Neurology

Question 1

A client is admitted to the emergency department after experiencing a seizure. Which action would the nurse take first?

A. Ask the emergency provider for a prophylactic anticonvulsant.
B. Obtain a history of seizure type and incidence.
C. Ask the client to remove any dentures and eyeglasses.
D. Observe the client for increased restlessness and agitation.

Answer 1

B. Obtain a history of seizure type and incidence.

Question 2

A client has a tonic-clonic seizure caused by an overdose of aspirin. Which action would the nurse take next?

A. Check reflexes every 2 hours.
B. Insert a urinary retention catheter.
C. Monitor vital signs every 15 minutes.
D. Prepare a setup for a central venous pressure (CVP) line.

Answer 2

C. Monitor vital signs every 15 minutes.

Question 3

Status epilepticus develops in an adolescent with a seizure disorder who is taking antiseizure medication. Which reason would the nurse identify as the most common reason for the development of status epilepticus?

A. The provider failed to account for a growth spurt.
B. The amount prescribed is insufficient to cover activities.
C. The prescribed antiseizure medication probably is not taken consistently.
D. The client is prescribed a medication that is ineffective in preventing seizures.

Answer 3

C. The prescribed antiseizure medication probably is not taken consistently.

Question 4

The nurse is educating a client with seizure disorder about newly prescribed phenytoin. Which statement should the nurse include in the teaching?

A. Blood work will be required if you have a seizure while taking this medication
B. You will need to have routine visits with a dentist when taking this medication
C. It is normal to have a change in your gait when you first start this medication
D. Avoid grapefruit juice when taking this medication

Answer 4

B. You will need to have routine visits with a dentist when taking this medication

Question 5

A nurse is teaching parents of a child recently prescribed the medication phenytoin for seizure control. Which side effect will the nurse include?

A. Hypertension
B. Insomnia
C. Gingival hyperplasia
D. Increased appetite

Answer 5

C. Gingival hyperplasia

Question 6

The nurse is caring for a child diagnosed with seizures. While teaching the family and the child about the medication phenytoin, which concept should the nurse emphasize?

A. Omit the medication if the child is seizure-free
B. Serve a diet that is high in iron
C. A rash is normal with this medication
D. Maintain good oral hygiene and dental care

Answer 6

D. Maintain good oral hygiene and dental care

Question 7

The nurse teaches the parents of a child prescribed long-term phenytoin therapy about care. Which statement indicates the teaching has been effective?

A. ‘We give the medication between meals.’
B. ‘We’ll call the clinic if her urine turns pink.’
C. ‘She’s eating high-calorie foods, and we encourage fluids, too.’
D. ‘We’ll have her massage her gums and floss her teeth frequently.’

Answer 7

D. ‘We’ll have her massage her gums and floss her teeth frequently.’

Question 8

A client with a seizure disorder will begin taking phenytoin. Which instructions will the nurse give to the client?

A. ‘Take the medication on an empty stomach.’
B. ‘Provide meticulous oral hygiene.’
C. ‘Taper off the medication if seizures are controlled for 3 months.’
D. ‘Stop taking the medication if you become pregnant.’

Answer 8

B. ‘Provide meticulous oral hygiene.’

Question 9

Which instruction would the nurse provide to parents of a school-age child who has been on long-term phenytoin therapy to prevent side effects?

A. Provide good oral hygiene.
B. Administer the medication between meals.
C. Watch for a reddish-brown discoloration of urine.
D. Supplement the diet with high-calorie foods.

Answer 9

A. Provide good oral hygiene.

Question 10

A nurse is teaching a client who has a new prescription for phenytoin. The nurse should instruct the client to monitor for and report which of the following adverse effects of this medication?

A. Metallic taste
B. Diarrhea
C. Skin rash
D. Anxiety

Answer 10

C. Skin rash

Question 11

A client’s phenytoin level is 16 mcg/L. Which action will the nurse take?

A. Hold the medication and notify the health care provider.
B. Administer the next dose of the medication as prescribed.
C. Hold the next dose and then resume administration as prescribed.
D. Call the health care provider to obtain a prescription with an increased dose.

