Pharm made easy: Neuro system (part 1) test
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 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 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 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 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 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 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
-fatigue
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 -downsiness -headache -ataxia -rash
-hirsutism -ataxia -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 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 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 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 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
-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)
