the Neurological System (part 1) test

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 medication’s effects are evident

-stop taking the medication immediately if headache occurs

-take the medication as needed for spasticity

-take the medication with antacids to reduce gastric effects

avoid driving until the medication’s effects are evident

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?

-expect eye twitching to develop with long-term therapy

-eat a high-protein snack to increase absorption

-take the medication at bedtime to avoid daytime drowsiness

-change position slowly to prevent orthostatic hypotension

change position slowly to prevent orthostatic hypotension

a nurse is administering fentanyl to a client to reduce pain. which of the following medications should the nurse have available to reverse the effects of fentanyl?

-neostigmine

-succinylcholine

-naloxone

-dantrolene

naloxone

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 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 medication interaction between selegiline and meperidine can result in which of the following?

-frequent urination

-jaundice

-cellulitis

-muscle regidity

muscle regidity

a nurse is caring for 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 manifestations of liver impairment, such as jaundice and abnormal pain

-avoid taking OTC antacids

avoid taking OTC antacids

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

-rash

-thrombocytosis

drowsiness, headache, & rash

a nurse if teaching a client who has a prescription for modafinil to treat narcolepsy. which of the following instructions should the nurse include?

-take the medication 30 min before bedtime

-take the medication in the morning

-anticipate daytime drowsiness

-expect urinary frequency

take the medication in the morning

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 medications?

-hyperammonemia

-phenytoin toxicity

-hypertension

-peptic ulcer disease

phenytoin toxicity

a nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of ADHD for 2 weeks. the nurse should report which of the following findings to the provider?

-weight loss of 2.3kg(5lbs)

-BP 110/70 mm Hg

-heart rate 80/min

-respiratory rate 16/min

weight loss of 2.3kg(5lbs)

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 medication?

-begin taking the medication at a low dosage

-discontinue the medication immediately if diarrhea occurs

-have serum glucose levels checked regularly

-take the medication on an empty stomach

begin taking the medication at a low dosage

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

-jaundice

-depression

-gum irritation

jaundice

a nurse if teaching a client who has a new diagnosis of Parkinson’s disease about how levodopa/carbidopa can help control manifestations. the nurse should identify that the medication has which of the following pharmacologic effect?

-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 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 a new prescription for pramipexole to treat Parkinson’s disease. the nurse should recognize that which of the following laboratory 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 medication 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 donepezil to treat Alzheimer’s disease. for which of the following adverse effects should the nurse monitor?

-confusion

-dry mouth

-double vision

-nausea

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?

-”take the medication with food”

-”premedicate with acetaminophen”

-”increase your fluid intake”

-”take the medication in the morning”

”premedicate with acetaminophen”

a nurse if 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 medication?

-tinnitus

-twitching eyelids

-blue-green skin discoloration

-fatigue

fatigue

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 medication first thing in the morning promotes effectiveness

-avoid the use of NSAIDS for pain

avoid the use of NSAIDS for pain