Answer 11

B. Administer the next dose of the medication as prescribed.

Question 12

A nurse is providing care to a client who takes phenytoin for seizure prevention. The latest laboratory report shows a phenytoin level of 32 mcg/mL. Which action does the nurse take next?

A. Examine the oral cavity
B. Percuss the abdomen
C. Check the skin turgor
D. Assess the pupillary response

Answer 12

D. Assess the pupillary response

Question 13

The client with a seizure disorder receives intravenous (IV) phenytoin. The nurse will monitor closely for which condition?

A. Cardiac dysrhythmias
B. Hypoglycemia
C. Polycythemia
D. Paradoxical excitation

Answer 13

A. Cardiac dysrhythmias

Question 14

The nurse is preparing to administer newly prescribed intravenous phenytoin to a client. When reviewing the client’s medical record, which prescription should the nurse question?

A. Continuous infusion of dextrose 5% in 0.9% saline
B. NPH insulin 40 units before meals
C. Labetalol 100 mg orally twice per day Your Answer
D. Ketorolac 15 mg IV push as needed for pain

Answer 14

A. Continuous infusion of dextrose 5% in 0.9% saline

Question 15

The nursing is preparing to administer phenytoin IV push to a client. The client has dextrose 5% in water infusing continuously. Which action is appropriate?

A. Pinch the line above the infusion port during the administration
B. Hold the medication and collaborate with the provider prior to administration
C. Stop the infusion and flush the port with normal saline prior to administration
D. Ask the pharmacy to mix the medication into an IV piggyback (IVPB) infusion

Answer 15

C. Stop the infusion and flush the port with normal saline prior to administration

Question 16

Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Which medication interaction complicates seizure therapy?

A. Warfarin inhibits the metabolism of phenytoin.
B. Warfarin decreases phenytoin absorption.
C. Phenytoin competes with warfarin for receptor occupation.
D. Warfarin promotes excretion of phenytoin.

Answer 16

A. Warfarin inhibits the metabolism of phenytoin.

Question 17

A client who is receiving phenytoin asks why folic acid (Vitamin B) was prescribed. Which explanation would the nurse provide?

A. Phenytoin inhibits the absorption of folate from foods.
B. Folic acid potentiates the action of phenytoin.
C. Absorption of iron from foods is improved.
D. Neuropathy caused by phenytoin is prevented.

Answer 17

A. Phenytoin inhibits the absorption of folate from foods.

Question 18

Which instruction about phenytoin will the nurse provide during discharge teaching to a client with epilepsy who is prescribed phenytoin for seizure control?

A. “Antiseizure medications will probably be continued for life.”
B. “Phenytoin prevents any further occurrence of seizures.”
C. “This medication needs to be taken during periods of emotional stress.”
D. “Your antiseizure medication usually can be stopped after a year’s absence of seizures.”

Answer 18

A. “Antiseizure medications will probably be continued for life.”

Question 19

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

A. “I will notify my doctor before taking any other medications.”
B. “I have made an appointment to see my dentist next week.”
C. “I know that I cannot switch brands of this medication.”
D. “I’ll be glad when I can stop taking this medicine.”

Answer 19

D. “I’ll be glad when I can stop taking this medicine.”

Question 20

A client with a seizure disorder is receiving phenytoin and phenobarbital. Which client statement indicates that the instructions regarding the medications are understood?

A. ‘I will not have any seizures with these medications.’
B. ‘These medicines must be continued to prevent falls and injury.’
C. ‘Stopping the medications can cause continuous seizures and I may die.’
D. ‘By my staying on the medicines I will prevent postseizure confusion.’

Answer 20

C. ‘Stopping the medications can cause continuous seizures and I may die.’

Question 21

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

A. Phenytoin turns urine blue.
B. Alcohol increases the chance of phenytoin toxicity.
C. Avoid flossing the teeth to prevent gum irritation.
D. Take an antacid with the medication if indigestion occurs.

Answer 21

B. Alcohol increases the chance of phenytoin toxicity.

Question 22

A nurse is providing discharge teaching to a female client who has neuropathy and a new prescription for gabapentin. Which of the following statements should the nurse include in the teaching?

