(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
Which of the following is a C-IV with unclear mechanism, but it may bind to dopamine transporter and block DA reuptake? It is used to improve wakefulness in adults (ONLY) with excessive sleepiness associated with narcolepsy, obstructive sleep apnea/hypopnea or shift work sleep disorder. A. Lamotrigine B. Memantine C. Ropinirole D. Modafinil E. Macrobid
Modafinil
Which of the following is a combination product for PD? A. Symmetrel B. Aricept C. Emsam D. Eldepryl E. Stalevo
Stalevo
Which of the following is a Copaxone, a parenteral drug used in MS? A. Tizanidine B. Gabapentin C. Glatiramer acetate D. Baclofen E. Dantrolene
Glatiramer acetate
Which of the following is a D2 agonist used to treat PD, acromegaly and hyperprolactinemia as well as DMT2? A. Bromocriptine B. Modafinil C. Memantine D. Ropinirole E. Lamotrigine
Bromocriptine
Which of the following is a DA agonist used to treat restless leg syndrome and PD? It is used off label to treat cluster headaches and bipolar disorder. A. Modafinil B. Lamotrigine C. Atomoxetine D. Ropinirole E. Memantine
Ropinorole
Which of the following is a Selective NE reuptake inhibitor for ADHD? A. Amitriptyline B. Atomoxetine C. Amoxicillin D. Adapalene E. Amantadine
Atomoxetine
Which of the following is a TCA indicated for MDD? It is used off label to treat neuropathic pain associated with MS. A. Phenytoin B. Carbamazepine C. Capsaicin D. Memantine E. Amitriptyline
Amitriptyline
Which of the following is a Topical cream indicated for PNP? It is used off label to treat neuropathic pain associated with MS. A. Selegiline B. Donepezil C. Capsaicin D. Phenytoin E. Amitriptyline
Capsaicin
Which of the following is an AED drug of choice for absence seizures? A. Diazepam B. Lorazepam C. Ethosuximide D. Midazolam E. Clonazepam
Ethosuximide
Which of the following is an AED indicated as an adjunct for epilepsy (PARTIAL SEIZURES) and post-herpetic neuropathic pain (PNP). Used off label to treat neuropathic pain, bipolar disorder, alcohol withdrawal, aggression or agitation in elderly patients with dementia & as an anxiolytic. A. Gabapentin B. Phenytoin C. Tizanidine D. Dantrolene E. Baclofen
Gabapentin
Which of the following is an AED indicated for epilepsy and bipolar disorder? It is used off label to treat neuropathic pain associated with MS also used off label to treat MDD. A. Lamotrigine B. Fluoxetine C. Atomoxetine D. Capsaicin E. Amitriptyline
Lamotrigine
Which of the following is an AED indicated for Grand mal and complex partial epilepsy, control of status epilepticus and prevention of seizures during neurosurgery? It is used off label to treat neuropathic pain associated with MS. A. Amitriptyline B. Phenytoin C. Capsaicin D. Phenobarbital E. Ethosuximide
Phenytoin
Which of the following is an AED indicated for Grand mal and partial epilepsy, trigeminal neuralgia and bipolar disorder? It is used off label to treat neuropathic pain associated with MS, PTSD, ADHD, schizophrenia, phantom leg syndrome and explosive behavior disorders. A. Aricept B. Amitriptyline C. Phenytoin D. Carbamazepine E. Capsaicin
Carbamazepine
Which of the following is an AED indicated for Grand mal or partial onset seizures, Lennox-Gastaut syndrome, and migraine? It is used off label for PTSD, neuropathic pain and to prevent alcoholics from drinking. A. Modafinil B. Atomoxetine C. Amitriptyline D. Topiramate E. Lorazepam
Topiramate
Which of the following is an AED indicated for Grand mal seizures, myoclonus, complex partial and absence seizures, bipolar disorder and migraines? A. Amantadine B. Divalproex C. Bromocriptine D. Diazepam E. Phenobarbital
Divalproex
Which of the following is an Anti NMDA and anti Alzheimer’s drug? A. Rilutek B. Namenda C. Xenazine D. Aricept E. Avonex, Rebif
Namenda
Which of the following is an Anti-AChE and anti Alzheimer’s drug? A. Namenda B. Rilutek C. Xenazine D. Aricept E. Avonex, Rebif
Aricept
Which of the following is an Anti-chorea drug used in HD? A. Avonex, Rebif B. Xenazine C. Aricept D. Rilutek E. Namenda
Xenazine
Which of the following is an Antimuscarinic (combo of atropine and diphenhydramine) used to treat PD and EPS? A. Atomoxetine B. Amitriptyline C. Benztropine D. Selegiline E. Donepezil
Benztropine
Which of the following is an Antiviral for Influenza A and PD/EPS? A. Stalevo B. Emsam C. Symmetrel D. Aricept E. Eldepryl
Symmetrel
Which of the following is an MAOI for early PD, senile dementia and MDD? A. Atomoxetine B. Memantine C. Selegiline D. Donepezil E. Amantadine
Selegiline
Which of the following is Dantrium, an Anti spasmodic used to treat muscle spasticity and malignant hyperthermia? A. Phenytoin B. Dantrolene C. Tizanidine D. Gabapentin E. Baclofen
Dantrolene
Which of the following is Interferon beta 1a, an Immune modulator used to treat MS? A. Dantrium B. Copaxone C. Baclofen D. Aricept E. Avonex, Rebif
Avonex, Rebif
Which of the following is Kemstro, a GABAa agonist and anti spasmodic used to treat muscle spasticity in MS and spinal cord injuries? A. Glatiramer acetate B. Gabapentin C. Tizanidine D. Baclofen E. Dantrolene
Baclofen
Which of the following is Lyrica a C-V AED indicated for PNP and diabetic neuropathic pain, partial onset seizures and fibromyalgia? A. Divalproex B. Topiramate C. Phenytoin D. Pregabalin E. Phenobarbital
Pregabalin
Which of the following is used to delay assisted ventilation in ALS? A. Rilutek B. Avonex, Rebif C. Namenda D. Aricept E. Xenazine
Rilutek
Which of the following is Zanaflex, an Alpha2 agonist and anti spasmodic for the short-term treatment of muscle spasticity? A. Baclofen B. Tizanidine C. Memantine D. Gabapentin E. Glatiramer acetate
Tizanidine
Which of the following outcomes would the nurse consider a therapeutic benefit in a teenaged client who has been taking Atomoxetine for 6 months? A. Increased suicidal ideation B. Elevated liver enzymes C. Decrease in hyperactivity D. Decrease in attention E. Increased blood pressure
Decrease in hypreactivity
Which of these statements, made by a client prescribed anti-parkinson’s medications, indicates that the medication is working properly?
A. “My appetite has improved”
B. “I’m able to shower and eat without assistance”
C. “I’m sleeping a lot more, especially during the day”
D. “My skin doesn’t itch anymore”
E. “I’ve been winning at the slot machines”
“I’m able to shower and eat without assistance”
