a discussion with the client? Select all that apply. A. "Since your epilepsy may be exacerbated by a pregnancy, your healthcare provider will most likely prescribe a second antiepileptic prescription." B. "Thankfully, the current generation of antiepileptic prescriptions will not interfere with you getting pregnant." C. "Your current antiepileptic prescription should not be used when you are pregnant." D. "Folic acid supplementation is important for you." E. "You should consider adopting a baby instead since there are so many problems associated with epilepsy and pregnancy."
C. "Your current antiepileptic prescription should not be used when you are pregnant." D. "Folic acid supplementation is important for you."
Which statement is accurate when prescribing acetylsalicylic acid (aspirin) for the treatment pain? A. Increase consumption of herbs such as garlic and ginger to potentiate the anti-inflammatory effects. B. High doses are necessary (1 g) to achieve anticoagulant effects. C. Enteric-coated capsules are available to reduce GI side effects. D. Low doses (325 mg), can significantly reduce inflammation.
C. Enteric-coated capsules are available to reduce GI side effects.
A nurse is working with a student nurse. The nurse explains what a client would experience if the adrenergic receptors are activated. Which of the following comments by the student nurse indicates that the education was effective? A. Bronchial constriction. B. Increased blood volume. C. Fight-or-flight effects. D. Rest-and-digest effects.
C. Fight-or-flight effects.
A nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include? A. Take the drug with grapefruit juice to increase absorption B. Use the drug as needed for anxiety C. Allow 2 to 4 weeks for full therapeutic effects D. Take the drug on an empty stomach
C. Allow 2 to 4 weeks for full therapeutic effects
A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include? A. Consume a low-sodium diet B. Reduce fluid intake C. Avoid taking NSAIDs D. Take the drug with food
C. Avoid taking NSAIDs
A client prescribed onabotulinumtoxinA (Botox) for muscle spasms states to the nurse "This prescription will also make my face look younger." Which information should the nurse provide the client Select all that apply... A. "Once you start on the medication, it may take a week or so before you notice a change in your skin." B. "Be certain you take the medication with a full glass of water because it can be hard on your kidneys." C. "There are many different uses for that drug, depending on how it is administered." D. "You may need additional treatments with the medication in a few months." E. "You should be aware that side effects of the medication can occur hours or weeks after your treatment."
C. D. and E.
A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs? A. Venlafaxine B. Bupropion C. Imipramine D. Valproic acid
C. Imipramine
A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine? A. Alprazolam B. Phenytoin C. Phenelzine D. Pilocarpine
C. Phenelzine
A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically? A. Chest x-ray B. Tonometry C. Thyroid function test D. Endoscopic retrograde cholangiopancreatography (ERCP)
C. Thyroid function test
A client prescribed cyclobenzaprine (Amrix) one week prior for the treatment of neck spasms reports the medication is not working. Which statements should the nurse provide the client? Select all that apply... A. "You will need to increase the frequency of the dosage." B. "You should discontinuation the prescription." C. "It is important you continue to take the prescription." D. "You may require a different prescription." E. "Let's discuss some nonpharmacological techniques that can be used with the prescription.
C. and E.
Which client should the nurse be most concerned with taking benzodiazepines? A. A 9-year-old child with panic attacks. B. A 32-year-old mother of two preschool children. C. An 87-year-old client who uses a cane for ambulation. D. A 42-year-old businessman who travels internationally.
C.An 87-year-old client who uses a cane for ambulation.
A client asks the nurse what a "physical addiction to alcohol" means. Which response should the nurse provide the client? A. "The brain remembers the euphoria experienced with alcohol, and there is a craving for it." B. "There is an intense craving for alcohol, but the craving can best managed through group therapy." C. "Feelings of depression occur if the use of alcohol is stopped." D. "The body becomes used to alcohol and if it is abruptly stopped withdrawal symptoms occur."
