Howard University :NURS 306Pharm Exam Neuro and Gastro,100% CORRECT

Howard University :NURS 306Pharm Exam Neuro and Gastro A provider prescribes cyclobenzaprine (Flexeril) for a client who has a fractured ulna. When the client asks the nurse what this medication is supposed to do for him, the nurse should explain that cyclobenzaprine will relieve muscle spasms. A nurse is teaching a client with multiple sclerosis who has a new prescription for dantrolene (Dantrium). Which of the following client statements indicates that the client understands the teaching? "I need to apply a sunscreen when I go outside" A nurse is caring for a client who is to receive liquid medications via gastrostomy tube. The client is prescribed phenytoin (Dilantin) 250 mg. The nurse has available unit dose vials of phenytoin that are labeled 125 mg/5 mL. How many mL should the nurse administer per dose? 10 ml A nurse is caring for client who has a prescription for phenytoin (Dilantin). For which of the following findings should the nurse instruct the client to notify the provider? Skin rash A nurse is preparing to administer an IV injection of phenytoin (Dilantin) to a client. Which of the following nursing actions is appropriate? Administer a saline solution after injection. A nurse is performing discharge teaching for a client who is taking phenytoin (Dilantin). Which of the following comments by the client should alert the nurse that further teaching is needed? "I'll be glad when I am free of seizures so I can stop taking this medicine." A nurse is caring for a 2-year-old child who is receiving phenytoin (Dilantin) in suspension form. Which of the following actions should the nurse take before administering each dose? Shake the container vigorously. A nurse is speaking with a client who is about to receive a one-time dose of diazepam (Valium). Which of the following information should the nurse be sure to give to the client? Diazepam can cause drowsiness. A home health nurse is reviewing the medication list of an older adult client who reports falling a couple of times over the past week. Which of the following meds should the nurse suspect is contributing to the client's falls? "Alprazolam" A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse plan to administer? Lorazepam (Ativan) A provider prescribes fluoxetine (Prozac) for a client who reports frequent periods of extreme sadness. The nurse teaching the client knows he understands how to take this medication when he makes which of the following statements? "I'll take this medicine first thing in the morning." A client is receiving lithium carbonate (Eskalith) to treat manic behavior. The nurse caring for this client should use which of the following strategies to guide the administration of this medication? Telling the client to expect control of manic symptoms 7 to 10 days after starting lithium therapy A nurse is reviewing the history and physical for a client who has schizophrenia. Reported findings include jerky choreiform movements, lip-smacking, and neck and back tonic contractions. These findings are chronic despite the discontinuation of chlorpromazine (Thorazine). The nurse should suspect that the client has developed which of the following adverse effects? Tardive dyskinesia A nurse is preparing to administer haloperidol (Haldol) 5 mg IM to a client. Available is haloperidol 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth.) 0.25 mL A nurse is caring for a client who has been prescribed timolol (Timoptic). Which of the following is the appropriate procedure for administration of this medication? Drop prescribed amount of medication into the conjunctival sac. A nurse is caring for a client who takes levothyroxine (Synthroid) 88 mcg/day PO, furosemide (Lasix) 100 mg/day PO, acyclovir (Zovirax) 200 mg PO BID, and cimetidine (Tagamet) 300 mg PO QID. Which one of the following medications poses the highest risk for life-threatening adverse effects? Furosemide A client has been taking omeprazole (Prilosec) for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from acid indigestion A client is receiving pancreatic enzymes as a digestive aid. The nurse should tell the client expect which of the following gastrointestinal changes? Decreased fat in stools A nurse who is teaching a client who is about to start taking docusate (Colace) should make sure that the client understands that this medication should result in regular bowel movements. A nurse is caring for a client who reports taking bisacodyl to promote a daily bowel movement. Which of the following should be the nurses priority response? How long have you been taking the Ducolax? A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository. Which of the following are correct administration guidelines for the nurse to implement? (Select all that apply.) Lubricate index finger Insert suppository just beyond the internal sphincter A client is receiving pancreatic enzymes as a digestive aid. The nurse should tell the client expect which of the following gastrointestinal changes? Decreased fat in stools A female client who has rheumatoid arthritis asks the nurse if it is safe for her to take aspirin. Which of the following is a contraindication to this medication? History of gastric ulcers. A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the client that, to minimize gastric mucosal irritation, she should take this medication at which of the following times? Immediately after a meal A female client who has rheumatoid arthritis asks the nurse if it is safe for her to take aspirin. Which of the following is a contraindication to this medication? History of gastric ulcers. A nurse is caring for a preoperative client who is prescribed hydroxyzine (Vistaril). The nurse should know that which of the following are beneficial actions of hydroxyzine for the preoperative client? (Select all that apply.) Controlling emesis Diminishing anxiety Reducing the amount of narcotics needed for pain relief Drying secretions A nurse is caring for a client who reports occasionally self-medicating with an over-the- counter calcium carbonate antacid. To avoid the adverse effects of calcium carbonate, the nurse should recommend that the client take this medication with water A provider prescribes cyclobenzaprine (Flexeril) for a client who has a fractured ulna. When the client asks the nurse what this medication is supposed to do for him, the nurse should explain that cyclobenzaprine will relieve muscle spasms. A nurse is teaching a client who has multiple sclerosis about starting therapy with baclofen (Lioresal) which of the following instructions should the nurse include? "Avoid driving until the drugs effects