ATI Week 11 Flashcards
Which lab tests should you monitor for a client who is taking interferon beta-1b to treat multiple sclerosis?
- Thyroid hormones
- Liver function
- CBC
While obtaining a clients medical history, you find that the client is taking levodopa/ carbidopa for Parkinson’s disease. Which information in the clients health history alerts you to take further action?
Glaucoma
A visit to the providers office, an older adult clients partner reports that the client has nausea, diarrhea, and a loss of appetite. He has a history of Alzheimer’s disease and is taking donepezil. Which information should be provided by the nurse?
Take the drug with food
You are instructing a client who has multiple sclerosis about how dantrolene will help control spasticity. Which mechanism is this drug effective in treating this manifestation?
Alters intracellular calcium exchange at the muscles
You are caring for a client who is preoperative and is NPO. The client takes carbamazepine, 200 mg PO BID for a seizure d/o. Which action should the nurse take?
Give the oral dose of carbamazepine with a sip of water
You are instructing a school-age child and his parent about the use of amphetamine-dextroamphetamine to manage the child’s attention deficit/ hyperactivity d/o. Which clinical manifestations should the nurse instruct the parent to report?
- Weight loss
- Insomnia
- Hallucinations
Therapeutic use of: Hydantoin
Controls seizures
Therapeutic use of: Immunomodulator
Reduces symptoms of multiple sclerosis
Therapeutic use of: Dopamine receptor agonist
Reduces the effects of Parkinson’s disease
Therapeutic use of: Cholinesterase inhibitor
Helps minimize symptoms of Alzheimer’s disease
A PCP prescribes sumatriptan to treat a clients migraine headaches. Which instructions should the nurse include when telling the client how to take sumatriptan?
- Take the drug after onset of the migraine
2. Repeat the dose once if the headache returns
A client rx spinal anesthesia with lidocaine and epinephrine. You explain that epinephrine is used with lidocaine for which of the following reasons?
Prolongs the anesthetic effects
Therapeutic use of: Baclofen
Muscle spasms
Therapeutic use of: Amphetamine/ dextroamphetamine sulfate
Attention-deficit / hyperactivity d/o
Therapeutic use of: Dantrolene
Malignant hyperthermia
Therapeutic use of: Fentanyl
Anesthesia or cancer pain managment
Which of the following assessments of this client is most important immediately following the administration of IV diazepam?
Respiratory Rate
The health care professional is about to administer a loading dose of phenytoin IV. Which of the following is essential for the health care professional to do before administering phenytoin IV?
Infuse phenytoin slowly
The health care professional is now assessing the client. Which of the following findings can an early indication of phenytoin toxicity?
Nystagmus
The HCP is talking with the client, who is soon to be discharged to home, about the A/E of phenytoin. Which of the following instructions may help minimize the A/E of phenytoin?
Use of good oral hygiene
The client is taking oral contraceptives for birth control. Which of the following instructions should the health care professional include?
Additional birth control methods may be needed
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?
Tachycardia
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 drug interaction between selegiline and meperidine can result in which of the following?
Muscle rigidity
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?
Presence of a migraine headache
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?
Avoid the use of NSAIDs for pain
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 drugs effects are evident
A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include?
Take the drug in the morning
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?
Premedicate with acetaminophen
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 A/E?
Diarrhea
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 A/E of this drug?
Begin taking the drug at a low dosage
A nurse is caring for a client who is rx methohexital sodium. The nurse should monitor the client for which of the following A/E?
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?
Avoid taking OTC antacids
A nurse is caring for a client who is taking donepezil to treat Alzheimer’s disease. For which of the following A/E should the nurse monitor?
Nausea
A nurse is providing teaching for a client who has a new prescription for valproic acid to treat a seizure d/o. The nurse should instruct the client to monitor for which of the following A/E?
Jaudice
A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should I.D that which of the following lab tests requires monitoring?
Liver function
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?
Change positions slowly to prevent orthostatic hypotension
A nurse is teaching a client who has a new prescription for a valproic acid to treat a seizure d/o. The nurse should instruct the client to monitor for which of the following A/E?
- Drowsiness
- Headache
- Rash
A nurse is caring for a client who has been taking amphetamine/ dextroamphetamine sulfate for treatment of ADHD for 2 weeks. The nurse should report which of the following findings to the provider?
Weight loss of 2.3 kg (5lb)
A nurse is reviewing the medical record of a client who has a newly diagnoses seizure d/o and a new prescription for valproic acid and phenytoin. The nurse should identify that which of the following can occur as a result of interaction between these drugs?
Phenytoin toxicity
A nurse is teaching a client who is about to being sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following A/E?
Chest pain
A nurse is teaching a client who has a new dx 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?
Increases available dopamine in the brain
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 lab tests requires monitoring?
Creatine clearance
A nurse is preparing to administer memantine to a client who has Alzheimer’s disease. Which of the following findings in the clients medical history indicates a need to withhold the drugs and notify the prescriber?
Cirrhosis
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 A/E?
Fatigue
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 of fentanyl?
Naloxone
A nurse is teaching a client who rx a prescription for interferon-beta1a for the treatment of multiple sclerosis. Which of the following information should the nurse include?
Administer the drug in your thigh or upper arm