D
A client states to the nurse, "I used to drink a pint of whiskey every day. Now I get sick and pass out after just two drinks." Which should the nurse be concerned with? A. The patient is in denial and is most likely minimizing the amount of alcohol he or she consumes. B. Pancreatic damage C. The patient has brain damage from the alcohol and cannot remember how much he or she consumes. D. Liver damage
D
The nurse is caring for a client suspected of an opioid overdose. Which prescription should the nurse anticipate administering? A. Bupropion (Zyban) B. Methylphenidate (Ritalin) C. Methadone (Dolophine) D. Naloxone (Narcan)
D
Which drug is least likely to produce physical dependence or tolerance? A. Ethyl alcohol B. Morphine C. Nicotine D. Marijuana
D
Which phenomena occurs when a client with a history of alcoholism requires higher than usual amounts of opioids for pain relief? A. Resistance to opioids B. Physical dependence C. Paradoxical reaction D. Cross tolerance
D
Which prescription should the nurse anticipate administering to a client experiencing acute alcohol withdrawal? A. Disulfiram (Antabuse) Your answer is not correct. B. Naltrexone (ReVia, Vivitrol) C. Varenicline (Chantix) D. Diazepam (Valium)
D
Which schedule does methcathinone (Cat) belong? A. III B. IV C. II D. I
D
The nurse observes the repeated pattern of muscle contraction of client's leg for 5 seconds followed by 2 seconds of relaxation. Which terminology should the nurse use to document the finding? A. Dystonia B. Tonic spasm C. Spasticity D. Clonic spasm
D.
Which client experiencing muscle spasms is direct-acting antispasmodic medication dantrolene sodium (Dantrium) contraindicated? A. A 20-year-old with a spinal cord injury. B. A 65-year-old with a cerebral vascular accident. C. A 40-year-old with multiple sclerosis. D. A 57-year-old with congestive heart failure.
D.
Which common adverse effect of cyclobenzaprine (Amrix) should the nurse include when educating the client? A. Tongue swelling B. Alopecia C. Hypotension D. Drowsiness
D.
The nurse is caring for a client suspected of having bipolar disorder. Which assessment findings that have occurred over the period of a week support the nurse's suspicion? A. Difficulty sleeping, obsession with death, hallucinations. B. Delusions, unkempt appearance, fatigue. C. Increased goal-directed behavior and talkativeness, distractibility. D. Abnormal eating patterns, feelings of despair, flight of ideas.
D. Abnormal eating patterns, feelings of despair, flight of ideas.
Which statement best explains the action of the prescriptions used to treat attention-deficit/hyperactivity disorder (ADHD)? A. Certain areas of the brain are deactivated, resulting in a calming effect. B. Neurotransmitters are blocked, limiting the effects they can produce within the PNS. C. Neurotransmitter levels are reduced, which produces a calming effect within the CNS. D. Activation of certain areas of the brain causes increased attention and ability to focus.
D. Activation of certain areas of the brain causes increased attention and ability to focus.
The nurse observes a client with extrapyramidal symptoms having difficulty relaxing. Which should the nurse record in the client's record? A. Tardive dyskinesia B. Dystonia C. Secondary parkinsonism D. Akathisia
D. Akathisia
Which statement is accurate regarding attention-deficit/hyperactivity disorder (ADHD)? A. ADHD is generally diagnosed later in life. B. ADHD is characterized by periods of mania and periods of depression. C. There is a higher incidence of ADHD in girls than in boys. D. Anxiety and social withdrawal are more frequently seen in girls than in boys.
D. Anxiety and social withdrawal are more frequently seen in girls than in boys.
Which should the nurse recognize are the traditionally prescribed drug classifications used to treat attention-deficit/hyperactivity disorder (ADHD)? A. CNS depressants B. Parasympathomimetics C. Sympathomimetics D. CNS stimulants
D. CNS stimulants
Which statement best describes the contributing factor to the structural change that occurs in the brain of a patient with Alzheimer's disease? A. Cerebral bleeding and associated hypoxia B. Increases in blood pressure and cholesterol levels C. Increased acetylcholine levels D. Chronic inflammation and oxidative cellular damage
D. Chronic inflammation and oxidative cellular damage
A parent asks the nurse why his or her 8-year-old child cannot have cough syrup with codeine to help the child rest. Prior to responding to the parent, which should the nurse understand? A. Children are more likely to have an allergic reaction to the codeine. B. Codeine will exacerbate the child?s condition. C. The child can become addicted to the cough syrup. D. Codeine is contraindicated in children.
