Deck 23: Drugs for Specific Dysfunctions of the Central and Peripheral Nervous Systems

Question 1

A client who sustained a spinal cord injury in the past is receiving dantrolene (Dantrium).The nurse reviews the results of which of the following laboratory tests before administering the scheduled dose?

A) Blood urea nitrogen and uric acid
B) Urinalysis and urine glucose
C) Serum creatinine and liver function studies
D) Blood glucose and hemoglobin A1c

Answer 1

Serum creatinine and liver function studies

Question 2

The nurse determines that a client does not understand the effect of amantadine (Symmetrel)when the client states that the drug

A) acts as an antidyskinetic.
B) elevates mood.
C) is an effective antiparkinsonian drug.
D) reduces seizure threshold.

Answer 2

reduces seizure threshold.

Question 3

The nurse anticipates that a client who has dementia associated with which health problem may experience reversal of the dementia with drug therapy?

A) Alzheimer's disease
B) Vitamin B₁₂ deficiency
C) Huntington's chorea
D) Creutzfeldt-Jakob disease

Answer 3

Vitamin B₁₂ deficiency

Question 4

For which of the following should the nurse be alert during the assessment of a client who is about to receive an anticholinergic drug for Parkinson's disease?

A) Glaucoma
B) Insomnia
C) Diarrhea
D) Drooling

Question 5

A client with Parkinson's disease has an order for benztropine (Cogentin)on the medication administration record.The nurse plans to monitor this client for which of the following adverse drug effects?

A) Blurred vision
B) Diarrhea
C) Increased urine output
D) Insomnia

Question 6

A nurse is assessing the client who was started on drug therapy with carbidopa/levodopa (Sinemet).The nurse would observe for which of the following adverse effects of this drug?

A) Wheezing
B) Sedation
C) Joint swelling
D) Involuntary movements

Question 7

A client who has Parkinson's disease is receiving levodopa (L-dopa).The nurse evaluates that the client is experiencing the intended effects of therapy after noting a decrease in which of the following?

A) Rate of falls
B) Salivation
C) Reports of double vision
D) Tremor and rigidity

Question 8

A client who has a flexed posture is receiving an antispasmodic drug.The nurse concludes that this client has which of the following types of spasticity?

A) Dystonia
B) Spinal spasticity
C) Cerebral spasticity
D) Muscle spasticity

Question 9

A client needs to undergo testing for myasthenia gravis.The nurse prepares which of the following medications used only to diagnose myasthenia gravis,not treat it?

A) Neostigmine (Prostigmin)
B) Edrophonium (Tensilon)
C) Pyridostigmine (Mestinon)
D) Ambenonium (Mytelase)

Question 10

If levodopa therapy is not improving the clinical manifestations of a client who has Parkinson's disease,the nurse anticipates that the client may be changed to another antiparkinsonian drug,such as

A) Methyldopa (Aldomet).
B) Haloperidol (Haldol).
C) Lithium carbonate (Lithane).
D) Amantadine (Symmetrel).

Question 11

A surgical client begins to show manifestation of malignant hyperthermia.Which of the following drugs does the nurse immediately obtain from the medication storage area?

A) dantrolene (Dantrium)
B) carisoprodol (Rela,Soma)
C) methocarbamol (Robaxin)
D) metaxalone (Skelaxin)

Question 12

A client taking an anticholinergic drug asks why he must refrain from taking antacids at the same time as the anticholinergic.The nurse uses which explanation to answer the client's question?

A) "Antacids cause constipation."
B) "Antacids decrease central nervous system depressant effects."
C) "Antacids may produce paralytic ileus."
D) "Antacids reduce the absorption and effects of anticholinergic agents."

Question 13

The nurse mixes the client's skeletal muscle relaxant in ice cream.The nurse explains to the client that this will

A) enhance the mechanism of action.
B) decrease the mechanism of action.
C) promote compliance by adding flavor.
D) reduce adverse effects.

Question 14

The nurse would be most concerned about which of the following adverse effects exhibited by a client taking tolcapone (Tasmar)for the treatment of Parkinson's disease?

A) Constipation
B) Sweating
C) Syncope
D) Dry mouth

Question 15

A client with which of the following problems would not be a candidate for drug therapy with an anticholinergic drug?

A) Cholestatic jaundice
B) Tardive dyskinesia
C) Parkinson's disease
D) Drug-induced extrapyramidal reactions

Question 16

A client is newly diagnosed with myasthenia gravis.The nurse teaches the client to take the prescribed anticholinesterase inhibitor drugs in what manner?

A) On an empty stomach
B) With food or milk
C) Once daily on arising in the morning
D) Twice per day,in the morning and evening

Question 17

A client who has had Parkinson's disease and has been receiving dopaminergic drugs for 4 years develops unpredictable periods of akinesia.The nurse concludes that this client is most likely experiencing which of the following?

A) Drug allergy
B) Effects of insufficient dosing
C) "On-off" phenomenon
D) Drug resistance

Question 18

The nurse explains to a client with chronic pulmonary disease that refraining from taking anticholinergic drugs is important for which of the following reasons?

A) Anticholinergics increase the volume of saliva
B) Anticholinergics increase diarrhea
C) Anticholinergics decrease bronchial secretions
D) Anticholinergics increase bronchial secretions

Question 19

Which of the following statements should the nurse emphasize when teaching about levodopa?

A) "Drug-food interactions are not a concern with this drug."
B) "Mood and mental aberrations are common with levodopa."
C) "You will need to talk to your doctor about your vitamins."
D) "Make sure you drink at least 6 L of fluids each day."

Question 20

The nurse should advise the client who is taking a high dose of selegiline (Eldepryl)to avoid ingesting foods high in which of the following substances?

A) Pyridoxine
B) Tyramine
C) Iron
D) Fat

Question 21

A client is receiving baclofen (Lioresal).The nurse documents that the medication is having the intended effect after noting a decrease in which of the following client symptoms?

A) Nausea
B) Dizziness
C) Joint range of motion
D) Muscle spasticity

Question 22

The nurse notes on the medication administration record that a client is receiving tacrine (Cognex).The nurse then reviews the client's history for documentation of which of the following health problems?

A) Cerebral palsy
B) Muscular dystrophy
C) Herniated intervertebral disk
D) Alzheimer's disease

Question 23

The nurse needs to administer a scheduled dose of donepezil (Aricept)to a client diagnosed with Alzheimer's disease.The nurse should do which of the following to administer this medication effectively?

A) Give it on an empty stomach
B) Give it with food
C) Sit the client up for 30 minutes after the dose
D) Crush the tablet to aid in swallowing