A. “Take this medication with an antacid to reduce gastric irritation.”
B. “You may experience drowsiness while taking this medication.”
C. “You should take this medication with meals.”
D. “You may continue to breastfeed while taking this medication.”

Answer 22

B. “You may experience drowsiness while taking this medication.”

Question 23

The nurse has given discharge instructions to a client who suffers from sensory neuropathy due to diabetes. The client was prescribed gabapentin. Which of the following statements indicates that the client understands the nurse’s instructions regarding the medication?

A. “The medication might cause me to have insomnia.”
B. “I can stop taking the medication at any time.”
C. “My doctor prescribed it for the pain in my legs.”
D. “It is safe to take extra doses if my pain becomes worse.”

Answer 23

C. “My doctor prescribed it for the pain in my legs.”

Question 24

A nurse is providing education on the use of pregabalin to a client with a seizure disorder. Which client statement indicates further teaching is required?

A. I will record the number of seizures I experience
B. I will hold the dose if my seizures are controlled
C. I will notify my healthcare provider if I have significant mood changes
D. I will report any weight gain to my healthcare provider

Answer 24

B. I will hold the dose if my seizures are controlled

Question 25

The mother of an infant recently prescribed phenobarbital for seizures calls the pediatric clinic and states that the infant is lethargic and sleeps for long periods. Which response by the nurse is most appropriate? A. 'There’s a medication that will prevent this problem.' B. 'This means that your baby’s dosage needs to be adjusted.' C. 'This is a temporary response to the medication; it usually stops after a few weeks.' D. 'Many infants experience the same problem, but your baby needs the medication.'

Answer 25

C. 'This is a temporary response to the medication; it usually stops after a few weeks.'

Question 26

Two weeks after starting phenobarbital sodium, the client develops new symptoms. Which symptom is probably caused by the medication? A. Cognitive impairment B. Frequent urination C. Abdominal pain D. Mania

Answer 26

A. Cognitive impairment

Question 27

A client abruptly stops taking a barbiturate. Which withdrawal complication would the nurse anticipate that the client may experience? A. Ataxia B. Seizures C. Diarrhea D. Urticaria

Answer 27

B. Seizures

Question 28

Which action would the nurse NOT implement for a client who has overdosed on barbiturates? A. Apply ice packs. B. Maintain airway. D. Give activated charcoal. E. Give intravenous fluids.

Answer 28

A. Apply ice packs.

Question 29

A client is admitted to the emergency department with multiple fractures and potential internal injuries. The client’s history reveals abuse of multiple medications for the past 8 months.Which medication when withdrawn will cause the most serious life-threatening responses? A. Heroin B. Methadone C. Barbiturates/phenobarbital D. Amphetamines

Answer 29

C. Barbiturates/phenobarbital

Question 30

A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam? A. The client states, "I see purple bugs crawling on the wall." B. The client tells the nurse that he is too tired to attend the group meeting. C. The client tells the nurse he is a government agent. D. The client states, "My heart is pounding out of my chest."

Answer 30

D. The client states, "My heart is pounding out of my chest."

Question 31

A client has been taking alprazolam for three days. For which expected effect of the medication should the nurse evaluate the client? A. The client reports sleeping through the night. B. The client reports feeling less depressed. C. The client denies having auditory hallucinations. D. The client denies having suicide ideation.

Answer 31

A. The client reports sleeping through the night.

Question 32

The nurse is caring for a client who was prescribed alprazolam. When educating the client about the new medication, which intended effect should the nurse include? A. Reduce anxiety and provide a calming effect B. Increase coordination and the ability to concentrate C. Alleviate signs and symptoms of spasticity D. Reduce symptoms of depression

Answer 32

A. Reduce anxiety and provide a calming effect

Question 33

Which medications would the nurse identify as commonly used as an adjunct during conscious sedation for minor surgeries? A. Diazepam B. Midazolam C. Lorazepam D. Clonazepam

Answer 33

B. Midazolam

Question 34

The client wants to know why midazolam will be administered preoperatively. Which reason would the nurse provide? A. It reduces pain. B. It induces sedation. C. It prevents respiratory depression. D. It limits oral secretions.

