Nursing 212-final Questions With Complete Solutions
Levodopa (Laradopa) is prescribed for a client with Parkinson's
disease. The nurse's discharge teaching should include: (Select
two that apply).
Avoid taking the medication with high-protein meals.*
Report the lab for a follow-up of liver and renal function tests.
A client has been started on benztropine (Cogentin) for relief of
parkinsonian symptoms. Which of the following statements
made by the client best indicates that the drug is producing a
therapeutic effect?
"My Hands aren't as shaky as they used to be"
The nurse should question the use of barbiturates for the
treatment of seizure activity if prescribed for which of the
following client?
30-year-old Pregnant female
A client receiving digoxin (Lanoxin) therapy is being treated for
status epilepticus with diazepam (Valium). The nurse places
priority on:
Monitoring the client for nausea and GI cramping
A client has been taking lorazepam (Ativan) for several weeks
for treatment of anxiety. The nurse should plan to assess the
client for potential development of what side effect?
Ataxia
,The nurse provides nutritional counseling for a client should be
encouraged to:
Avoid foods such as ham, sweet potatoes, oatmeal.
The client asks the nurse how antidepressants work. The best
response by the nurse would be that they work by:
Increasing serotonin availability.
The nurse providing discharge teaching for a client recently
started on a tricyclic antidepressant (TCA) must include the
importance of:
Avoiding driving and operating dangerous equipment
Which of the following would be a priority component of the
teaching plan for a client prescribed phenelzine (Nardil), MAOI
for treatment of depression?
Read labels of food and over-the-counter (OTC) drugs for
tyramine containing content
The physician orders penicillin for a female client who has a
sinus infection. What is a priority question to ask the client prior
to administering the medication?
"Are you taking birth control pills?"
The physician has ordered intravenous (IV) diazepam (Valium)
for the patient in status epilepticus. During administration,
which assessment by the nurse is most important?
Assessing respiration every 5 to 15 minutes
,The physician has ordered intravenous (IV) phenytoin
(Dilantin). The nurse does not read the drug label and
administers the medication intramuscularly (IM). What is the
most likely response in the patient?
Local tissue damage following extravasation will most likely
occur
The patient is receiving Phenobarbital (Luminal), Barbiturates
for control of seizures. The patient tells the nurse she plans to
become pregnant. What is the best response of the nurse?
"Please talk to your doctor; this drug is contraindicated in
pregnancy"
The patient is receiving phenobarbital (Luminal), Barbiturates
for seizure control. The patient asks the nurse how this little pill
can stop his seizure. What is the best response by the nurse?
"Phenobarbital (Luminal) stops your seizure by increasing a
chemical called GABA that calms down the excitability in your
brain"
A drug that is used to treat petit mal (absence) seizure but not
tonic-clonic seizures and works by decreasing neuronal activity
in the motor cortex is
ethosuximide (Zarontin), Succinimides
The nurse plans care for a patient with Parkinson's disease. What
will the best plan by the nurse include?
monitor the patient for the ability to chew and swallow.
, The patient receives levodopa and carbidopa (Sinemet) for
Parkinson's disease. What will the best teaching by the nurse
include as relates to this medication?
Take the medication on an empty stomach
The patient receives imipramine (Tofranil), TCA as treatment
for depression. He is admitted to the emergency department
following an intentional overdose fo this medication. What will
the best assessment by the nurse include?
The patient's cardiac status
Which of the following food items should the nurse advise a
patient taking a monoamine oxidase inhibitor (MAOI) to avoid?
Chocolate, wine, and fava bean
The physician has prescribed sertraline (Zoloft), SSRI for the
patient who is anxious and depressed. The patient calls the nurse
to report that he has experienced delayed ejaculated since being
on this medication. What is the best response by the nurse?
"let your doctor know and discuss with him the and benefits of
this medication for you"
The patient has been taking lorazepam (Ativan) for 2 years. The
patient stopped this medication after a neighbor said the drug
manufacturer's plant was contaminated with rat droppings. What
best describes the nurse's assessment of the patient when seen 3
days after stopping his medication?