D. Codeine is contraindicated in children.
Which should the nurse recognize is the benefit of a prescription for levodopa for a client with Parkinson's disease? A. Can be administered intravenously. B. Has fewer adverse effects. C. Less risk for addiction. D. Crosses the blood-brain barrier.
D. Crosses the blood-brain barrier.
Which prescription should the nurse anticipate will most likely prescribed for a client with Alzheimer's disease? A. Haloperidol (Haldol) B. Levodopa (Larodopa) C. Benztropine mesylate (Cogentin) D. Donepezil hydrochloride (Aricept)
D. Donepezil hydrochloride (Aricept)
The educator is discussing the symptoms of schizophrenia with a nurse. Which receptor site should the educator associate with the symptoms? A. Adrenergic B. Beta 2 C. Cholinergic D. Dopamine type 2
D. Dopamine type 2
A client who has myasthenia gravis (MG) presents to the emergency department with abrupt onset of increased muscle weakness and difficulty swallowing. An attempt to distinguish worsening of the MG symptoms from overdose of the client's prescribed anticholinergic is planned. What medications should the nurse obtain for use in this procedure? Select all that apply. A. Donepezil (Aricept) B. Pyridostigmine (Mestinon) C. Neostigmine (Prostigmin) D. Edrophonium (Edrophonium Injectable) E. Atropine (Atropine Injectable)
D. Edrophonium (Edrophonium Injectable) E. Atropine (Atropine Injectable)
The nurse is preparing to review the records for a client with petit mal seizures. Which prescription should the nurse anticipate the client has been prescribed? A. Diazepam (Valium) B. Carbamazepine (Tegretol) C. Phenytoin (Dilantin) D. Ethosuximide (Zarontin)
D. Ethosuximide (Zarontin)
A client presents to the emergency department suspected of overdosing on lorazepam (Ativan). Which prescription should the nurse prepare to administer? A. Pralidoxime (Protopam) B. Nalmefene (Revex) C. Naloxone (Narcan) D. Flumazenil (Romazicon)
D. Flumazenil (Romazicon)
A client is prescribed a drug that activates alpha2 receptors. Which physiological response should anticipate when plan of care for the client? A. Increased lipolysis. B. Absence of monoamine oxidase. C. Destruction of presynaptic nerve terminals. D. Inhibition of norepinephrine release.
D. Inhibition of norepinephrine release.
The client is quadriplegic and receives the anticholinergic drug oxybutynin (Ditropan) to increase his bladder capacity. What is an important assessment of this client by the nurse? A. Is he gaining weight? B. Is he lethargic? C. Is he irritable? D. Is he constipated?
D. Is he constipated?
The health-care provider orders dicyclomine (Bentyl), an anticholinergic drug, for a client. What is the nurse's priority assessment prior to administering this drug? A. Does the client have light sensitivity? B. Is the client dizzy upon standing? C. Does the client have a history of alcoholism? D. Is the client able to urinate?
D. Is the client able to urinate?
The nurse is caring for a client in Stage 2 of general anesthesia. Which is a priority nursing intervention? A. Assist the anesthesiologist in repositioning the client. B. Insert the indwelling urinary catheter. C. Complete the surgical scrub. D. Keep the environment quiet and calm.
D. Keep the environment quiet and calm.
The nurse is preparing to assist with the repair of a laceration on a client with a history of a cardiovascular disorder. Which anesthesia should the nurse anticipate prescribed? A. Lidocaine B. Lidocaine gel C. Benzocaine D. Lidocaine with epinephrine
D. Lidocaine with epinephrine
Which should the nurse monitor the client for that has received a volatile liquid inhalation anesthesia? A. Increased intracranial pressure B. Hypertension C. Pneumonia D. Malignant hyperthermia
D. Malignant hyperthermia
Which should the nurse include in the plan of care for the patient with Parkinson's disease? A. Limit exercise to decrease the possibility of fractures. B. Monitor the client for psychotic symptoms. C. Check peripheral circulation for thrombophlebitis. D. Monitor the client for the ability to chew and swallow.