Answer 34

B. It induces sedation.

Question 35

A client has been robbed, beaten, and sexually assaulted. The primary health care provider prescribes 0.25 mg of alprazolam for agitation. Which event would alert the nurse to administer this medication? A. The client’s crying increases. B. The client requests something to calm her. C. The nurse determines a need to reduce her anxiety. D. The primary health care provider is getting ready to perform a vaginal examination.

Answer 35

B. The client requests something to calm her.

Question 36

Which primary anxiolytic medication would the nurse anticipate developing a teaching plan for when a client with social anxiety disorder has a history of exhibiting an intense, irrational fear of being scrutinized by others? A. Sertraline B. Paroxetine C. Alprazolam D. Venlafaxine

Answer 36

C. Alprazolam

Question 37

Which sedative-hypnotics would the nurse identify as being used to treat insomnia associated with a panic disorder? Select all that apply. One, some, or all responses may be correct. A. Phenelzine B. Paroxetine C. Imipramine D. Clonazepam

Answer 37

D. Clonazepam

Question 38

For which therapeutic effect will the nurse monitor the client who is prescribed alprazolam? A. Pain relief B. Decreased anxiety C. Reduction in dysrhythmias D. Reduced blood pressure

Answer 38

B. Decreased anxiety

Question 39

The nurse is providing discharge education to a client who is prescribed alprazolam for a panic disorder. What concept should the nurse emphasize concerning the drug action? A. Short-term relief can be expected B. The medication acts as a stimulant C. The medication works by suppressing dopamine D. If you miss a dose, double the next scheduled dose

Answer 39

A. Short-term relief can be expected

Question 40

A nurse is caring for a client who is experiencing acute manifestations of withdrawal from alcohol. Which of the following medications should the nurse expect to administer to the client? A. Diazepam B. Acamprosate C. Naltrexone D. Disulfiram

Answer 40

A. Diazepam

Question 41

A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer? A. Methadone B. Disulfiram C. Diazepam D. Buprenorphine

Answer 41

C. Diazepam

Question 42

The nurse provides care for a client with a long history of alcohol abuse. Which medication would the nurse anticipate will be prescribed for the client to prevent symptoms of withdrawal? A. Lorazepam B. Phenobarbital C. Chlorpromazine D. Disulfiram

Answer 42

A. Lorazepam

Question 43

Which class of medication would the nurse anticipate preparing to administer to a client with alcohol dependence admitted to a detoxification unit? A. Opiate B. Antipsychotic C. Antidepressant D. Benzodiazepine

Answer 43

D. Benzodiazepine

Question 44

Which primary reason identifies why oxazepam is given during detoxification? A. Prevents injury when seizures occur B. Enables the client to sleep better during periods of agitation C. Encourages the client to accept treatment for alcoholism D. Minimizes withdrawal symptoms the client may experience

Answer 44

D. Minimizes withdrawal symptoms the client may experience

Question 45

In addition to hydration, parenteral lorazepam is prescribed for a client during alcohol withdrawal delirium. Which primary purpose accurately explains why this medication is given during detoxification? A. To prevent injury when seizures occur B. To enable the client to sleep better during periods of agitation C. To reduce the anxiety tremor state and prevent more serious withdrawal symptoms D. To calm the client and promote acceptance of the treatment plan

Answer 45

C. To reduce the anxiety tremor state and prevent more serious withdrawal symptoms

Question 46

During the admission process, the client reports heavy alcohol use for at least one year. What effect does the nurse anticipate the hospitalized client will experience when alcohol consumption stops? A. Bradycardia B. Somnolence C. Withdrawal D. Tachypnea

Answer 46

C. Withdrawal

Question 47

Diazepam is administered to the client with status epilepticus/seizure. In addition to decreasing central neuronal activity, which effect would the nurse anticipate? A. Relaxing of peripheral muscles B. Decreased heart rate C. Dilation of airways D. Hypertension

