Other About CNS Flashcards

(37 cards)

1
Q

A nurse is teaching the family of a client who has a new diagnosis of Alzheimer’s disease about donepezil. Which of the following informa
should the nurse include?

A

Avoid use NSAID por pain

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2
Q

nurse is caring for a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following adverse effects?

A

Respiratory depression

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3
Q

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?

A

Cirrhosis

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4
Q

A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of attention deficit hyperactivi
disorder (ADHD) for 2 weeks. The nurse should report which of the following findings to the provider?

A

Weight loss

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5
Q

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?

A

Fatigue

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6
Q

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?

A

Phenytoin toxicity

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7
Q

A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson’s disease. Which of the following instructions should the nurse

A

Change position slowly to prevent orthostatic hypotension

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8
Q

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?

A

Tachycardia

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9
Q

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

A

Nausea

Donepril and cholinesterase inhibitor cause vomiting diarrhea and nause

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10
Q

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?

A

Avoid taking over the counter antacids

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11
Q

A nurse is teaching a client who has a prescription for baclofen. Which of the following instructions should the nurse include?

A

Avoid drinking until the drug effect are evident

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12
Q

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?

A

Begin taking the drug at a low dosage

Carbamazepine (seizure)

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13
Q

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

A

Naloxone (opioid antagonist that reverse the effect of opioids)

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14
Q

Dantrolene

A

Dantrolene is a skeletal muscle relaxant that treats malignant hyperthermia and spasticity.

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15
Q

Succinylcholine

A

Succinylcholine is a depolarizing neuromuscular blocking agent that will cause increased muscle relaxation.

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16
Q

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?

A

Jaundice (hepatic toxicity)

17
Q

Phenytoin can cause

A

Gingival hyperplasia

18
Q

A nurse is teaching a client about interferon beta-1a. Which of the following instructions should the nurse give to help the client avi
effects of this drug?

A

Interferon beta drugs can cause fever, chills, headaches, and muscle aches. Acetaminophen can help minimize these symptoms

19
Q

A nurse is 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?

A

Presence of migraine headaches

20
Q

Which laboratory test should you monitor for a clients who is taking interferon beta 1b to treat multiple sclerosis???

A

Thyroid hormone
Liver function
CBC

21
Q

A client receives spinal anesthesia with lidocaine and epinephrine. You explain that epinephrine is used with lidocaine for which reason ???

A

Prolong the anesthetic effect

22
Q

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

A

Take the drug in the morning

23
Q

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 laboratory tests requires monitoring?

A

Liver function

24
Q

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?

25
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?
Diarrea
26
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?
Administer the drug in your thigh or upper arm
27
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?
Increase available dopamine in the brain
28
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.)
Drowsiness Headache Rash
29
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?
Creatinine clearance
30
Epinephrine adverse effect
Cardiac dysthymia | Tachycardia tremor agitation
31
Alburerol used to_______??? | Drug interaction _____????
1-Treat bronchospasm, asthma COPD 2-MAOI and tricyclic antidepressant Antagonize effect with beta blocker
32
1-Clonidine ( Catapress) used to 2-Methyldopa
1-Treat hypertension 2-vasodilation decrease BP
33
Phentolamine Mesylate (Regitine) antidote for
Anesthesia post operative
34
When teaching a patient who has been prescribed metoprolol (Lopressor) about side/adverse effects, which is the highest priority teaching point? -Report any complaints of stuffy nose. -Instruct the patient how to take a pulse. -Check for bladder distention. -Warn of possible impotence and decreased libido.
Instruct the patient how to take a pulse.
35
Stimulation of which adrenergic receptor results in dilation of vessels and decrease in blood pressure? -Alphal -Alpha2 -Betal -Beta2
Alpha 2
36
The nurse is teaching the patient about the side effects of atenolol (Tenormin). These include -pupillary constriction. -blood vessel dilation. -bronchospasm. -tachycardia.
bronchospasm. -The side effects commonly associated with beta blockers are bradycardia, hypotension, headache, dizziness, cold extremities, hypoglycemia, and bronchospasm.
37
A patient is receiving dopamine (Intropin) intravenously. Which drug should the nurse have available to treat extravasation and tissue necrosis? -Norepinephrine bitartrate (Levophed) -Nadolol (Corgard) -Phentolamine mesylate (Regitine) -Clonidine (Catapres)
Phentolamine mesylate (Regitine)