are evident." A nurse is talking with a client who is about to start therapy with cyclophosphamide (Cytoxan) to treat multiple myeloma. Which of the following instructions should the nurse reinforce? Report chills and fever. A nurse is caring for a client who is at 6 weeks of gestation and has pneumonia. While the nurse is obtaining the client's history, she tells the nurse that she takes the herb feverfew for migraine headaches. Which of the following actions should the nurse take? Explain that she should not take this herb while she is pregnant. A nurse is attempting to administer a dose of lactulose (Cephulac) to a client who has cirrhosis when the client states, "I don't need this medication. I am not constipated." The nurse should explain that lactulose is also used to decrease serum Ammonia A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following clinical manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect? Constipation A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram (Antabuse). The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following should the nurse suspect to be a likely cause of the client's distress? The client consumed alcohol while taking the medication. A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include? " avoid driving or activities requiring alertness" A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? A positive pregnancy test A nurse is caring for a male client who asked the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting three months. Which of the following information should the nurse provide the client about alosetron? The drug is prescribed to female clients who have IBS-D lasting more than six months A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client phosphorus level when administering which of the following drugs? Aluminum hydroxide A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make? " you sunscreen and protective clothing while taking sulfasalazine to prevent sunburn" A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium causes the following therapeutic effects? Prevents straining A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? Inflammatory bowel disease A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include? Avoid activities that require alertness A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should instruct the client to wait at least one hour before taking ranitidine and which of the following over the counter drugs? Antacids A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (select all that apply) Skin integrity Temperature CBC A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. For which of the following reason should the nurse clarify these prescriptions with the provider? Allopurinol delays the conversion of azathioprine and can lead to toxicity A nurse is assessing a client who has administered ondansetron IV one hour ago. Which of the following findings should the nurse recognize as an adverse effect of the drug? Dizziness A nurse is providing teaching to a client who is about to start psyllium to treat Constipation. Which of the following instructions should the nurse include? (select all that apply) Take the drug with at least 8 oz (237 mL) of fluid. increase fluid and fiber intake A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take?(select all that apply) Infuse the drug 30 min prior to chemotherapy Infuse the drug slowly over 15 min Repeat the dose four hr after chemotherapy A nurse is caring for an older adult client who has renal impairment and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations? Lethargy A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is affected when the client reports which of the following? One formed stool per day A nurse is caring for a client who has a new prescription for alosetron To treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug? Abdominal pain A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions? Nausea A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to Monitor for manifestations of which of the following conditions? Gout A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? Aspirin sensitivity A nurse is reviewing the medical record of a client who has a new prescription for ranitidine. The nurse should recognize which of the following drugs interact with ranitidine? Ketoconazole A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instruction should the nurse include? (Select all that apply) Take the drug 30 to 60 men before activities that trigger nausea Avoid activities that require alertness Increase fluid in fiber intake Which of the following drugs has protocols that require clients to meet specific risk management criteria and sign a treatment agreement before the nurse can administer the drug? Alosetron A healthcare professional is caring for a patient who is about to begin taking amphetamine sulfate (Addrall). The healthcare professional should monitor the patient for which of the following adverse effects? Tachycardia A healthcare professional is talking to a patient and her family about how methylphenidate (Ritalin) will help manage attention-deficit hyperactivity disorder (ADHD). Which of the following therapeutic effects should they expect? increased focus A healthcare professional is talking to a patient about beginning sumatriptan (Imitrex) therapy to treat migraine headaches. The health care professional should advise the patient to watch for which of the following adverse effect? chest pains A healthcare professional is reviewing the medical record of a patient who has a newly diagnosed seizure disorder. The patient is to begin taking both valproic acid (Depakote) and phenytoin (Dilantin). The healthcare professional should recognize that which of the following can occur as a result of a drug interaction between valproic acid and phenytoin? Phenytoin toxicity A healthcare professional is caring for a patient who is about to begin taking dantrolene (Dantrium) for skeletal muscle spasms. The health care professional recognizes that the following laboratory test requires monitoring? Liver function Because of the potential for adverse effects, which of the following should a health care professional recommend for patients who begin taking carbamazepine (Tegretol)? Begin taking at a low dose For which of the following should a healthcare professional monitor a patient who is taking donepezil (Aricept) for Alzheimer's disease? Nausea Which of the following information should a healthcare professional include when talking to a patient about baclofen (Lioresal)? Avoid driving until the drug's effect are evident A patient is taking selegiline (Eldepryl) to