Answer 47

A. Relaxing of peripheral muscles

Question 48

A client has a tonic-clonic seizure. The nurse anticipates that the health care provider will prescribe the intravenous administration of which medication? A. Naloxone B. Diazepam C. Epinephrine HCl D. Atropine

Answer 48

B. Diazepam

Question 49

An 18-month-old toddler is being treated with intravenous diazepam every 4 hours for generalized tetanus. Which response to the medication would the nurse anticipate? A. Control of hypertonicity (muscle contractions) and prevention of seizures B. Control of laryngospasms and neck and jaw rigidity C. Prevention of excess oxygen and caloric expenditure D. Prevention of restlessness and resistance to assisted ventilation

Answer 49

A. Control of hypertonicity (muscle contractions) and prevention of seizures

Question 50

Which statement about benzodiazepines requires correction? A. They are indicated for ethanol withdrawal. B. These medications decrease the activity of gamma-aminobutyric acid. C. Benzodiazepines are the first-line medications used in chronic anxiety disorders. D. These medications depress activity in the brainstem.

Answer 50

B. These medications decrease the activity of gamma-aminobutyric acid.

Question 51

A client is treated with lorazepam for status epilepticus. Which effect of lorazepam is the reason it is given? A. Decreases anxiety associated with seizures B. Promotes rest after the seizure episode C. Depresses the central nervous system (CNS) D. Provides amnesia for the convulsive episode

Answer 51

C. Depresses the central nervous system (CNS)

Question 52

Which medication would the nurse expect to administer to actively reverse the overdose sedative effects of benzodiazepines? A. Lithium B. Flumazenil C. Methadone D. Chlorpromazine

Answer 52

B. Flumazenil

Question 53

Which medication acts as an antidote to benzodiazepine? A. Zolpidem B. Temazepam C. Suvorexant D. Flumazenil

Answer 53

D. Flumazenil

Question 54

Which administration guidelines would the nurse follow when administering midazolam to an older client? A. The increments should be smaller, and the rate of injection should be slower. B. The medication should be given as a rapid intravenous push. C. It is important to monitor for spikes in blood pressure elevation during administration. D. During the procedure, the medication should be given as needed for pain management.

Answer 54

A. The increments should be smaller, and the rate of injection should be slower.

Question 55

An antianxiety medication is prescribed for an extremely anxious client. The client states, 'I’m afraid to take this medication because I heard it’s addictive.' Which response by the nurse is most appropriate? A. 'This medication rarely causes dependence when the dosage is controlled.' B. 'You may require increases in your dosage; however, it rarely causes dependence.' C. 'It usually results in psychological but not physiological dependence.' D. 'The medication has the potential for physiological and psychological dependence.'

Answer 55

D. 'The medication has the potential for physiological and psychological dependence.'

Question 56

A nurse is planning care for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse plan to monitor? A. Decreased urine output B. Manifestations of seizure activity C. Inability to recall events D. Increase in white blood cell count

Answer 56

C. Inability to recall events

Question 57

A primary health care provider prescribes 0.25 mg of alprazolam by mouth three times a day for a client with anxiety and physical symptoms related to work pressures. Which side effect of this medication will the nurse monitor for in this client? A. Drowsiness B. Bradycardia C. Agranulocytosis D. Tardive dyskinesia

Answer 57

A. Drowsiness

Question 58

A client is prescribed alprazolam. Which action must the nurse include in the client assessment during the initiation of therapy? A. Measure the client’s urine output. B. Examine the client’s pupils daily. C. Check the client’s blood pressure. D. Assess the abdomen for distention.

Answer 58

C. Check the client’s blood pressure.

Question 59

Which finding would the nurse report to the health care provider when caring for a client prescribed temazepam at bedtime? A. Anxiety B. Drowsiness C. Sleep driving D. Morning headache

Answer 59

C. Sleep driving

Question 60

The nurse is educating a client about newly prescribed alprazolam. Which information should the nurse include in the teaching? A. Tardive dyskinesia is common early in treatment. B. Administration of paroxetine may be needed to prevent adverse effects. C. The use of grapefruit juice should be avoided. D. Hyperactivity is seen with long-term use.

