Question 1

The nurse completes education to the parents of a child newly diagnosed with tonic-clonic seizures. Which comments made by the parents would the nurse evaluate as indicating the need for further education? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse completes education to the parents...

Question 2

Prior to administering galantamine (Reminyl) to a client with Alzheimer disease, the nurse reviews the client's medical history for which disease processes? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Prior to administering galantamine (Reminyl) to a...

Question 3

The nurse is teaching a class for clients who recently have been diagnosed with epilepsy. Which statements by the client indicates understanding of the content taught? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

These statements correctly indicate that epilepsy can be caused by head injury, sometimes the cause is unknown, and a stroke can increase the risk for developing epilepsy. Statement C is incorrect as stress does not cause epilepsy. Statement D is also incorrect as there is no evidence to suggest that anorexia nervosa increases the risk for developing epilepsy.

Question 4

MCSA The mechanism of action of Carbidopa/Levodopa (Sinemet) is to increase dopamine levels in the corpus striatum of the brain. Which classification of drugs does this medication belong to?

Accepted Answer

Carbidopa/Levodopa (Sinemet) belongs to the classification of dopaminergics, as its mechanism of action is to increase dopamine levels in the corpus striatum. This helps alleviate symptoms of Parkinson's disease, which is characterized by a depletion of dopamine in the brain. Options A, B, and D do not accurately describe the mechanism of action or classification of this medication.

Question 5

The nurse is teaching a class for caregivers of clients with Alzheimer disease. The nurse determines that learning has occurred when a caregiver makes which statement?

Accepted Answer

This statement shows that the caregiver understands that there are drugs available that can help decrease the symptoms of Alzheimer's disease for a period of time. Option A is incorrect because while there are effective drugs, they can be used over a long period of time. Option C is incorrect because there are drugs available for Alzheimer's disease. Option D is incorrect because there are currently no drugs that can control the symptoms of Alzheimer's disease for many years.

Question 6

MCSA Nursing students have completed their class on Pharmacology for Parkinson's disease. A quick quiz is given at the end of class asks this question; "What is one classification of drugs that is contraindication in treating Parkinson's disease for men with benign prostatic hypertrophy? Which answer by a student indicates understanding of the content?

Accepted Answer

Anticholinergic drugs are contraindicated in treating Parkinson's disease for men with benign prostatic hypertrophy as they can worsen urinary retention and cause other urinary symptoms. Dopamine System Stabilizers, Dopaminergics, and Acetylcholinesterase Inhibitors do not have this contraindication.

Question 7

The client is prescribed donepezil (Aricept) as treatment for Alzheimer disease. Which laboratory test would the nurse monitor?

Accepted Answer

While donepezil primarily affects the nervous system, it is metabolized by the liver. As a result, liver function tests should be monitored periodically to ensure the medication is not causing liver damage.

Question 8

Prior to administering donepezil (Aricept) to a client diagnosed with Alzheimer disease, the nurse notes that the client is prescribed medications that will react with this drug. Which medications interact with donepezil (Aricept)? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Prior to administering donepezil (Aricept) to a...

Question 9

A client is prescribed a dopaminergic agent ( carbidopa-levodopa (Sinemet) for management of symptoms related to Parkinson disease. When teaching the client and family about the medication management, which time frame will the nurse include regarding when the medication should be recognizable?

Accepted Answer

Carbidopa-levodopa typically takes about 2 to 3 weeks for patients to notice an improvement in symptoms related to Parkinson's disease.

Question 10

The family member of a client with Parkinson disease notifies the nurse that the client is demonstrating extrapyramidal symptoms. Which instruction by the nurse to the family is the most appropriate?

Accepted Answer

The answer of The family member of a client with...

Question 11

The nurse is planning care for a client with Parkinson disease. What intervention is important for the nurse to include?

Accepted Answer

Parkinson's disease can affect the muscles used for chewing and swallowing, leading to difficulty eating and an increased risk of choking. Therefore, monitoring the client's ability to chew and eat is an important intervention for the nurse to include. Choice B is not appropriate as exercise has been shown to improve symptoms of Parkinson's disease. Choice C may be important for any client at risk for thrombophlebitis, but it is not a specific intervention for Parkinson's disease. Choice D is not relevant as psychotic symptoms are not a common complication of Parkinson's disease.

