The Neurological System (Part 2) Test Questions
and Answers 100% Pass
A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat
major depressive disorder. Which of the following instructions should the nurse include?
(Select all that apply.) - Ans --Change positions slowly from sitting or lying to standing
Amitriptyline, a tricyclic antidepressant, can cause orthostatic hypotension. Clients should
move slowly from sitting or lying to standing.
-Do not stop taking the drug abruptly.
Relapse and withdrawal symptoms can occur with abrupt discontinuation of amitriptyline.
When discontinuing the drug, it is important to reduce the dosage over a 2-week period to
prevent or minimize withdrawal symptoms.
-Take the drug at bedtime to prevent daytime drowsiness.
Amitriptyline, a tricyclic antidepressant, can cause drowsiness. Clients should take the
drug at bedtime and avoid activities that require alertness until they know how the drug will
affect them.
-Increase fiber and fluid intake.
Amitriptyline, a tricyclic antidepressant, causes anticholinergic effects, such as dry mouth,
constipation, and urinary retention. Clients should increase fiber and fluid intake during
drug therapy and urinate before taking the drug.
1
Page
, A nurse is providing teaching for a client who has a new prescription for betaxolol eye
drops. Which of the following adverse effects should the nurse include in the teaching? -
Ans --Bradycardia
Betaxolol and timolol can cause bradycardia because of the blockade of cardiac beta1
receptors. Clients should check their pulse rate regularly and report any sustained
decreases.
A nurse is caring for a client who has been taking alprazolam for an extended period of time
to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can
result in which of the following adverse effects? - Ans --Withdrawal symptoms
Physical dependence can develop with extended use of alprazolam, a benzodiazepine. To
prevent withdrawal symptoms, clients should taper the dose slowly over several weeks.
A nurse is providing teaching to a client who has a prescription for lithium carbonate about
reducing the risk for lithium toxicity. Which of the following instructions should the nurse
include? - Ans -Avoid taking NSAIDs.
NSAIDs increase renal reabsorption of lithium and sodium. Clients who take lithium should
not take NSAIDs.
A nurse is reviewing the medical history of a client who has a new prescription for a
reduced dosage of alprazolam for anxiety. Which of the following findings should indicate
to the nurse the reason fro the prescription modification? - Ans --Renal function
impairment
Alprazolam dosage should be decreased for clients who have renal or hepatic impairment.
2
Page
and Answers 100% Pass
A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat
major depressive disorder. Which of the following instructions should the nurse include?
(Select all that apply.) - Ans --Change positions slowly from sitting or lying to standing
Amitriptyline, a tricyclic antidepressant, can cause orthostatic hypotension. Clients should
move slowly from sitting or lying to standing.
-Do not stop taking the drug abruptly.
Relapse and withdrawal symptoms can occur with abrupt discontinuation of amitriptyline.
When discontinuing the drug, it is important to reduce the dosage over a 2-week period to
prevent or minimize withdrawal symptoms.
-Take the drug at bedtime to prevent daytime drowsiness.
Amitriptyline, a tricyclic antidepressant, can cause drowsiness. Clients should take the
drug at bedtime and avoid activities that require alertness until they know how the drug will
affect them.
-Increase fiber and fluid intake.
Amitriptyline, a tricyclic antidepressant, causes anticholinergic effects, such as dry mouth,
constipation, and urinary retention. Clients should increase fiber and fluid intake during
drug therapy and urinate before taking the drug.
1
Page
, A nurse is providing teaching for a client who has a new prescription for betaxolol eye
drops. Which of the following adverse effects should the nurse include in the teaching? -
Ans --Bradycardia
Betaxolol and timolol can cause bradycardia because of the blockade of cardiac beta1
receptors. Clients should check their pulse rate regularly and report any sustained
decreases.
A nurse is caring for a client who has been taking alprazolam for an extended period of time
to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can
result in which of the following adverse effects? - Ans --Withdrawal symptoms
Physical dependence can develop with extended use of alprazolam, a benzodiazepine. To
prevent withdrawal symptoms, clients should taper the dose slowly over several weeks.
A nurse is providing teaching to a client who has a prescription for lithium carbonate about
reducing the risk for lithium toxicity. Which of the following instructions should the nurse
include? - Ans -Avoid taking NSAIDs.
NSAIDs increase renal reabsorption of lithium and sodium. Clients who take lithium should
not take NSAIDs.
A nurse is reviewing the medical history of a client who has a new prescription for a
reduced dosage of alprazolam for anxiety. Which of the following findings should indicate
to the nurse the reason fro the prescription modification? - Ans --Renal function
impairment
Alprazolam dosage should be decreased for clients who have renal or hepatic impairment.
2
Page