Answer 60

C. The use of grapefruit juice should be avoided.

Question 61

Which medication would the nurse instruct a client to NOT avoid while taking alprazolam? A. Opioids B. Alcohol C. Barbiturates D. Antidepressants

Answer 61

D. Antidepressants

Question 62

A client is prescribed the benzodiazepine alprazolam for the management of panic attacks. Which action by the patient makes the nurse confident that the medication information discussed has been understood? A. The client removes the pepperoni from a pizza. B. The client asks for an extra bottle of flavored water to drink with dinner. C. The client requests a prescription for oral contraceptives before being discharged. D. The client states that chewable antacids may be taken to relieve heartburn.

Answer 62

C. The client requests a prescription for oral contraceptives before being discharged.

Question 63

Which rationale explains why the nurse would question a benzodiazepine prescription for an individual experiencing acute grief? A. The depression is magnified, and the risk of suicide increases. B. Brain activity is suppressed, and the risk of depression increases. C. Lethargy results, and it prevents a return to interpersonal activity. D. The period of denial is extended, and the grieving process is suppressed.

Answer 63

D. The period of denial is extended, and the grieving process is suppressed.

Question 64

A client has completed therapy and requests to discontinue treatment with benzodiazepines. Which information would the nurse provide to prevent injury? A. Taper dose over several months. B. Switch to using an antidepressant. C. Refrain from renewing prescription. D. Monitor for signs of increased anxiety.

Answer 64

A. Taper dose over several months.

Question 65

Which concern will the nurse keep in mind when a client has been taking a benzodiazepine? A. Rebound insomnia may occur if the medication is discontinued abruptly. B. Lifelong treatment is often required. C. Higher doses are needed to accommodate physiological changes during pregnancy. D. These medications have both analgesic and antidepressant properties.

Answer 65

A. Rebound insomnia may occur if the medication is discontinued abruptly.

Question 66

Which adverse response would a nurse assesses for when carbidopa-levodopa is prescribed for a client with Parkinson disease? A. Emotional Changes B. Lethargy C. Bradycardia D. Polycythemia

Answer 66

A. Emotional Changes

Question 67

Which would the nurse include when teaching a client with Parkinson disease about carbidopa-levodopa? A. Multivitamins should be taken daily. B. A high-protein diet should be followed. C. The medication should be taken with meals. D. Alcohol consumption should be in moderation.

Answer 67

C. The medication should be taken with meals.

Question 68

The nurse is caring for a client with Parkinson's disease. Which finding indicates that the client might be experiencing an adverse side effect from the dopamine-enhancing drugs? A. Urinary retention B. Hallucinations C. Kidney failure D. Hypertensive urgency

Answer 68

B. Hallucinations

Question 69

Which symptom of levodopa toxicity will a client taking levodopa be taught as a reason to contact the primary health care provider? A. Nausea B. Dizziness C. Twitching D. Constipation

Answer 69

C. Twitching

Question 70

Carbidopa-levodopa is prescribed for a client with Parkinson's disease. Which instruction will the nurse include when teaching the client about this medication? A. 'Take this medication between meals.' B. 'Blood levels of the medication should be monitored weekly.' C. 'It can cause happy feelings followed by feelings of depression.' D. 'You may experience dizziness when moving from sitting to standing.'

Answer 70

D. 'You may experience dizziness when moving from sitting to standing.'

Question 71

The nurse administers carbidopa-levodopa to a client with Parkinson's disease. Which activity describes the mechanism of action of this medication? A. Increase in acetylcholine production B. Regeneration of injured thalamic cells C. Improvement in myelination of neurons D. Replacement of a neurotransmitter dopamine in the brain

Answer 71

D. Replacement of a neurotransmitter dopamine in the brain

Question 72

Which mechanism of action would the nurse identify for levodopa therapy prescribed to a client diagnosed with Parkinson disease? A. Blocks the effects of acetylcholine B. Increases the production of dopamine C. Restores the dopamine levels in the brain D. Promotes the production of acetylcholine

