NEURO EXAM 3 QUESTIONS AND
ANSWERS COMPLETE AND RATED A.
Which of the following side effects would the nurse assess for in a client
receiving haloperidol, an antipsychotic for the treatment of Huntington's
disease. Select all that apply.
a. Anxiety or agitation
b. Constipation or diarrhea
c. Decreased sexual ability
d. Menstrual changes
e. Nausea or vomiting
f. Weight gain
a. Anxiety or agitation
b. Constipation or diarrhea
c. Decreased sexual ability
d. Menstrual changes
e. Nausea or vomiting
f. Weight gain
(take with grain of salt, wasnt very clear)
A client with Huntington's disease has been prescribed Fluoxetine. Which of the
following statements should the nurse include when teaching the patient about
this medication? Select all that apply.
a. Fluoxetine belongs to a class of drugs known as selective serotonin reuptake
inhibitors
b. Some young people have thoughts about suicide when first taking an
antidepressant. Stay alert to changes in your mood.
c. You can drink alcohol while on this medication
d. Fluoxetine is also used to treat allergic reactions
,A client with Huntington's disease has been prescribed Fluoxetine. Which of the
following statements should the nurse include when teaching the patient about this
medication? Select all that apply.
a. Fluoxetine belongs to a class of drugs known as selective serotonin reuptake
inhibitors.
b. Some young people have thoughts about suicide when first taking an
antidepressant. Stay alert to changes in your mood.
Carbidopa - Levodopa (Sinemet) is prescribed for the client with Parkinson's
disease, and the nurse monitors the client for adverse effects of the medication.
Which sign/symptom indicates the client is experiencing an adverse effect?
a. Pruritus
b. Tachycardia
c. Hypertension
d. Impaired voluntary movements
Carbidopa - Levodopa (Sinemet) is prescribed for the client with Parkinson's
disease, and the nurse monitors the client for adverse effects of the medication.
Which sign/symptom indicates the client is experiencing an adverse effect?
d. Impaired voluntary movements
Dyskinesia and impaired voluntary movement may occur with high levodopa
dosages. Nausea, anorexia, dizziness, orthostatic hypotension, bradycardia, and
akinesia (the temporary muscle weakness that lasts 1 minute to 1 hour) are frequent
side effects of the medication.
Which finding indicates a side effect associated with the use of latanoprost
(Xalantan) eye drops?
a. Brown iris pigmentation
b. Elevated BP
c. Irregular pulse
d. Periorbital edema
Which finding indicates a side effect associated with the use of latanoprost
(Xalantan) eye drops?
,a. Brown iris pigmentation
Common side effects of Xalantan eye drops includes blurred vision, eye irritation,
tearing, darkening of eyelid skin color, increase in brown color in colored part of
the eye, longer, thicker, and darker lashes.
A client is about to receive Mannitol, an osmotic diuretic. He asks the nurse,
"How does this medication work." What is the best response by the nurse?
a. "It increases absorption of water and electrolytes."
b. "It just does what it is supposed to do."
c. " It inhibits reabsorption of water and electrolytes."
d. "I don't know, just take what the doctor ordered."
A client is about to receive Mannitol, an osmotic diuretic. He asks the nurse, "How
does this medication work." What is the best response from the nurse?
c. " It inhibits reabsorption of water and electrolytes."
Which one of the following drugs reduces transmission of impulses from spinal
cord to skeletal muscles; is an antispasticity agent for the treatment of spinal
spasticity resulting from multiple sclerosis or spinal cord injury?
a. Baclofen (Lioresal)
b. Hydrochloride (Levodopa)
c. Phenytoin (Dilantin)
d. Valproic acid (Depakene)
Which one of the following drugs reduces transmission of impulses from spinal cord
to skeletal muscles; is an antispasticity agent for the treatment of spinal spasticity
resulting from multiple sclerosis or spinal cord injury?
a. Baclofen (Lioresal)
Levodopa is not hydrochloride anything it is (dihydroxyphenylalanine and the
immediate precursor of dopamine. )
, The nurse is teaching the client with MS about the use of corticosteroids. Which
of the following statements by the patient indicates an understanding of the use
of corticosteroids?
a. "I should watch for side effects such as euphoria and insomnia while taking
this medication."
b. "This medication will need to be administered for at least 2 weeks before I
begin to see improvement in my condition."
c. "The corticosteroids will reduce my chances of relapsing in the future."
d. "I could see flu-like symptoms while taking this medication."
The nurse is teaching the client with MS about the use of corticosteroids. Which of
the following statements by the patient indicates an understanding of the use of
corticosteroids?
a. "I should watch for side effects such as euphoria and insomnia while taking this
medication."
The client diagnosed with ALS is prescribed an antiglutamate, riluzole (Rilutek).
Which instruction should the nurse give the client?
a. Take the medication with food
b. Avoid eating green leafy vegetables
c. Use SPF 30 when going out in the sun
d. Report any febrile illness
The client diagnosed with ALS is prescribed an antiglutamate, riluzole (Rilutek).
Which instruction should the nurse discuss with the client?
d. Report any febrile illness
Cases of severe neutropenia (absolute neutrophil count less than 500 per mm3)
within the first 2 months of RILUTEK treatment have been reported. Advise patients
to report febrile illnesses.
In a spinal cord injury, corticosteroids are contraindicated due to the increased
risk of spinal cord edema.
