Neurologic Pharmacology NCLEX correctly answered

Neurologic Pharmacology NCLEXA client is being treated in the clinic for an exacerbation of multiple sclerosis. The nurse would anticipate administering which drug? a. Diazepam (Valium) b. Interferon b1b (Betaseron) c. Lioresal (Baclofen) d. Methylprednisolone (Solu-Cortef) - correct answer B ~ Drugs used to treat exacerbations in ambulatory clients include Interferon b1b, Interferon b1a (Avonex), and glatiramer acetate (Copaxone). Diazepam and lioresal could be used to treat spasticity, while steroids are used for acute relapses. A client with MG began to experience a sudden worsening of her condition with difficulty in breathing. The nurse explains that this complication of MG is usually initially treated with a. admission and administration of IV corticosteroids. b. an increased dose of anticholinesterase drugs. c. bolus doses of atropine titrated to effect. d. rest and increased sleep. - correct answer B ~ With myasthenic crisis, if an increase in the dosage of the anticholinesterase drug does not improve the weakness, endotracheal intubation and mechanical ventilation may be required. None of the other options is used to treat a myasthenic crisis. A client is receiving donepezil (Aricept) for moderate Alzheimer's disease. The nurse would assess that teaching goals for this medication have been met when the client's spouse says a. Aricept works by blocking oxygen free radicals in the brain. b. Depression has been the worst part so I'm glad this pill will control it. c. I'm anxious to see how much improvement the medications allows. d. This medicine will prevent further deterioration in condition. - correct answer C ~ Several medications are used to retain Ach in the neurojunctions of the brain. They can have small but noticeable effects and may temporarily lead to improvements. However, no drug stops the progression of AD. Aricept does not work to block oxygen free radical action, however; some studies show that alpha-tocopherol (vitamin E) and selegiline have this action. Aricept does not work on depression; often clients with AD also need antidepressants.