A client with narcolepsy has been prescribed dextroamphetamine (DextroStat). The client complains to the nurse that he cannot sleep well at night and does
... [Show More] not want to take the medication any longer. Before making any specific comment, the nurse plans to investigate whether the client takes the medication at which proper time schedule?
1. 2 hours before bedtime
2. After supper each night
3. Just before going to sleep
4. At least 6 hours before bedtime
4. At least 6 hours before bedtime
A client on the nursing unit has a prescription for dextroamphetamine (DextroStat) daily. The unit nurse collaborates with the dietitian to limit the amount of which item on the client's dietary trays?
1. Fat
2. Starch
3. Caffeine
4. Protein
3. Caffeine
A client with Parkinson's disease has begun therapy with levodopa. The nurse determines that the client understands the action of the medication if he or she verbalizes that results may not be apparent for how long?
1. 1 week
2. 24 hours
3. 2 to 3 days
4. 2 to 3 weeks
4. 2 to 3 weeks
A client is taking trihexyphenidyl hydrochloride for the treatment of Parkinson's disease. The nurse should assess for which adverse effect of this medication?
1. Diarrhea
2. Urinary retention
3. Urinary incontinence
4. Excessive perspiration
2. Urinary retention
A client receiving therapy with carbidopa/levodopa (Sinemet) is upset and tells the home health nurse that his urine has turned a darker color since he started taking this medication. The client wants to discontinue its use. In formulating a response to his concerns, the nurse interprets that this change is indicative of which condition?
1. Developing toxicity
2. A harmless side effect of the medication
3. A result of taking the medication with milk
4. A sign of interaction with another medication
2. A harmless side effect of the medication
A client with myasthenia gravis has difficulty chewing and has received a prescription for pyridostigmine (Mestinon). The nurse should check to see that the client takes the medication at what time?
1. With meals
2. Between meals
3. Just after meals
4. 30 minutes before meals
4. 30 minutes before meals
A client with myasthenia gravis who is taking neostigmine (Prostigmin) is experiencing frequent exacerbations of myasthenic crisis and cholinergic crisis. The nurse teaches the client that it is most important that this medication be taken in which manner?
1. On time
2. On an empty stomach
3. Double-dosed if one dose is missed
4. Titrated for dosage, depending on the symptoms
1. On time
The nurse is caring for a client in the emergency department who has been diagnosed with Bell's palsy. The client has been taking acetaminophen (Tylenol), and acetaminophen overdose is suspected. Which antidote should the nurse anticipate to be prescribed?
1. Pentostatin (Nipent)
2. Auranofin (Ridaura)
The home health nurse visits a client who is taking phenytoin (Dilantin) for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan?
1. Pregnancy should be avoided while taking phenytoin.
2. The client may stop the medication if it is causing severe gastrointestinal effects.
3. There is the potential of decreased effectiveness of birth control pills while taking phenytoin.
4. There is the increased risk of thrombophlebitis while taking phenytoin and birth control pills together.
3. There is the potential of decreased effectiveness of birth control pills while taking phenytoin.
3. Fludarabine (Fludara)
4. Acetylcysteine (Mucomyst)
4. Acetylcysteine (Mucomyst)
Meperidine hydrochloride (Demerol) has been prescribed for a client to treat pain. Which are side/adverse effects of this medication? Select all that apply.
1. Diarrhea 2. Tremors
3. Drowsiness
4. Hypotension
5. Urinary frequency
6. Increased respiratory rate
2. Tremors
3. Drowsiness
4. Hypotension
A client is taking the prescribed dose of phenytoin (Dilantin) to control seizures. Results of a phenytoin blood level study reveal a level of 35 mcg/mL. Which finding would be expected as a result of this laboratory result?
1. Hypotension
2. Tachycardia 3. Slurred speech
4. No abnormal finding
3. Slurred speech
The client arrives at the emergency department complaining of back spasms. The client states, "I have been taking two to three aspirin every 4 hours for the last week, and it hasn't helped my back." Since aspirin intoxication is suspected, the nurse should assess the client for which manifestation?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Photosensitivity
1. Tinnitus
A client with trigeminal neuralgia is being treated with carbamazepine (Tegretol), 400 mg orally daily. Which value indicates that the client is experiencing an adverse effect to the medication?
1. Uric acid level, 5 mg/dL
2. Sodium level, 140 mEq/L
3. Blood urea nitrogen level, 15 mg/dL
4. White blood cell count, 3000 cells/mm3
4. White blood cell count, 3000 cells/mm3
The nurse is caring for a client with severe back pain. Codeine sulfate has been prescribed for the client. Specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication?
1. Monitor radial pulse. 2. Monitor bowel activity.
3. Monitor apical heart rate.
4. Monitor peripheral pulses.
2. Monitor bowel activity.
The nurse has given medication instructions to a client receiving phenytoin (Dilantin). Which statement indicates that the client has an adequate understanding of the instructions?
1. "Alcohol is not contraindicated while taking this medication." 2. "Good oral hygiene is needed, including brushing and flossing."
3. "The medication dose may be self-adjusted, depending on side effects."
4. "The morning dose of the medication should be taken before a serum drug level is drawn."
2. "Good oral hygiene is needed, including brushing and flossing."
A client with myasthenia gravis has become increasingly weaker. The health care provider prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or an increasing severity of the disease (myasthenic crisis). An injection of edrophonium is administered. Which finding would indicate that the client is in cholinergic crisis?
1. No change in the condition
2. Complaints of muscle spasms
3. An improvement of the weakness
4. A temporary worsening of the condition
4. A temporary worsening of the condition [Show Less]