ANSWERS COMPLETE AND RATED A.
Which of the following side effects would the nurse assess for in a client
receiving haloperidol, an antipsychotic for the treatment of Huntington's
disease. Select all that apply.
a. Anxiety or agitation
b. Constipation or diarrhea
c. Decreased sexual ability
d. Menstrual changes
e. Nausea or vomiting
f. Weight gain
a. Anxiety or agitation
b. Constipation or diarrhea
c. Decreased sexual ability
d. Menstrual changes
e. Nausea or vomiting
f. Weight gain
(take with grain of salt, wasnt very clear)
A client with Huntington's disease has been prescribed Fluoxetine. Which of the
following statements should the nurse include when teaching the patient about
this medication? Select all that apply.
a. Fluoxetine belongs to a class of drugs known as selective serotonin reuptake
inhibitors
b. Some young people have thoughts about suicide when first taking an
antidepressant. Stay alert to changes in your mood.
c. You can drink alcohol while on this medication
d. Fluoxetine is also used to treat allergic reactions
,A client with Huntington's disease has been prescribed Fluoxetine. Which of the
following statements should the nurse include when teaching the patient about this
medication? Select all that apply.
a. Fluoxetine belongs to a class of drugs known as selective serotonin reuptake
inhibitors.
b. Some young people have thoughts about suicide when first taking an
antidepressant. Stay alert to changes in your mood.
Carbidopa - Levodopa (Sinemet) is prescribed for the client with Parkinson's
disease, and the nurse monitors the client for adverse effects of the medication.
Which sign/symptom indicates the client is experiencing an adverse effect?
a. Pruritus
b. Tachycardia
c. Hypertension
d. Impaired voluntary movements
Carbidopa - Levodopa (Sinemet) is prescribed for the client with Parkinson's
disease, and the nurse monitors the client for adverse effects of the medication.
Which sign/symptom indicates the client is experiencing an adverse effect?
d. Impaired voluntary movements
Dyskinesia and impaired voluntary movement may occur with high levodopa
dosages. Nausea, anorexia, dizziness, orthostatic hypotension, bradycardia, and
akinesia (the temporary muscle weakness that lasts 1 minute to 1 hour) are frequent
side effects of the medication.
Which finding indicates a side effect associated with the use of latanoprost
(Xalantan) eye drops?
a. Brown iris pigmentation
b. Elevated BP
c. Irregular pulse
d. Periorbital edema
Which finding indicates a side effect associated with the use of latanoprost
(Xalantan) eye drops?
,a. Brown iris pigmentation
Common side effects of Xalantan eye drops includes blurred vision, eye irritation,
tearing, darkening of eyelid skin color, increase in brown color in colored part of
the eye, longer, thicker, and darker lashes.
A client is about to receive Mannitol, an osmotic diuretic. He asks the nurse,
"How does this medication work." What is the best response by the nurse?
a. "It increases absorption of water and electrolytes."
b. "It just does what it is supposed to do."
c. " It inhibits reabsorption of water and electrolytes."
d. "I don't know, just take what the doctor ordered."
A client is about to receive Mannitol, an osmotic diuretic. He asks the nurse, "How
does this medication work." What is the best response from the nurse?
c. " It inhibits reabsorption of water and electrolytes."
Which one of the following drugs reduces transmission of impulses from spinal
cord to skeletal muscles; is an antispasticity agent for the treatment of spinal
spasticity resulting from multiple sclerosis or spinal cord injury?
a. Baclofen (Lioresal)
b. Hydrochloride (Levodopa)
c. Phenytoin (Dilantin)
d. Valproic acid (Depakene)
Which one of the following drugs reduces transmission of impulses from spinal cord
to skeletal muscles; is an antispasticity agent for the treatment of spinal spasticity
resulting from multiple sclerosis or spinal cord injury?
a. Baclofen (Lioresal)
Levodopa is not hydrochloride anything it is (dihydroxyphenylalanine and the
immediate precursor of dopamine. )
, The nurse is teaching the client with MS about the use of corticosteroids. Which
of the following statements by the patient indicates an understanding of the use
of corticosteroids?
a. "I should watch for side effects such as euphoria and insomnia while taking
this medication."
b. "This medication will need to be administered for at least 2 weeks before I
begin to see improvement in my condition."
c. "The corticosteroids will reduce my chances of relapsing in the future."
d. "I could see flu-like symptoms while taking this medication."
The nurse is teaching the client with MS about the use of corticosteroids. Which of
the following statements by the patient indicates an understanding of the use of
corticosteroids?
a. "I should watch for side effects such as euphoria and insomnia while taking this
medication."
The client diagnosed with ALS is prescribed an antiglutamate, riluzole (Rilutek).
Which instruction should the nurse give the client?
a. Take the medication with food
b. Avoid eating green leafy vegetables
c. Use SPF 30 when going out in the sun
d. Report any febrile illness
The client diagnosed with ALS is prescribed an antiglutamate, riluzole (Rilutek).
Which instruction should the nurse discuss with the client?
d. Report any febrile illness
Cases of severe neutropenia (absolute neutrophil count less than 500 per mm3)
within the first 2 months of RILUTEK treatment have been reported. Advise patients
to report febrile illnesses.
In a spinal cord injury, corticosteroids are contraindicated due to the increased
risk of spinal cord edema.