Monitor for increased heart rate, fever, and muscle cramps
Levodopa (Laradopa) is prescribed for a client with Parkinson's
disease. The nurse's discharge teaching should include: (Select
two that apply).
Avoid taking the medication with high-protein meals.*
Report the lab for a follow-up of liver and renal function tests.
A client has been started on benztropine (Cogentin) for relief of
parkinsonian symptoms. Which of the following statements
made by the client best indicates that the drug is producing a
therapeutic effect?
"My Hands aren't as shaky as they used to be"
The nurse should question the use of barbiturates for the
treatment of seizure activity if prescribed for which of the
following client?
30-year-old Pregnant female
A client receiving digoxin (Lanoxin) therapy is being treated for
status epilepticus with diazepam (Valium). The nurse places
priority on:
Monitoring the client for nausea and GI cramping
A client has been taking lorazepam (Ativan) for several weeks
for treatment of anxiety. The nurse should plan to assess the
client for potential development of what side effect?
Ataxia
,The nurse provides nutritional counseling for a client should be
encouraged to:
Avoid foods such as ham, sweet potatoes, oatmeal.
The client asks the nurse how antidepressants work. The best
response by the nurse would be that they work by:
Increasing serotonin availability.
The nurse providing discharge teaching for a client recently
started on a tricyclic antidepressant (TCA) must include the
importance of:
Avoiding driving and operating dangerous equipment
Which of the following would be a priority component of the
teaching plan for a client prescribed phenelzine (Nardil), MAOI
for treatment of depression?
Read labels of food and over-the-counter (OTC) drugs for
tyramine containing content
The physician orders penicillin for a female client who has a
sinus infection. What is a priority question to ask the client prior
to administering the medication?
"Are you taking birth control pills?"
The physician has ordered intravenous (IV) diazepam (Valium)
for the patient in status epilepticus. During administration,
which assessment by the nurse is most important?
Assessing respiration every 5 to 15 minutes
,The physician has ordered intravenous (IV) phenytoin
(Dilantin). The nurse does not read the drug label and
administers the medication intramuscularly (IM). What is the
most likely response in the patient?
Local tissue damage following extravasation will most likely
occur
The patient is receiving Phenobarbital (Luminal), Barbiturates
for control of seizures. The patient tells the nurse she plans to
become pregnant. What is the best response of the nurse?
"Please talk to your doctor; this drug is contraindicated in
pregnancy"
The patient is receiving phenobarbital (Luminal), Barbiturates
for seizure control. The patient asks the nurse how this little pill
can stop his seizure. What is the best response by the nurse?
"Phenobarbital (Luminal) stops your seizure by increasing a
chemical called GABA that calms down the excitability in your
brain"
A drug that is used to treat petit mal (absence) seizure but not
tonic-clonic seizures and works by decreasing neuronal activity
in the motor cortex is
ethosuximide (Zarontin), Succinimides
The nurse plans care for a patient with Parkinson's disease. What
will the best plan by the nurse include?
monitor the patient for the ability to chew and swallow.
, The patient receives levodopa and carbidopa (Sinemet) for
Parkinson's disease. What will the best teaching by the nurse
include as relates to this medication?
Take the medication on an empty stomach
The patient receives imipramine (Tofranil), TCA as treatment
for depression. He is admitted to the emergency department
following an intentional overdose fo this medication. What will
the best assessment by the nurse include?
The patient's cardiac status
Which of the following food items should the nurse advise a
patient taking a monoamine oxidase inhibitor (MAOI) to avoid?
Chocolate, wine, and fava bean
The physician has prescribed sertraline (Zoloft), SSRI for the
patient who is anxious and depressed. The patient calls the nurse
to report that he has experienced delayed ejaculated since being
on this medication. What is the best response by the nurse?
"let your doctor know and discuss with him the and benefits of
this medication for you"
The patient has been taking lorazepam (Ativan) for 2 years. The
patient stopped this medication after a neighbor said the drug
manufacturer's plant was contaminated with rat droppings. What
best describes the nurse's assessment of the patient when seen 3
days after stopping his medication?
Monitor for increased heart rate, fever, and muscle cramps
