The Neurological System (Part 2) Test

Question 1

A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions?

Answer 1

Hypertensive crisis

Question 2

A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching?

Answer 2

“If I become pregnant, it is important to let my health care provider know.”

Question 3

A nurse is providing teaching to a client who has a new prescription for !uoxetine. Which of the following instructions should the nurse include?

Answer 3

“If you have persistent headaches, let the provider know.”

Question 4

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

Answer 4

Allow 2 to 4 weeks for full therapeutic effects.

Question 5

A nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Answer 5

Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops/ Do not touch the tip of the dropper / Remove contact lenses prior to instilling the drops

Question 6

A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following !ndings should indicate to the nurse to monitor for lithium toxicity?

Answer 6

Furosemide for hypertension

Question 7

A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically?

Answer 7

​Thyroid function tests

Question 8

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

Answer 8

Wear sunscreen when exposed to sunlight.

Question 9

A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects?

Answer 9

Withdrawal symptoms

Question 10

A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse suspect?

Answer 10

Acute dystonia

Question 11

A nurse is providing teaching to a client who has a new prescription for !uoxetine. Which of the following instructions should the nurse include?

Answer 11

“If you have persistent headaches, let the provider know.”

Question 12

A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following !ndings as indications of lithium toxicity? (Select all that apply.)

Answer 12

Tremors/ Confusion/ Nausea/ Muscle weakness

Question 13

A nurse should identify that timolol is contraindicated for a client who has which of the following disorders?

Answer 13

Asthma

Question 14

When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following? (Select all that apply.)

Answer 14

Seasonal affective disorder / Nicotine addiction/ Depression

Question 15

A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include? (Select all that apply.)

Answer 15

Change positions slowly from sitting or lying to standing/ Do not stop taking the drug abruptly/ Take the drug at bedtime to prevent daytime drowsiness/ Increase fiber and fluid intake

Question 16

A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse e!ects should the nurse monitor? (Select all that apply.)

Answer 16

Tolerance/ Anxiety/ Sedation/ Respiratory Depression

Question 17

A nurse is caring for a client who was admitted to the emergency department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse e!ects is the client at increased risk?

Answer 17

Seizure activity

Question 18

A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine?

Answer 18

Phenelzine

Question 19

A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include?

Answer 19

Avoid taking NSAIDs.

Question 20

A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse e!ects should the nurse include in the teaching?

Answer 20

Bradycardia

Question 21

A nurse is assessing a client who has been taking alprazolam for several days. Which of the following !ndings should the nurse identify as an adverse drug reaction caused by alprazolam?

Answer 21

Anxiety

Question 22

A nurse is providing teaching to a client about the adverse e!ects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs?

Answer 22

Imipramine

Question 23

A nurse is caring for a client who has a prescription for !uoxetine and who reports self- administering St. John’s wort daily for the past 2 weeks. Which of the following “ndings should the nurse report to the provider as an indication of serotonin syndrome?

Answer 23

Hallucinations

Question 24

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

Answer 24

“Take a missed dose as soon as you remember.”

Question 25

A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following !ndings should indicate to the nurse the reason for the prescription modi!cation?

Answer 25

Renal function impairment

Question 26

A nurse is caring for a client who has schizoa!ective disorder and who has been prescribed chlorpromazine IV. Which of the following client “ndings should the nurse monitor after administering the medication?

Answer 26

Blood pressure