(11)NDD SLO Flashcards
A client is being taught how to apply capsaicin to increase mobility and decrease pain. Which of the following instructions is the most important to learn?
A. Put a dressing over area after application
B. Apply the medication to areas of redness and irritation
C. Apply with a gloved hand only to the site of pain
D. Apply the medication liberally above and below the site of pain
E. Apply liberally with clean hands
Apply with a gloved hand only to the site of pain
A client is taking a combination product containing levodopa, carbidopa and entacapone for Parkinson's Disease. Which of the following medications would be an appropriate adjunct to the client's drug regimen to help control tremors? A. Benztropine B. Propranolol C. Memantine D. Donepezil E. Baclofen
Benztropine
A college-aged client has been prescribed carbamazepine for the control of partial seizures. As part of patient education, the nurse will make sure the client understands to immediately report \_\_?\_\_. A. A blister-like rash B. Lethargy C. Nausea D. Blurred vision E. Leg cramps
A blister-like rash
After an evaluation for a suspected learning disability, a 10-year old child is diagnosed with absence seizures and prescribed Ethosuximide. Which of the following would be expected to be included as part of the teaching about the drug provided to the family by the nurse?
A. Increase the amount of calcium-rich foods and vitamin D to prevent bone loss.
B. Please limit after-school sports activities because physical activity may alter the metabolism of Ethosuximide.
C. Increase fluid intake to avoid dehydration caused by Ethosuximide.
D. Your child will need to have periodic blood work done to monitor for blood dyscrasias caused by Ethosuximide.
E. Please use a chart to record weekly measurements of height and weight. Ethosuximide causes GI side effects that may make it hard to absorb nutrients needed for normal growth.
Please use a chart to record weekly measurements of height and weight. Ethosuximide causes GI side effects that may make it hard to absorb nutrients needed for normal growth.
A nurse notes symptoms of nystagmus, confusion and ataxia while monitoring an adult client taking phenytoin. Considering this, the nurse would suspect that the dose of the drug should be \_\_?\_\_. A. Discontinued B. Maintained C. Reduced D. Increased E. Divided into many doses
Reduced
An increased risk of suicide is associated with \_\_?\_\_ so FDA requires a black box warning on these drugs. A. Alzheimer's drugs B. Dopamine agonists C. Muscle relaxant antispasmodics D. AChE inhibitors E. Antidepressants
Antidepressants
Bradycardia, increased gastric acid secretion, diarrhea, nausea, vomiting, bronchoconstriction and insomnia are all serious side effects associated with \_\_?\_\_. A. CNS stimulants B. Benzodiazepines C. Dopamine agonists D. Antidepressants and AEDs E. AChE inhibitors
AChE inhibitors
Donepezil (an anti AChE agent) should not be given with \_\_?\_\_ (both classes cause GI ulcers). A. NSAIDS B. Anticoagulants C. Antibiotics D. Antihypertensives E. Antihyperlipidemics
NSAIDS
If no IV access to control status epilepticus, use \_\_?\_\_ intranasal, buccal, IM or PR. A. Phenobarbital B. Carbamazepine C. Midazolam D. Anything on hand E. Clonazepam
Midazolam
If using lorazepam PR to control status epilepticus, use \_\_?\_\_ IV solution. A. Room temperature B. Warmed C. Refrigerated D. Diluted E. Frozen
Refirigerated
Loss of impulse control is associated with \_\_?\_\_ A. AEDs B. CNS stimulants C. Dopamine agonists D. AChE inhibitors E. Antidepressants
Dopamine agonists
Phenobarbital and carbamazepine are potent \_\_?\_\_, so is Phenytoin. A. ADHD drugs B. Liver toxicants C. AEDs D. Anxiolytics E. P450 inducers
P450 inducers
Sudden cardiac death is associated with \_\_?\_\_, but rarely seen. A. AEDs B. Dopamine agonists C. Antidepressants D. CNS stimulants E. AChE inhibitors
CNS Stimulants
The aromatic AEDs (carbamazepine, phenytoin and phenobarbital) are associated with __?__, a condition that consists of a fever, rash and lymphoadenopathy occurring within 3 months of starting offending agent.
A. Serotonin Syndrome
B. Anticonvulsant Hypersensitivity Syndrome
C. Malignant Hyperthermia
D. Steven Johnson’s Syndrome
E. Neuroleptic Malignant Syndrome
Anticonvulsant Hypersensitivity Syndrome
Topiramate can reduce renal secretion of \_\_?\_\_ by 80%. A. Gabapentin B. Memantine C. Phenytoin D. Donepezil E. Dantrolene
Memantine
Which of the following is a C-II Psychostimulant for ADHD and narcolepsy? A. Rebif B. Rilutek C. Requip D. Risperdal E. Ritalin
Ritalin
Which of the following is a C-II Psychostimulant for ADHD and narcolepsy? A. Actos B. Allegra C. Aricept D. Angiomax E. Adderall
Adderall
Which of the following is a C-IV barbiturate AED indicated for Grand mal and partial seizures, control of status epilepticus and as a short-term sedative/hypnotic? A. Ropinirole B. Parlodel C. Phenytoin D. Phenobarbital E. Riluzole
Phenobarbital
