RN NCLEX neurologic pharm questions
RN NCLEX neurologic pharm questions
Study online at https://quizlet.com/_9rofgh
1. The nurse reviews the laboratory results of sev- Client who is receiving tube feed-
eral clients. Which finding should the nurse re- ings and has a phenytoin level of 8
port to the health care provider immediately? mcg/mL
- Client who is receiving tube feedings and has
a phenytoin level of 8 mcg/mL - Tube feedings decrease phenytoin
- Client with a HR of 62/min who has a digoxin (Dilantin) absorption, which reduced
level of 1.3 mg/Ml serum drug concentrations.
- Client with a new prosthetic aortic valve who - Therapeutic index 10-20 mcg/Ml
has an INR of 3.0 - May precipitate seizures.
- Client with a poor appetite and a lithium level - The nurse should pause tube feed-
of 0.8 mEq/L ings for 1-2 hours before and after
phenytoin administration to ensure
adequate absorption
2. A client having an ischemic stroke arrives at I can't believe this is happening right
the emergency department. The health care after my stomach surgery.
provider prescribes tissue plasminogen activa-
tor (tPA). Which client statement would be most - Tissue plasminogen activator dis-
important to clarify before administering tPA? solves clots in an ischemic stroke and
- I can't believe this is happening right after my must be administered within a 3- to
stomach surgery 4 1/2- hour window from onset of
- I had a concussion after a car accident a year symptoms.
ago - The client should not have a histo-
- I started noticing my right arm becoming weak ry of intracranial hemorrhage or be
approximately an hour ago actively bleeding. Surgery within the
- I stopped taking my warfarin 4 weeks ago last 2 weeks is a contraindication as
tPA dissolves all clots in the body and
may disrupt the surgical site.
3. A client with a brain tumor is admitted for It prevents seizure development.
surgery. The health care provider prescribes lev-
etiracetam. The client asks why. What is the - Keppra is a medication to treat
1/9
actualstudy 1
, RN NCLEX neurologic pharm questions
RN NCLEX neurologic pharm questions
Study online at https://quizlet.com/_9rofgh
nurse's response? seizures in various settings. It
- It destroys tumor cells and helps shrink the has minimal drug-drug interactions
tumor compared to phenytoin and is often
- It prevents seizure development the preferred antiepileptic medica-
- It prevents blood clots in legs tion
- It reduces swelling around the tumor.
4. The home health nurse reviews the serum labo- I am feeling unsteady when I walk
ratory test results for a client with seizures. The - Phenytoin is an anticonvulsant
phenytoin level is 27 mcg/mL. The client makes drug used to treat generalized ton-
which statement that may indicate the presence ic-clonic seizures. Common symp-
of dose-related drug toxicity and prompt the toms of phenytoin drug-induced
nurse to notify the health care provider? toxicity involve the central nervous
- I am feeling unsteady when I walk. system and include ataxia, nystag-
- I am getting up to urinate about 4 times during mus, slurred speech, and decreased
the night alertness.
- I have a metallic taste in my mouth when I eat
- My gums are getting so puffy and red.
5. A client with seizure activity is receiving a con- Stop the feeding for 1 to 2 hours.
tinuous tube feeding via a small-bore enteral
tube. The nurse prepares to administer pheny- - Administration of phenytoin con-
toin oral suspension via the enteral route. current with certain drugs like
What is the nurse's priority action before admin- antacids, calcium and/or enteral
istering this medication? feedings can affect the absorption of
- Check renal function laboratory results phenytoin
- Flush tube with normal saline, not water
- Stop the feeding for 1 to 2 hours
- Take the BP
6. A client was prescribed phenytoin (100 mg PO 3 Decrease phenytoin daily dose
times a day) a month ago. Today, the client has a
2/9
actualstudy 2
RN NCLEX neurologic pharm questions
Study online at https://quizlet.com/_9rofgh
1. The nurse reviews the laboratory results of sev- Client who is receiving tube feed-
eral clients. Which finding should the nurse re- ings and has a phenytoin level of 8
port to the health care provider immediately? mcg/mL
- Client who is receiving tube feedings and has
a phenytoin level of 8 mcg/mL - Tube feedings decrease phenytoin
- Client with a HR of 62/min who has a digoxin (Dilantin) absorption, which reduced
level of 1.3 mg/Ml serum drug concentrations.
- Client with a new prosthetic aortic valve who - Therapeutic index 10-20 mcg/Ml
has an INR of 3.0 - May precipitate seizures.
- Client with a poor appetite and a lithium level - The nurse should pause tube feed-
of 0.8 mEq/L ings for 1-2 hours before and after
phenytoin administration to ensure
adequate absorption
2. A client having an ischemic stroke arrives at I can't believe this is happening right
the emergency department. The health care after my stomach surgery.
provider prescribes tissue plasminogen activa-
tor (tPA). Which client statement would be most - Tissue plasminogen activator dis-
important to clarify before administering tPA? solves clots in an ischemic stroke and
- I can't believe this is happening right after my must be administered within a 3- to
stomach surgery 4 1/2- hour window from onset of
- I had a concussion after a car accident a year symptoms.
ago - The client should not have a histo-
- I started noticing my right arm becoming weak ry of intracranial hemorrhage or be
approximately an hour ago actively bleeding. Surgery within the
- I stopped taking my warfarin 4 weeks ago last 2 weeks is a contraindication as
tPA dissolves all clots in the body and
may disrupt the surgical site.
3. A client with a brain tumor is admitted for It prevents seizure development.
surgery. The health care provider prescribes lev-
etiracetam. The client asks why. What is the - Keppra is a medication to treat
1/9
actualstudy 1
, RN NCLEX neurologic pharm questions
RN NCLEX neurologic pharm questions
Study online at https://quizlet.com/_9rofgh
nurse's response? seizures in various settings. It
- It destroys tumor cells and helps shrink the has minimal drug-drug interactions
tumor compared to phenytoin and is often
- It prevents seizure development the preferred antiepileptic medica-
- It prevents blood clots in legs tion
- It reduces swelling around the tumor.
4. The home health nurse reviews the serum labo- I am feeling unsteady when I walk
ratory test results for a client with seizures. The - Phenytoin is an anticonvulsant
phenytoin level is 27 mcg/mL. The client makes drug used to treat generalized ton-
which statement that may indicate the presence ic-clonic seizures. Common symp-
of dose-related drug toxicity and prompt the toms of phenytoin drug-induced
nurse to notify the health care provider? toxicity involve the central nervous
- I am feeling unsteady when I walk. system and include ataxia, nystag-
- I am getting up to urinate about 4 times during mus, slurred speech, and decreased
the night alertness.
- I have a metallic taste in my mouth when I eat
- My gums are getting so puffy and red.
5. A client with seizure activity is receiving a con- Stop the feeding for 1 to 2 hours.
tinuous tube feeding via a small-bore enteral
tube. The nurse prepares to administer pheny- - Administration of phenytoin con-
toin oral suspension via the enteral route. current with certain drugs like
What is the nurse's priority action before admin- antacids, calcium and/or enteral
istering this medication? feedings can affect the absorption of
- Check renal function laboratory results phenytoin
- Flush tube with normal saline, not water
- Stop the feeding for 1 to 2 hours
- Take the BP
6. A client was prescribed phenytoin (100 mg PO 3 Decrease phenytoin daily dose
times a day) a month ago. Today, the client has a
2/9
actualstudy 2