D. Monitor the client for the ability to chew and swallow.
The nurse has administered intravenous (IV) diazepam (Valium) for the client in status epilepticus. Which initial assessment should the nurse perform? A. Level of consciousness B. Blood pressure C. Heart rate D. Respirations
D. Respirations
An older adult is prescribed phenobarbital (Luminal) for seizure control. Which assessment should the nurse recognize is the most important? A. Nutritional status B. Fluid intake C. Electrolyte balance D. Respiratory function
D. Respiratory function
Which is the priority nursing assessment for the client that has received succinylcholine (Anectine)? A. Anaphylactic shock B. Spontaneous bleeding C. Delirium D. Respiratory paralysis
D. Respiratory paralysis
The nurse is preparing to assess a client in Stage 3 of general anesthesia. Which assessment findings should the nurse anticipate? A. Loss of general sensation during consciousness B. Temporary smooth muscle paralysis C. Irregular heart and respiratory rate D. Respiratory stabilization and slow eye movements
D. Respiratory stabilization and slow eye movements
Which condition is a client most likely experiencing that tells the nurse he or she is having difficulty sleeping because he or she has two final exams approaching? A. Obsessive-compulsive disorder B. Social anxiety C. Performance anxiety D. Situational anxiety
D. Situational anxiety
The nurse notes that a client prescribed carteolol (Cartrol), routinely takes metaproterenol (Alupent). Which should the nurse be concerned with? A. The client is at risk for a hypertensive crisis. B. The effects of metaproterenol (Alupent) will be increased. C. The drugs are compatible; there will not be any adverse effects. D. The effects of metaproterenol (Alupent) will be decreased.
D. The effects of metaproterenol (Alupent) will be decreased.
A client presents to the clinic with symptoms of hyperthermia and diaphoresis. The client's prescription history includes escitalopram (Lexapro), St. John's Wort, levothyroxine, and acetaminophen. Which should the nurse suspect has occurred? A. The patient may have contracted a virus. B. The patient may be experiencing thyroid toxicosis. C. The patient may be experiencing withdrawal. D. The patient may be experiencing serotonin syndrome.
D. The patient may be experiencing serotonin syndrome.
Which should the nurse recommend to a client as a primary approach to managing stress? A. A combined approach using a prescription and nonpharmacological strategies. B. The practice of meditation. C. The use of an anxiolytic. D. To determine the cause of the anxiety
D. To determine the cause of the anxiety
A client is prescribed trihexyphenidyl (Artane). Which assessment finding should the nurse report to the healthcare provider? A. Dry mouth B. Anorexia C. Hypertension D. Urinary retention
D. Urinary retention
A postoperative client has a prescription for morphine 2 mg IV push every 2 hours and hydrocodone 5 mg every 6 hours. The client received the morphine 2 hours ago and is requesting hydrocodone. Which initial action should the nurse take? A. Administer 5 mg of hydrocodone. B. Administer another dose of morphine. C. Encourage the use distraction techniques. D. Using a pain scale assess the patient's level of pain.
D. Using a pain scale assess the patient's level of pain.
The nurse is preparing to assess a client with multiple sclerosis. Which assessment finding should the nurse anticipate? A. Muscle rigidity B. Tremors C. Skeletal muscle atrophy D. Visual disturbances
D. Visual disturbances
The nurse is providing information about seizures to a client. Which statement should the nurse include in the discussion? A. "Convulsions are a symptom of the underlying seizure disorder." B. "Epilepsy is an acute disorder characterized by nonconvulsive seizures." C. "All seizures involve convulsions." D. "Bacterial infections can cause seizures."