treat Parkinson's disease. The provider is considering the use of analgesics for the patient but should be aware that a drug interaction between selegiline and meperidine (Demerol) can result in which of the following? Muscle rigidity A healthcare professional is caring for a patient who is about to begin taking pramipexole (Mirapex) to treat Parkinson's disease. The healthcare professional should recognize which of the following laboratory tests require monitoring? Creatine phosphokinase (CPK) Which of the following findings should alert a healthcare professional that a patient is developing a potentially serious adverse reaction to interferon beta-1b (Betaseron) Fatigue A healthcare professional is caring for a patient who is about to begin taking dantrolene (Dantrium) for skeletal muscle spasms. The health care professional should tell the patient to report which of the following adverse effects? Diarrhea A healthcare professional is caring for a patient who is receiving thiopental (Pentothal). Which of the following should the healthcare professional monitor? Respiratory depression Anesthetists often administer midazolam (Versed) during induction of anesthesia because of which of the following pharmacological actions? causes amnesia A healthcare professional is caring for a patient who is taking zolpidem (Ambien). The patient has a history of benzodiazepine abuse and reports insomnia. The healthcare professional should caution the patient that the drug can cause memory impairment A healthcare professional is talking to a patient who is newly diagnosed with Parkinson's disease about how levodopa/carbidopa (Sinemet) will help control her symptoms. With which of the following mechanisms is the drug effective in treating the disorder? Increase available dopamine in the brain a health care professional should include which of the following instructions when talking with a patient about taking levodopa/ carbidopa (Sinement) to treat Parkinson's disease? Change position slowly to prevent orthostatic hypotension. A healthcare professional is talking to a patient who is about to begin taking valproic acid (Depakote) for a newly diagnosed seizure disorder. He should tell the patient to watch for which of the following adverse effects? (Select all that apply) -Rash -Drowsiness - Headache A healthcare professional is talking with a patient who is to begin taking valproic acid (Depakote) to treat a seizure disorder. He should advise the patient to monitor for which of the following adverse effects? Jaundice A healthcare professional administers fentanyl (Sublimaze) to a patient to reduce pain. Which of the following drugs should she have available to reverse the effects of fentanyl? Naloxone While talking with a patient and his family about taking memantine (Namenda) for Alzheimer's disease, the health care professional should include which of the following instructions? Notify the health care professional before taking over-the-counter antacids. An anesthetist is about to administer lidocaine (Xylocaine) as part of the protocol for spinal anesthesia for a patient who is undergoing a surgical procedure. The healthcare professional should be aware that the patient should develop which of the following potentially serious effects? Hypotension When talking with a patient about temazepam (Restoril), which of the following instructions should the helth care professional include? (SATA) - Avoid alcohol and other depressants - Take the drug 30 minutes before bedtime When reviewing the indications for various antidepressants, nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following? Seasonal affective disorder Nicotine addiction Depression A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor? (Select all that apply) Tolerance Anxiety Sedation Respiratory depression A nurse is caring for a client who has been taking alprazolam therapy can result in which of the following adverse effects? Withdrawal symptoms 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? Hypersensitive crisis 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 effects is the client at increased risk? Seizure activity 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 findings as indications of lithium toxicity. (Select all that apply) Tremors Confusion Nausea Muscle weakness A nurse is reviewing the medical history of a client who has a new prescription for reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for prescription modification? Renal function impairment A nurse is providing teaching to a client who us about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instruction should the nurse include? (Select all that apply) 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 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 follow adverse reactions should the nurse suspect? Acute dystonia A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include? Wear sunscreen when exposed to sunlight A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity? Furosomide for hypertension 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) Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops Do not touch the tip of the applicator Remove contact lenses prior to instilling the drops A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? "If you have persistent headaches, let the provider know" A nurse is providing teaching to a client who has a prescription for bus-irons. Which of the following instructions should the nurse include? Allow 2 to 4 weeks for full therapeutic effect 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? Avoid taking with NSAIDs A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching? Bradycardia A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that which of the follow drugs can cause serotonin syndrome when taken concurrently with venlafaxine? Phenelzine 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? "If I become pregnant, it is important to let my health care provider know" A nurse is caring for a client who has a prescription for fluoxetine and who reports self- administering St. John's wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome? Hallucinations A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine. Which of the following laboratory values should the nurse monitor during and immediately after IV administration of the drug? Blood pressure A nurse is providing teaching to a client who has a prescription for bus-irons to treat anxiety. Which of the following instructions should the nurse include? "Take a missed dose as soon as you remember" A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic test should the nurse recommend that the client