Answer 72

C. Restores the dopamine levels in the brain

Question 73

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client? A. Piperacillin/tazobactam B. Levothyroxine C. Levodopa/carbidopa D. Carbamazepine

Answer 73

C. Levodopa/carbidopa

Question 74

A client with Parkinson disease is admitted to the hospital. Which medication is prescribed to improve the physical manifestations of Parkinson disease? A. Carbidopa-levodopa B. Isocarboxazid C. Dopamine D. Pyridoxine (vitamin B 6)

Answer 74

A. Carbidopa-levodopa

Question 75

A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which observation by the nurse would indicate that the desired outcome of the medication is being achieved? A. Decreased blood pressure. B. Lessening of tremors. C. Increased salivation. D. Increased attention span.

Answer 75

B. Lessening of tremors.

Question 76

A nurse is providing education on the use of carbidopa/levodopa to a client with Parkinson’s disease. What will the nurse include in the teaching? A. This medication will stop the progression of your condition B. Notify your healthcare provider if your urine appears dark C. Eat plenty of whole-grain foods when taking this medication D. Avoid eating meals that are high in protein

Answer 76

D. Avoid eating meals that are high in protein

Question 77

The daughter of a client with Alzheimer's disease asks the nurse, "Will the medication my mother is taking cure her dementia?" What is the best response by the nurse? A. "It will help your mother live independently again." B. "It is used to halt the progression of Alzheimer's disease." C. "It will not improve dementia but can help control emotional responses." D. "It will provide a steady improvement in memory."

Answer 77

C. "It will not improve dementia but can help control emotional responses."

Question 78

The caregiver of a client with Alzheimer's disease asks the nurse for information about the best drug options that can help with memory or behavior problems. Which of the following response by the nurse are correct? A. "Garlic helps.” B. "St John wort may help with memory." C. "Acupuncture may be very relaxing." D. "Donepezil (Aricept) may help slow symptoms associated with Alzheimer’s decline."

Answer 78

D. "Donepezil (Aricept) may help slow symptoms associated with Alzheimer’s decline."

Question 79

The nurse is completing a health history of a client diagnosed with Alzheimer's disease. The nurse reviews a list of the client's medications and supplements routinely taken at home. Which treatment should be a cause for concern by the nurse? A. Donepezil B. Ginkgo biloba C. Omega-3 fatty acids D. Coconut oil

Answer 79

D. Coconut oil

Question 80

Donepezil is prescribed for a client who has mild dementia of the Alzheimer type. Which information would the nurse include when discussing this medication with the client and family? A. Fluids should be limited to 4 large glasses per day. B. Constipation should be reported to the primary health care provider immediately. C. Blood tests that reflect liver function will be performed routinely. D. The client’s medication dosage may be self-adjusted according to the client’s response.

Answer 80

C. Blood tests that reflect liver function will be performed routinely.

Question 81

The nurse teaches a client’s family about the administration of donepezil for treatment of dementia of the Alzheimer type. Which side effect identified by the caregiver indicates to the nurse that further teaching is needed? A. Nausea B. Dizziness C. Headache D. Constipation

Answer 81

D. Constipation

Question 82

A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow-up visit. Which statement by the client indicates the medication has been effective? A. "I have less pain." B. "I have been sleeping better." C. "My blood glucose is under control." D. "My blood pressure is coming down."

Answer 82

B. "I have been sleeping better."

Question 83

A nurse is teaching a client about adverse effects of zolpidem. Which of the following adverse effects should the nurse include in the teaching? A. Daytime sleepiness B. Nighttime sweating C. Change in taste D. Double vision

Answer 83

A. Daytime sleepiness

Question 84

An older adult client has been prescribed zolpidem for insomnia. The nurse should monitor the client for which side/adverse effect of this medication? A. Tachypnea B. Hypotension C. Tachycardia D. Constipation

Answer 84

B. Hypotension

Question 85

A client with insomnia takes a new medication to promote sleep. Two hours later, the client is wide awake and feeling more energized than before the medication was taken. Which type of response is the client demonstrating? A. Allergic B. Synergistic C. Paradoxical D. Idiosyncratic

Answer 85

C. Paradoxical