D. "Bacterial infections can cause seizures."
The nurse has provided teaching for a client prescribed viscous lidocaine for oral ulcerations. Which statement made by the client indicates further teaching is necessary? A. "I will not chew or eat anything until I regain feeling." B. "I can use a mouthwash after the use of the prescription." C. "I will swish the prescription around my mouth before spitting it out." D. "I can drink some water after I swallow the prescription."
D. "I can drink some water after I swallow the prescription."
The nurse has provided a client education on the pharmacologic management of epilepsy. Which statement made by the client indicates an understanding of the treatment? A. "I will remain on an antiseizure prescription for 1 year after my last seizure." B. "I will be on a ketogenic diet combined with an antiseizure prescription." C. "I will avoid foods with tyramine while taking my antiseizure prescription." D. "I understand that I will take an antiseizure prescription indefinitely."
D. "I understand that I will take an antiseizure prescription indefinitely."
The nurse has provided education for a client prescribed opioid treatment. Which statement made by the client indicates an understanding of the education? A. "I will make sure I take stool softeners." B. "I will use a laxative if I need to." C. "I will increase my physical activity." D. "I will increase my fluid intake."
D. "I will increase my fluid intake."
The educator is preparing to discuss the actions of succinylcholine (Anectine) with a nurse. Which information should the educator include? A. "It causes the patient to rapidly lose consciousness." B. "It increases cardiac output by raising the heart rate." C. "It interferes with impulse transmission, resulting in total anesthesia from the pain of surgery." D. "It reduces the amount of general anesthetic needed for procedures."
D. "It reduces the amount of general anesthetic needed for procedures."
A preoperative client will be receiving glycopyrrolate (Robinul), which is an anticholinergic drug. The client asks the nurse, "Why do I need to take that medication?" What is the best response by the nurse? A. "It will help maintain your blood pressure during surgery." B. "It will increase your urinary output during surgery." C. "It will help you breathe better during surgery." D. "It will decrease your respiratory secretions during surgery."
D. "It will decrease your respiratory secretions during surgery."
A client that experienced head trauma asks the nurse why they cannot have an opioid analgesic. Which response should the nurse provide? A. "You may not be able to notice any changes you are experiencing." B. "Opioids are not effective for the management of pain associated with head trauma." C. "The use of an opioid analgesics can significantly decrease blood pressure." D. "Opioids can mask changes in the level of consciousness."
D. "Opioids can mask changes in the level of consciousness."
The nurse is providing education to the family member of a client with Alzheimer's disease. Which information should the nurse include in the discussion? A. "Symptoms should begin improving within a few days." B. "The prescription have serious side effects if used for a long time." C. "Symptoms will improve as long as the prescription is taken regularly." D. "The prescription may help with the symptoms for a little while."
D. "The prescription may help with the symptoms for a little while."
A client asks the nurse to describe NREM stage 3 sleep. Which response should the nurse provide the client? A. "This is the lightest stage of sleep and is profoundly affected by anxiety." B. "Dreaming occurs here; without dreams you will be irritable and paranoid." C. "This is the also called paradoxical sleep." D. "This is the deepest stage of sleep; without it you will be tired and depressed."
D. "This is the deepest stage of sleep; without it you will be tired and depressed."
A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching? A. "It is not a big deal if I forget my pills for a couple of days." B. "I should limit alcohol intake to one drink daily while taking this medication." C. "I will avoid salt because this medication can increase my blood pressure." D. "If i become pregnant, it is important to let my health care provider know."
