chapter questions-meds affecting nervous system
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| Which of the following nursing interventions is most effective inpromoting excretion of a general anesthetic agent from a postsurgical client? | Assist to turn, cough, and deep breathe. (general anesthetics are excreted through the lungs. Turning, coughing and deep breathing will assist in excretion through this route.
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| A clts plasma litium level is 0.2 mEq/L. The nurse can expect to implement which of the follwoing nursing interventions? | Administer an additional oral dose of lithium. (level is subtherapeutic and the clt should be given an additional dose.
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| nurse is teaching parents of child taking methylphenidate(ritalin) for ADHD how to administer the med. Which response is most correct? A. give med at bedtime. B. D/c med when feeling better? C. Admin OTC for flu. D. Provide child w/nutritious diet. | D. Provide child w/nutritious diet and snacks b/w meals. (med can supress appetite so important that child is eating.
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| A client starting phenelzine(nardil) for tx of depression should be monitored for what effects? | Orthostatic hypotension. (side effect of MAOI)
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| Nurse is providing teaching to clt who is starting amitriptyline (elavil) for tx of depression. Which should be included? | Clt can minimize orthostatic hypotension by getting up slowly. Chew sugarless gum to prevent dry mouth.
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| Teaching for a clt taking high doses of phenytoin (Dilantin)for a seizure disorder should include | Practicing good hygiene, using a soft toothbrush, and flossing daily. (gingival hyperplasia can occur w/phenytoin use. Good oral hygiene can minimize effects.)
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| A clt taking valproic acid (Depakote) for seizure control tells the nurse that he drinks a 6-pack of beer a day. What priority assessment should take place? | Liver function studies. (detect hepatotoxicity.)
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| Which of the following foods should be avoided by a client who is taking an MAOI? | Cheese (contains tyramine)
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| Neostigmine(prostigmin) side effects and tx | Excessive muscarinic stimulation and respiratory depression that can be treated with atropine.
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| Succinylcholine(anectine) side effect and tx | Muscle pain in the upper body and back that can be treated w/a short-term muscle relaxant, such as (valium)
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| Levodopa (dopar) side effects and tx | Psychosis as evidenced by visual hallucinations that can be treated w/antipsychotic meds Clozapine(Clozaril)
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| Phenytoin(Dilantin) side effects and tx | Gingival hyperplasia managed w/good oral hygiene
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| Lidocaine(xylocaine)side effects and tx | Spinal headache: advise the clt to lie flat for 12hr postsurgery.
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| Halothane(fluothane)side effects and tx | Malignant hyperthermia that can be treated w/dantrolene to lower metabolic activity of skeletal muscle.
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| fluoxetine(prozac) side effects and tx | Sexual dysfunction that can be managed w/lowering the dosage, d/c the med temporarily(med holiday)use of adjunct med to increase sexual function (viagra and buspar)
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| Phenelzine(Nardil)side effects and tx | Hypertensive crisis that can be treated w/alpha-adrenergic blocker to induce rapid vasodilation.
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| Lithium side effects and tx | Hyperthyroidism that can be treated w/admin of a thyroid hormone, such as levothyroxine(synthroid)
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| Chlorpromazine(Thorazine) side effects and tx | Early EPS that can be controlled w/anticholinergic meds.
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