Prep U CH20-24 Flashcards
An 18 year old client has been taking phenytoin for the past6 monthsfor epoleptic seizures. The client’s phenytoin levels routinely fall within the therapeutic range. The client contacts the healthcare provider reporting nausea, headache, and diarrhea. What would be the most appropriate intervention based on the assessment of the client’s symptoms and laboratory results?
a) Advise the client to have his blood redrawn today to ensure that it is not at a toxic level.
b) Advise the client to double the dose for 24 hours because the client is experiencing the symptoms of drug withdrawal.
c) Advise the client that these are normal reactions to the medication and he should continue the medication as ordered.
d) Advise the client to decrease the dose because the client is getting too much of the medication.
a) Advise the client to have his blood redrawn today to ensure that it is not at a toxic level
The nurse is providing education to a client who has been prescribed monoamine oxidase inhibitor (MAOI) therapy following unsuccessful treatment with other agents. What foods should the nurse instruct the client to avoid? Select all that apply.
* milk
* aged cheeses
* coffee
* bananas
* chocolate
- aged cheeses
- coffee
- bananas
- chocolate
The nurse is caring for a client who has been diagnosed with both Parkinson’s disease and narrow-angle glaucoma. What medication should cause the nurse concern?
a) amantadine
b)levodopa
c)phenytoin
d)gabapentin
b) Levodopa
The nurse should suspect lithium toxicity in a client that experiences which symptoms? (Select all that apply.)
- Lack of coordination
- Muscle weakness
- Hypertensive crisis
- Diarrhea
- Decreased urine output
- Lack of coordination
- Muscle weakness
- Diarrhea
The healthcare provider has prescribed alprazolam (Xanax) for a client. After the nurse has taught the client about this medication. The nurse confirms that the client understands the drug’s action when the client makes which statement?
a) “I will likely experience hyperactivity when taking this medication.”
b) “I may be a little drowsy at first when I start taking this medication.”
c) “I may suffer from a mild rash when taking this medication.”
d) “Occasional seizures may occur when starting this new medication.”
b) “I may be a little drowsy at first when I start taking this medication.”
A client has a diagnosis of Parkinson disease, and the health care provider will prescribe carbidopa-levodopa. Before drug therapy, the client should be carefully assessed for the presence of:
a)diabetes mellitus.
b)macular degeneration.
c)peptic ulcer disease.
d)closed-angle glaucoma.
d)closed-angle glaucoma.
A female client is prescribed a benzodiazepine for anxiety. She asks the nurse if she can stop the drug when she feels better. What is the nurse’s best response?
a) “Benzodiazepines may cause physiologic dependence, and withdrawal symptoms will occur if the drug’s dosages are tapered.”
b) “Benzodiazepines may cause physiologic dependence, and withdrawal symptoms will occur if the drug is stopped abruptly.”
c) “Benzodiazepines may cause physiologic dependence, but withdrawal symptoms will not occur if the drug is stopped abruptly.”
d) “Benzodiazepines do not cause physiologic dependence, and withdrawal symptoms will not occur if the drug is stopped abruptly.”
b) “Benzodiazepines may cause physiologic dependence, and withdrawal symptoms will occur if the drug is stopped abruptly.”
What should the nurse’s pre-administration physical assessment for the administration of an anxiolytic include? (Select all that apply.)
- Weight
- Blood pressure
- Pulse
- Respiratory rate
- Blood glucose
- Weight
- Blood pressure
- Pulse
- Respiratory rate
The nurse should include which client teaching points when discussing the use of sedatives or hypnotics, and interactions with other drugs? (Select all that apply.)
- Alcohol use can increase sedative effects.
- Prescribed versus over-the-counter antihistamines have no effect.
- Opioid analgesics should be used cautiously.
- Phenothiazine use usually results in hyperactivity.
- Doses of antidepressants need to be increased.
- Alcohol use can increase sedative effects.
- Opioid analgesics should be used cautiously.
A client with a complex medical history has been diagnosed with Parkinson’s disease and prescribed carbidopa-levodopa. What aspect of this client’s health status should most prompt the nurse to monitor the client closely?
a)The client is obese, with a body mass index of 32.5
b)The client has rheumatoid arthritis and takes celecoxib
c)The client takes levothyroxine for the treatment of hypothyroidism
d)The client had a myocardial infarction ten months ago
d)The client had a myocardial infarction ten months ago
A client is receiving haloperidol. The nurse would be especially alert for the development of which adverse effect?
a)Extrapyramidal
b)Anticholinergic
c)Sedation
d)Hypotension
a)Extrapyramidal
Anxiolytic drugs can be used in the management of which conditions? (Select all that apply.)
- Hypertension
- Seizures
- Diabetic neuropathy
- Alcohol withdrawal
- Panic attacks
- Seizures
- Alcohol withdrawal
- Panic attacks
A client has been diagnosed with depression. The provider has ordered sertraline. The client asks, “How soon will it be until I feel better?” What would be the best response by the nurse?
a) “The medication will decrease only your visible symptoms of depression.”
b)”The medication will start to work in about 10 days, but it may take up to 4 weeks to be fully effective.”
c)”The medication will start to work immediately.”
d)”The medication will improve your energy in 1 to 2 days, but the symptoms of sadness will not improve for a week.”
b)”The medication will start to work in about 10 days, but it may take up to 4 weeks to be fully effective.”
What are sedatives and hypnotics used to treat? (Select all that apply.)
- Preoperative sedation
- Headache
- Hypertension
- Status epilepticus
- Insomnia
- Preoperative sedation
- Status epilepticus
- Insomnia
A client is prescribed phenytoin and reports gastrointestinal (GI) upset. The nurse should tell the client to:
a)take the medication two hours after ingesting dairy products.
b) ask the health care provider to change the route from oral to injection.
c)take the medication with meals.
d) take the medication at bedtime.
c)take the medication with meals.