Question 12

A client who is prescribed benztropine (Cogentin) tells the nurse about plans for a Caribbean cruise. What should the nurse include during client teaching?

Accepted Answer

Benztropine can cause drowsiness and impair coordination, so it is important to avoid alcohol that can worsen these effects. Choices A and B are not relevant to the client's medication, and limiting activity is not necessary unless advised by the healthcare provider.

Question 13

A parent tells the nurse, "The doctor says my son has epilepsy, but he has never had a convulsion. How can that be?" Which response by the nurse to the parent is the most appropriate?

Accepted Answer

Convulsions are not part of all epileptic conditions. Epilepsy can manifest in various forms, and not all involve convulsions.

Question 14

The client who is prescribed valproic acid (Depakote) for seizure control would like to have a baby. Which statements should the nurse include in a discussion with this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Valproic acid (Depakote) is known to be teratogenic, meaning it can cause birth defects, especially neural tube defects. Therefore, the medication should not be used during pregnancy. The client should be advised to discuss alternative antiepileptic medications with her healthcare provider if she plans to become pregnant. Folic acid supplementation is important for all women of childbearing age, especially those with epilepsy who are at higher risk for neural tube defects in their babies. Statements A and E are not accurate or appropriate for discussing with the client. Statement B may be true for some antiepileptic medications, but it cannot be generalized without knowing which specific medication the client is taking.

Question 15

The nurse provides instruction to a client who is prescribed levodopa/carbidopa (Sinemet). Which client statement indicates that learning has occurred?

Accepted Answer

Levodopa absorption can be affected by high-protein foods and vitamin B6, which is found in beef, whole-grain cereals, and multivitamins. Avoiding these can help ensure the medication's effectiveness.

Question 16

A parent says to the nurse, "The doctor prescribed ethosuximide (Zarontin) for my child, who has absence seizures. What does this mean?" Which response by the nurse is the most appropriate?

Accepted Answer

The nurse should provide clear, concise information regarding the child's specific type of seizure and the medication prescribed for it. Option B provides this information and is the most appropriate response. The other options either provide incorrect information or do not address the parent's question directly.

Question 17

A client has been diagnosed with Alzheimer disease. What is the most accurate medication education the nurse can give to the client's spouse?

Accepted Answer

Alzheimer disease has no cure, and currently, there are no medications that can reverse or stop the progression of the disease. Medications for Alzheimer disease only aim to manage symptoms, potentially slowing down mental decline and improving quality of life. It is important for the spouse to understand that the medication may help with symptoms for a period of time, but it will not cure the disease.

Question 18

A client takes an aspirin, a multivitamin, and an antihistamine every day. What is the most important instruction by the nurse when the client is prescribed levodopa/carbidopa (Sinemet)?

Accepted Answer

Levodopa/carbidopa (Sinemet) can interact with multivitamins that contain vitamin B6, which can reduce the effectiveness of the medication. Therefore, the nurse should instruct the client not to take the multivitamin with the levodopa/carbidopa (Sinemet). The antihistamine and aspirin do not have significant interactions with levodopa/carbidopa (Sinemet). However, it is always important for the client to inform their healthcare provider of any medication, supplement, or herbal products they are taking.

Question 19

A client asks the nurse if there are alternate drugs or natural health products that could be used in the treatment of Alzheimers. What is the best response of the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A client asks the nurse if there...

Question 20

Prior to administering benztropine (Cogentin) to a client, the nurse assesses adverse effects of previous doses and decides to withhold the current dose. Which clinical manifestation would warrant the nurse holding the dose of the medication?

Accepted Answer

The answer of Prior to administering benztropine (Cogentin) to a...

Quiz 5: Pharmacology of Alterations in the Central Nervous System

Prior to administering galantamine (Reminyl) to a client with Alzheimer disease, the nurse reviews the client's medical history for which disease processes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse is teaching a class for clients who recently have been diagnosed with epilepsy. Which statements by the client indicates understanding of the content taught? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.