Carbidopa-levodopa is prescribed for a Impaired voluntary movements
client with Parkinson's disease. The nurse
monitors the client for side and adverse
effects of the medication. Which finding
indicates that the client is experiencing an
adverse effect?
The home health nurse visits a client who is There is the potential of decreased effectiveness of birth control pills while taking
taking phenytoin for control of seizures. phenytoin.
During the assessment, the nurse notes that
the client is taking birth control pills. Which enhances rate of estrogen metabolism
information should the nurse include in the
teaching plan?
The nurse is caring for a client in the Acetylcysteine
emergency department who has been
diagnosed with Bell's palsy. The client has
been taking acetaminophen, and
acetaminophen overdose is suspected.
Which antidote should the nurse prepare for
administration if prescribed?
Meperidine has been prescribed for a client Tremors
to treat pain. Which side and adverse effects Drowsiness
should the nurse monitor for? Select all that Hypotension
apply.
A client is taking the prescribed dose of Slurred speech
phenytoin to control seizures. Results of a
phenytoin blood level study reveal a level of The therapeutic phenytoin level is 10 to 20 mcg/mL (40 to 79 mcmol/L). At a level higher
35 mcg/mL (140 mcmo/L). Which finding than 20 mcg/mL, involuntary movements of the eyeballs (nystagmus) occur. At a level
would be expected as a result of this higher than 30 mcg/mL (120 mcmol/L), ataxia and slurred speech occur.
laboratory result?
1/7
, 8/13/24, 11:18 AM
The client arrives at the emergency Tinnitus
department complaining of back spasms.
The client states, "I have been taking 2 to 3
aspirin every 4 hours for the last week, and it
hasn't helped my back." Since acetylsalicylic
acid intoxication is suspected, the nurse
should assess the client for which
manifestation?
A client with trigeminal neuralgia is being White blood cell count, 3000 mm3 (3.0 × 109/L)
treated with carbamazepine, 400 mg orally
daily. Which value indicates that the client is Adverse effects of carbamazepine appear as blood dyscrasias, and cardiovascular
experiencing an adverse effect to the disturbances.
medication?
The nurse is caring for a client with chronic Monitor bowel activity
back pain. Codeine has been prescribed for
the client. Specific to this medication, which
intervention should the nurse include in the
plan of care while the client is taking this
medication?
The nurse has given medication instructions "Good oral hygiene is needed, including brushing and flossing."
to a client receiving phenytoin. Which
statement indicates that the client has an
adequate understanding of the instructions?
A client with myasthenia gravis has become A temporary worsening of the condition
increasingly weaker. The health care provider
prepares to identify whether the client is An edrophonium injection makes the client in cholinergic crisis temporarily worse. An
reacting to an overdose of the medication improvement in the weakness indicates myasthenia crisis. Muscle spasms are not
(cholinergic crisis) or an increasing severity associated with this test.
of the disease (myasthenic crisis). An
injection of edrophonium is administered.
Which finding would indicate that the client
is in cholinergic crisis?
A client with trigeminal neuralgia tells the Direct bilirubin level of 2 mg/dL (34 mcmol/L)
nurse that acetaminophen is taken daily for
the relief of generalized discomfort. Which
laboratory value would indicate toxicity
associated with the medication?
The nurse is caring for a client receiving Place the vial in warm water
mannitol via intravenous (IV) infusion. A vial is
sent from the pharmacy, and in preparing
the medication the nurse notes that the vial
contains crystals. What is the most
appropriate nursing action?
2/7
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