Nervous system medications

Total Questions : 8

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Question 1:

A nurse is caring for a client who is prescribed a benzodiazepine. Which of the following assessments should the nurse prioritize?

Explanation

C) Correct. Benzodiazepines are central nervous system depressants that can cause respiratory depression. Therefore, monitoring the client's respiratory rate is essential to ensure adequate oxygenation and identify any signs of respiratory compromise.

A) Incorrect. Blood pressure monitoring is important but is not the priority assessment specifically related to benzodiazepines.

B) Incorrect. Blood glucose levels are not directly affected by benzodiazepine use and do not require prioritization in this scenario.

D) Incorrect. While liver function tests may be relevant for some medications, it is not the priority assessment specifically related to benzodiazepines.


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Question 2:

A nurse is caring for a client who is prescribed an acetylcholinesterase inhibitor. Which of the following statements should the nurse include in the client's education?

Explanation

A) Correct. Acetylcholinesterase inhibitors, such as donepezil or rivastigmine, are commonly prescribed to improve memory and cognitive function in clients with Alzheimer's disease. Educating the client about the therapeutic effects of the medication is important for promoting understanding and adherence.

B) Incorrect. Acetylcholinesterase inhibitors can be taken with or without food, and taking them with food may help reduce gastrointestinal side effects.

C) Incorrect. Acetylcholinesterase inhibitors do not provide immediate relief of symptoms. They need to be taken consistently over time to achieve the desired therapeutic effects.

D) Incorrect. Acetylcholinesterase inhibitors do not increase dopamine production. They work by inhibiting the breakdown of acetylcholine, a neurotransmitter involved in memory and cognitive function.


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Question 3:

A client is prescribed a selective serotonin reuptake inhibitor (SSRI) for the treatment of depression. The nurse should monitor the client for which of the following potential adverse effects?

Explanation

D) Correct. Selective serotonin reuptake inhibitors (SSRIs) can cause sexual dysfunction as an adverse effect, including decreased libido, erectile dysfunction, or delayed ejaculation. It is important for the nurse to monitor the client for these potential adverse effects and provide appropriate support or interventions.

A) Incorrect. Hypertension is not a typical adverse effect of SSRIs. In fact, they are often used to manage anxiety disorders, which may contribute to reducing blood pressure.

B) Incorrect. Weight gain is a potential adverse effect of some antidepressant medications, but it is not specific to SSRIs.

C) Incorrect. Sedation is not a common adverse effect of SSRIs. In fact, SSRIs are generally considered to have a stimulating effect and may cause initial insomnia or agitation in some individuals.


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Question 4:

A client is prescribed a muscle relaxant medication. The nurse should assess the client for which of the following potential adverse effects?

Explanation

C) Correct. Muscle relaxant medications can cause sedation as an adverse effect. These medications act on the central nervous system, leading to a relaxation of muscle tone, but they can also cause drowsiness and sedation.

A) Incorrect. Constipation is not a typical adverse effect of muscle relaxants. However, some muscle relaxants may have anticholinergic effects that can contribute to constipation.

B) Incorrect. Hypertension is not a common adverse effect of muscle relaxants. In fact, muscle relaxants can potentially lower blood pressure.

D) Incorrect. Bronchospasm is not directly associated with muscle relaxant use.


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Question 5:

A nurse is caring for a client receiving an antiepileptic medication. Which of the following instructions should the nurse include in the client's teaching?

Explanation

B) Correct. Antiepileptic medications can cause drowsiness, dizziness, and impaired coordination. Therefore, the client should be advised to avoid driving or operating heavy machinery while taking the medication to prevent accidents or injuries.

A) Incorrect. The need to take the medication on an empty stomach depends on the specific medication and should be addressed based on the healthcare provider's instructions.

C) Incorrect. Antiepileptic medications should never be discontinued abruptly, as it can lead to seizure activity. The client should follow the healthcare provider's instructions for tapering off the medication, if necessary.

D) Incorrect. Alcohol can interact with antiepileptic medications and increase the risk of side effects or adverse reactions. Clients should be advised to avoid or limit alcohol consumption while taking these medications.


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Question 6:

A client is prescribed a monoamine oxidase inhibitor (MAOI) for the treatment of depression. The nurse should instruct the client to avoid which of the following foods?

Explanation

B) Correct. Clients taking MAOIs should avoid aged cheese and other foods containing high levels of tyramine. Tyramine-rich foods can lead to a hypertensive crisis when combined with MAOIs, potentially causing severe increases in blood pressure.

A) Incorrect. Citrus fruits do not need to be avoided specifically when taking MAOIs.

C) Incorrect. Leafy green vegetables do not need to be avoided specifically when taking MAOIs.

D) Incorrect. Whole grains do not need to be avoided specifically when taking MAOIs.


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Question 7:

A nurse is caring for a client who is prescribed a central nervous system stimulant. Which of the following assessments should the nurse prioritize?

Explanation

A) Correct. Central nervous system stimulants can increase heart rate and blood pressure. Monitoring the client's heart rate is essential to identify any cardiovascular side effects, such as tachycardia or arrhythmias.

B) Incorrect. While liver function tests may be relevant for some medications, it is not the priority assessment specifically related to central nervous system stimulants.

C) Incorrect. Urine output monitoring is important but is not the priority assessment specifically related to central nervous system stimulants.

D) Incorrect. Blood glucose levels are not directly affected by central nervous system stimulants and do not require prioritization in this scenario.


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Question 8:

A client is prescribed a tricyclic antidepressant. The nurse should monitor the client for which of the following potential adverse effects?

Explanation

D) Correct. Tricyclic antidepressants can cause anticholinergic effects, including urinary retention. The nurse should monitor the client for any signs or symptoms of urinary retention and assess the client's ability to void.

A) Incorrect. Hypotension is a potential adverse effect of some antidepressant medications, but it is not specific to tricyclic antidepressants. In fact, tricyclic antidepressants can cause orthostatic hypotension, which is a drop in blood pressure upon standing.

B) Incorrect. Weight gain is a more common adverse effect of tricyclic antidepressants. Weight loss is not typically associated with these medications.

C) Incorrect. Insomnia is a potential adverse effect of tricyclic antidepressants, but it is not the most significant adverse effect associated with this class of medication. Sedation and drowsiness are more common adverse effects.


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