D. "If i become pregnant, it is important to let my health care provider know."
A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse suspect? A. Cholinergic crisis B. Serotonin syndrome C. Stevens-Johnson syndrome D. Acute dystonia
D. Acute dystonia
A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching? A. Constricted pupils B. Discoloration of the iris C. Hypertension D. Bradycardia
D. Bradycardia
A nurse is caring for a client who was admitted to the emergency department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse effects is the client at increased risk? A. Ischemic stroke B. Drowsiness C. Respiratory depression D. Seizure activity
D. Seizure activity
A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects? A. Anterograde amnesia B. Respiratory depression C. Paradoxical reaction D. Withdrawal symptoms
D. Withdrawal symptoms
a nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include? eat a small meal before taking the drug suck on hard candy or chew gum take a stool softener daily avoid the use of NSAIDs
eat a small meal before taking the drug
A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor? (Select all that apply.) Tolerance Anxiety Sedation Respiratory depression Constipation
Tolerance Anxiety Sedation Respiratory depression
A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity? (Select all that apply.) Tremors Confusion Bronchospasm Nausea Muscle weakness
Tremors Confusion Nausea Muscle weakness
a nurse is reviewing the drug list for a client who has a new prescription for allopurinol. The nurse should identify that which of the following drug reacts with allopurinol? Warfarin Ibuprofen Insulin Furosemide
Warfarin
a nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is contraindicated for acetaminophen? asthma diabetes mellitus heart failure alcohol use disorder
alcohol use disorder
a nurse is caring for a child who has a viral infection. The nurse should identify that which of the following drugs can increase the risk of Reye syndrome in children who have viral infections? butorphanol acetaminophen tramadol aspirin
aspirin
a nurse is caring for a client who has a new prescription for prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse drug reactions? pulmonary embolism hepatitis bone loss breast cancer
bone loss
a nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following conditions is a contraindication for tramadol? hyperthyroidism seizure disorder rheumatoid arthritis urinary incontinence
seizure disorder
a nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the following adverse drug reactions? tinnitus chest pain constipation diaphoresis
chest pain
a nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? (Select all that apply.) diaphoresis palpitations shortness of breath nausea diarrhea
diaphoresis nausea diarrhea
a nurse is caring for a client who is taking allopurinol to treat gout. The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome? muscle pain fever anxiety tremors
fever
a nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism? (select all that apply) fever tinnitus diaphoresis thrombophlebitis dizziness
fever tinnitus diaphoresis dizziness
a nurse is caring for a client who currently takes furosemide and has a new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the drugs? hypercalcemia hypoglycemia hypothermia hypokalemia
hypokalemia
a nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? (select all that apply) increase fiber and fluid intake take the drug with food avoid driving after taking the drug change positions gradually reduce exercise level temporarily
increase fiber and fluid intake take the drug with food avoid driving after taking the drug change positions gradually
a nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following drug reactions? (select all the apply) increased respiratory rate increased pain thromboplebitis ventricular arrhythmias hypertension
increased respiratory rate increased pain ventricular arrhythmias hypertension
a nurse is planing care for a client who has started taking prednisone. Which of the following interventions should the nurse include? monitor the clients blood glucose administer an antacid 30 min prior to prednisone administer aspirin rather than NSAIDs if the client has pain monitor the client for hyperkalemia
monitor the clients blood glucose
a nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions? (select all that apply) infection nausea tachycardia dizziness headache
nausea dizziness headache
a nurse is teaching s client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse drug reactions? (select all that apply) palpitations sore throat vertigo bruising vision changes
sore throat vertigo bruising vision changes
a nurse is reviewing the medical record of a client who has a new prescription for celecoxib. The nurse should identify that which of the following conditions is a contraindication to celecoxib? rheumatoid arthritis ankylosing spondylitis sulfonamide allergy adrenocortical insufficiency
sulfonamide allergy
a nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions? (select all that apply) to reduce fever to decrease inflammation to relieve pain to promote sedation to alleviate anxiety
to reduce fever to relieve pain
a nurse is caring for a client who is reeivng morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? (select all the apply) diarrhea urinary retention respiratory depression sedation orthostatic hypotension
urinary retention respiratory depression sedation orthostatic hypotension
a nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of abstinence syndrome? (select all that apply) bronchospasm vomiting peripheral edema abdominal cramps hypertension
vomiting abdominal cramps hypertension
a nurse is caring for a client who has a prescription for aspirin to treat an ankle pain. The nurse should instruct the client to report which of the following adverse drug reactions? polyuriabone pain weight gain infection
weight gain
