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1. A nurse is teaching a client who Change position slowly to prevent orthostatic hypoten-
is taking levodopa/carbidopa to sion
treat Parkinson's disease. Which
of the following nursing interven- ***Levodopa/carbidopa can cause orthostatic hypoten-
tions should the nurse include? sion.
2. a nurse is reviewing the medical phenytoin toxicity
record of a client who has a newly ***Valproic acid can cause an increase in phenytoin blood
diagnosed seizure disorder and a levels, resulting in phenytoin toxicity. The nurse should
new prescription for valproic acid monitor serum phenytoin levels and notify the provider if
and phenytoin. The nurse should levels begin to exceed the therapeutic range.
include that which of the follow-
ing can occur as a result of an in-
teraction between these drugs?
3. a nurse is teaching a client who avoid driving until the drug's effects are evident
has a prescription fo rbaclofen. ***Baclofen, a centrally-acting muscle relaxant, causes
Which of the following instruc- CNS depression. Clients taking the drug should avoid
tions should the nurse include? alcohol and other CNS depressants, and should not drive
a vehicle until they know how the drug will affect them.
4. a nurse is teaching a client who take the drug in the morning
has a prescription for modafinil ***Modafinil is a nonamphetamine stimulant. Taking it in
to treat narcolepsy. Which of the the morning helps improve wakefulness for clients who
following instructions should the have narcolepsy. Clients taking the drug for shift-work
nurse include? sleepiness should take it 1 hr before work.
5. a nurse is teaching a client who administer the drug in your thigh or upper arm
received a prescription for in- ***Interferon beta-1a is administered via the subcuta-
tereeron beta-1a for the treat- neous route. Therefore, the nurse should instruct the
ment of multiple sclerosis. Wh- client how to perform subcutaneous injections for self-ad-
ministration.
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, Neurological System: Part 1
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coh of the following information
should the nurse include?
6. a nurse is teaching a client avoid taking OTC antacids
who has Alzheimer's disease and ***Antacids that contain sodium bicarbonate increase
their caregiver about memantine. urine alkalinity and can decrease drug excretion, ultimate-
Which of the following instruc- ly leading to toxicity.
tions should the nurse include?
7. a nurse is providing teaching for a jaundice
client who has a new prescription ***Valproic acid can cause hepatic toxicity, characterized
for valproic acid to treat a seizure by jaundice, abdominal pain, and nausea. Clients taking
disorder. The nurse should in- the drug should report these manifestations, and the
struct the client to monitor woich nurse should monitor liver function studies prior to treat-
of the following adverse effects? ment and periodically during therapy.
8. a nurse is teaching a client who drowsiness
has a new prescription for val- headache
proic acid to treat a seizure disor- rash
der. The hurse should instruct the
client to monitor for which of the
following adverse effects (Select
all that apply)
9. a nurse is caring for a client who fatigue
is taking interferon beta-1b. The ***The nurse should identify that potential serious ad-
nurse should identify that which verse effects of interferon beta-1b include unexplained
of the following finding indicated bruising, bleeding, and fatigue. Clients should report
a potential serious adverse effect these adverse effects to their provider immediately be-
of this drug? cause they can indicate bone marrow suppression and
decreased platelet count.
10.
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