NR 508: Explore the Various Drugs Affecting the Central Nervous System - Download Now for In-Depth Review and Analysis

NR 508 Drugs Affecting the Central Nervous System – Download For Revision 1. Q&A: Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phenterm ine is prescribed. Prescribing precautions include: 2. Q&A: Before prescribing phentermine to Sarah, a thorough drug history should be taken including assessing for the use of serotonergic agents such as selective serotonin reuptake inhibitors (SSRIs) and St John’s wort due to: 3. Q&A: Antonia is a 3-year-old child who has a history of status epilepticus. Along with her routine antiseizure medication, she should also have a home prescription for to be used for an episode of status epilepticus. 4. Q&A: Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing: Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the low carbamazepine levels include: 5. Q&A: Carbamazepine has a Black Box Warning due to life-threatening: 6. Q&A: Long-term monitoring of patients who are taking carbamazepine includes: 7. Q&A: Six-year-old Lucy has recently been started on ethosuximide (Zarontin) for seizures. She should be monitored for: 8. Q&A: Sook has been prescribed gabapentin to treat neuropathic pain and is complaining of feeling depressed and having “strange” thoughts. The appropriate initial action would be: 9. Q&A: Selma, who is overweight, recently started taking topiramate for seizures and at her follow- up visit you note she has lost 3 kg. The appropriate action would be: 10. Q&A: Monitoring of a patient on gabapentin to treat seizures includes: 11. Q&A: Scott’s seizures are well controlled on topiramate and he wants to start playing baseball. Education for Scott regarding his topiramate includes: 12. Q&A: Cara is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes reminding her: 13. Q&A: Levetiracetam has known drug interactions with: 14. Q&A: Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy. Initial evaluation and treatment includes: 15. Q&A: Samantha is taking lamotrigine (Lamictal) for her seizures and requests a prescription for combined oral contraceptives (COCs), which interact with lamotrigine and may cause: 16. Q&A: The tricyclic antidepressants should be prescribed cautiously in patients with: 17. Q&A: A 66-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric unit for recalcitrant depression. The NP managing his primary health care needs to understand the following regarding phenelzine and other monoamine oxidase inhibitors (MAOIs): 18. Q&A: Taylor is a 10-year-old child diagnosed with major depression. The appropriate first-line antidepressant for children is: 19. Q&A: Suzanne is started on paroxetine (Paxil), a selective serotonin reuptake inhibitor (SSRI), for depression. Education regarding her antidepressant includes: 20. Q&A: Cecilia presents with depression associated with complaints of fatigue, sleeping all the time, and lack of motivation. An appropriate initial antidepressant for her would be: 21. Q&A: Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with IM long-acting haloperidol. Besides monitoring his schizophrenia symptoms, the patient should be assessed by his primary care provider: 22. Q&A: Anticholinergic agents, such as benztropine (Cogentin), may be given with a phenothiazine to: 23. Q&A: Patients who are prescribed olanzapine (Zyprexa) should be monitored for: A 19-year-old male was started on risperidone. Monitoring for risperidone includes observing for common side effects, including: 24. Q&A: In choosing a benzodiazepam to treat anxiety the prescriber needs to be aware of the possibility of dependence. The benzodiazepam with the greatest likelihood of rapidly developing dependence is: 25. Q&A: A patient with anxiety and depression may respond to: 26. Q&A: When prescribing temazepam (Restoril) for insomnia, patient education includes: 27. Q&A: Patients should be instructed regarding the rapid onset of zolpidem (Ambien) because: 28. Q&A: One major drug used to treat bipolar disease is lithium. Because lithium has a narrow therapeutic range, it is important to recognize symptoms of toxicity, such as: 29. Q&A: Tom is taking lithium for bipolar disorder. He should be taught to: 30. Q&A: Cynthia is taking valproate (Depakote) for seizures and would like to get pregnant. What advice would you give her? 31. Q&A: When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol #3), instructions to the patient should include: 32. Q&A: Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain. The appropriate first-line medication would be: 33. Q&A: Kasey fractured his ankle in two places and is asking for medication for his pain. The appropriate first-line medication would be: 34. Q&A: Jack, age 8, has attention deficit disorder (ADD) and is prescribed methylphenidate (Ritalin). He and his parents should be educated about the side effects of methylphenidate, which are: 35. Q&A: Monitoring for a child on methylphenidate for attention deficit hyperactivity disorder (ADHD) includes: 36. Q&A: When prescribing Adderall (amphetamine and dextroamphetamine) to adults with ADHD the nurse practitioner will need to monitor: