NUR_2407 Pharmacology module 2 Test Bank.

NUR_2407 Pharmacology module 2 Test Bank. Question 1 A 68-year-old man has a history of seizures and has been taking phenytoin (Dilantin) for years. His last seizure was two years ago so he has decided that he no longer needs the medication. What would be the best action for the nurse? (Select all that apply.) Selected Answers: Educate the client that suddenly stopping the drug could precipitate seizures. Recommend that he develop a withdrawal plan with his prescriber. Answers: Educate the client that suddenly stopping the drug could precipitate seizures. Tell the client that once a medication for seizures is started, it can never be stopped. Recommend that he start cutting his pills in half and see how that goes. Recommend that he develop a withdrawal plan with his prescriber.  Question 2 A cleint is using a PRN scopolamine patch for motion sickness. Knowing that this medication has anticholinergic side effects, which of these side effects should the client be taught to anticipate? (Select all that apply.) Selected Answers: Urinary retention Dry mouth Answers: Urinary retention Blurred vision wheezes Dry mouth  Question 3 A client who has been taking an antiepileptic medication with a narrow therapeutic window for two weeks seems confused and forgetful. What should be the priority action of the nurse? Selected Answer: Call the prescriber and have the seizure medication changed. Answers: Give an antihistamine under house protocol to stop the allergic response. Call the prescriber and have the seizure medication changed. Set up oxygen and obtain an order for activated charcoal. Seek an order for a plasma drug level from the client's prescriber.  Question 4 A client with Alzheimer's disease has been taking rivastigmine (Excelon), a cholinesterase inhibitor, for a week. What anticipate side effects of this cholinergic medication would the nurse anticipate? Selected Answer: Diarrhea, urinary urgency and possible bradycardia Answers: Hypertension Tinnitus and hearing loss Numbness and tingling in the extremities Diarrhea, urinary urgency and possible bradycardia  Question 5 A nurse in the emergency department is caring for a client whose family reports that she had taken an overdose of diazepam (Valium). Which of the following medications should the nurse have available to reverse the CNS depression caused by this drug?