NSG 124 Final Exam
1. Paring for a client receiving prescribed bethanechol the nurse should monitor
the pt for what therapeutic effect?
Increase urinary retention
2. A nurse is caring for a pt receiving prescribed atropine the nurse should
educate the patient on what adverse effect?
Dry mouth (xerostomia)
3. The nurse is admitting a client with MS diagnoses the nurse should anticipate
administration of?
Reversible cholinesterase inhibitors
Irreversible cholinesterase inhibitors
muscarinic agonist
muscarinic Antagonist
4. Caring for a client experiencing anaphylactic shock after getting stung by a
bee what medication should the nurse give?
Epinephrine (adrenaline)
5. A nurse is caring for a client prescribed propranolol the nurse should monitor
for therapeutic effect by assessing for?
Decrease blood pressure
6. A client has a prescription for propranolol the nurse will assess the patient for
what life-threatening contraindications?
Bronchospasms
7. A nurse is educating a patient on phenytoin which of the following would the
nurse correctly include in the nurse teaching?
Proper oral hygiene (causes gingival hyperplasia)
8. The nurse evaluates the clients serum phenytoin levels at 16 mcg/mL what is
the next step?
Document that the pts level is in therapeutic range
10-20 therapeutic range
30-50 toxic level
9. What can happen when there is a abrupt discontinuation of phenytoin?
Seizures, withdrawal epilepsy
10. A client who has been taking meds for seizure disorder is asking about the
nurse getting pregnant what is the correct response from nurse?
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NSG 124 Final Exam
Antiseizure meds are tatrogenic
11.The nurse is caring for a client who has Parkinson’s disease taking a
dopamine agonist which of the following would indicate that the client is
experiencing therapeutic effects of meds?
Improve ability to preform ADLs
Help decrease trimmers
Adverse effects: orthostatic hypotension, impulsiveness and visual hallucinations
12.The nurse is teaching the care giver of the client about prescribed levodopa
or carbidopa which of the following information should the nurse include?
Dyskinesia (major adverse effect)
13.The nurse is performing an assessment to a pt prescribed anticholinergic
benztropine which assessment finding indicate therapeutic effect?
Decrease in trimmers and Cogentin
14. The nurse is preparing to administer prescribe to a assign the nurse should
clarify the prescription for which of the following client?
The client who is taking MAOI
*contraindicated in pts who already take MAO inhibitors
15.The nurse is teaching a client who is taking cholinesterase inhibitors (Aricept)
the client is asking how long will they have to take the medication?
You can take the medications indefinitely or as long as you can tolerate
16. The nurse is taking care a pt who is diagnosed with severe Alzheimer’s the
nurse should repair client education for which of the following meds which
would actually cause symptoms to improve?
memantine (Namenda)
17.the nurse is assessing a client who is taking interferon beta 1a for multiple
sclerosis and notice the client is experiencing flu like symptoms which of the
following actions should the nurse take?
Give Antipyretic
18.the nurse receive prescription to administer order: Depakote er 1000 mg pill
daily have: Depakote er 500 mg tab
2 tablets
19.order Prozac 20 mg po daily available: Prozac 10 mg
2 tablets