Neurological System: Part 1 Test
Questions with Answers
A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease.
Which of the following nursing interventions should the nurse include? - Ans -Change
position slowly to prevent orthostatic hypotension
***Levodopa/carbidopa can cause orthostatic hypotension.
a nurse is reviewing the medical record of a client who has a newly diagnosed seizure
disorder and a new prescription for valproic acid and phenytoin. The nurse should include
that which of the following can occur as a result of an interaction between these drugs? -
Ans -phenytoin toxicity
***Valproic acid can cause an increase in phenytoin blood levels, resulting in phenytoin
toxicity. The nurse should monitor serum phenytoin levels and notify the provider if levels
begin to exceed the therapeutic range.
a nurse is teaching a client who has a prescription fo rbaclofen. Which of the following
instructions should the nurse include? - Ans -avoid driving until the drug's effects are
evident
***Baclofen, a centrally-acting muscle relaxant, causes CNS depression. Clients taking the
drug should avoid alcohol and other CNS depressants, and should not drive a vehicle until
they know how the drug will affect them.
a nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which
of the following instructions should the nurse include? - Ans -take the drug in the
morning
***Modafinil is a nonamphetamine stimulant. Taking it in the morning helps improve
wakefulness for clients who have narcolepsy. Clients taking the drug for shift-work
sleepiness should take it 1 hr before work.
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Page
, a nurse is teaching a client who received a prescription for intereeron beta-1a for the
treatment of multiple sclerosis. Whcoh of the following information should the nurse
include? - Ans -administer the drug in your thigh or upper arm
***Interferon beta-1a is administered via the subcutaneous route. Therefore, the nurse
should instruct the client how to perform subcutaneous injections for self-administration.
a nurse is teaching a client who has Alzheimer's disease and their caregiver about
memantine. Which of the following instructions should the nurse include? - Ans -
avoid taking OTC antacids
***Antacids that contain sodium bicarbonate increase urine alkalinity and can decrease
drug excretion, ultimately leading to toxicity.
a nurse is providing teaching for a client who has a new prescription for valproic acid to
treat a seizure disorder. The nurse should instruct the client to monitor woich of the
following adverse effects? - Ans -jaundice
***Valproic acid can cause hepatic toxicity, characterized by jaundice, abdominal pain,
and nausea. Clients taking the drug should report these manifestations, and the nurse
should monitor liver function studies prior to treatment and periodically during therapy.
a nurse is teaching a client who has a new prescription for valproic acid to treat a seizure
disorder. The hurse should instruct the client to monitor for which of the following adverse
effects (Select all that apply) - Ans -drowsiness
headache
rash
a nurse is caring for a client who is taking interferon beta-1b. The nurse should identify that
which of the following finding indicated a potential serious adverse effect of this drug? -
Ans -fatigue
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Page
Questions with Answers
A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease.
Which of the following nursing interventions should the nurse include? - Ans -Change
position slowly to prevent orthostatic hypotension
***Levodopa/carbidopa can cause orthostatic hypotension.
a nurse is reviewing the medical record of a client who has a newly diagnosed seizure
disorder and a new prescription for valproic acid and phenytoin. The nurse should include
that which of the following can occur as a result of an interaction between these drugs? -
Ans -phenytoin toxicity
***Valproic acid can cause an increase in phenytoin blood levels, resulting in phenytoin
toxicity. The nurse should monitor serum phenytoin levels and notify the provider if levels
begin to exceed the therapeutic range.
a nurse is teaching a client who has a prescription fo rbaclofen. Which of the following
instructions should the nurse include? - Ans -avoid driving until the drug's effects are
evident
***Baclofen, a centrally-acting muscle relaxant, causes CNS depression. Clients taking the
drug should avoid alcohol and other CNS depressants, and should not drive a vehicle until
they know how the drug will affect them.
a nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which
of the following instructions should the nurse include? - Ans -take the drug in the
morning
***Modafinil is a nonamphetamine stimulant. Taking it in the morning helps improve
wakefulness for clients who have narcolepsy. Clients taking the drug for shift-work
sleepiness should take it 1 hr before work.
1
Page
, a nurse is teaching a client who received a prescription for intereeron beta-1a for the
treatment of multiple sclerosis. Whcoh of the following information should the nurse
include? - Ans -administer the drug in your thigh or upper arm
***Interferon beta-1a is administered via the subcutaneous route. Therefore, the nurse
should instruct the client how to perform subcutaneous injections for self-administration.
a nurse is teaching a client who has Alzheimer's disease and their caregiver about
memantine. Which of the following instructions should the nurse include? - Ans -
avoid taking OTC antacids
***Antacids that contain sodium bicarbonate increase urine alkalinity and can decrease
drug excretion, ultimately leading to toxicity.
a nurse is providing teaching for a client who has a new prescription for valproic acid to
treat a seizure disorder. The nurse should instruct the client to monitor woich of the
following adverse effects? - Ans -jaundice
***Valproic acid can cause hepatic toxicity, characterized by jaundice, abdominal pain,
and nausea. Clients taking the drug should report these manifestations, and the nurse
should monitor liver function studies prior to treatment and periodically during therapy.
a nurse is teaching a client who has a new prescription for valproic acid to treat a seizure
disorder. The hurse should instruct the client to monitor for which of the following adverse
effects (Select all that apply) - Ans -drowsiness
headache
rash
a nurse is caring for a client who is taking interferon beta-1b. The nurse should identify that
which of the following finding indicated a potential serious adverse effect of this drug? -
Ans -fatigue
2
Page
