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Pharm made easy: Neuro system (part 1) test

Terms in this set (25)

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 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 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 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 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 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 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 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 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 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 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 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 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 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 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
-drowsiness
-headache
-rash
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)
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 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 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 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 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 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 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 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
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