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Question 1 of 20
1. Question
A client with myasthenia gravis frequently complains of weakness and fatigue. The physician plans to identify whether the client is responding to an overdose of the medication or a worsening of the disease. A tensilon test is performed. Which of the following would indicate that the client is experiencing an overdose of the medication?
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Question 2 of 20
2. Question
A client with juvenile pilocytic astrocytoma who is receiving dexamethasone (Decadron) 4mg/IV every 6 hours to relieve symptoms of right arm weakness and headache. Which of the following assessments will concern the nurse most?
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Question 3 of 20
3. Question
A client who is receiving edrophonium chloride suddenly is complaining of abdominal cramps and the nurse observes the client is experiencing increased perspiration and salivation. The nurse makes sure the availability of which of the following?
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Question 4 of 20
4. Question
A nurse is instructing a client regarding carbidopa-levodopa (Sinemet) for the treatment of Parkinson’s disease. The nurse tells the client which of the following indicates an overdose of the medication?
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Question 5 of 20
5. Question
A nurse is giving dietary instructions to a client receiving levodopa. Which of the following food items should be avoided by the client?
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Question 6 of 20
6. Question
Biperiden hydrochloride (Akineton) is added to a list of antiparkinsonian medications that an elderly client is taking. Which of the following instructions made by the nurse that needs further learning?
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Question 7 of 20
7. Question
The nurse is giving instructions to a client receiving phenytoin (Dilantin). The nurse concludes that the client has a sufficient knowledge if the client states that:
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Question 8 of 20
8. Question
A 17-year-old client is taking phenytoin (Dilantin) for the treatment of seizures. Phenytoin blood level reveals to be 25 mcg/ml. Which of the following symptoms would be expected as a result of the laboratory result?
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Question 9 of 20
9. Question
A client is prescribed with carbamazepine (Tegretol) for the treatment of bipolar disorder. Which of the following laboratory results indicates that the client is experiencing a side effect of this medication?
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Question 10 of 20
10. Question
A female client who has a history of seizures went to a healthcare facility to ask the nurse regarding the use of birth control pills while on phenytoin therapy. The nurse correctly states to the client that:
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Question 11 of 20
11. Question
Phenobarbital (luminal) is given to a client for a short treatment of anxiety. Which of the following results would indicate a therapeutic serum range of the medication?
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Question 12 of 20
12. Question
A child was brought to the emergency room complaining of right upper quadrant abdominal pain, nausea, and vomiting. Upon the interview of the nurse to the mother, the client has been taking a long-term use of acetaminophen. Overdosage of the medication is suspected. Which of the following medications should be readily available?
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Question 13 of 20
13. Question
A client with bell’s palsy tells the nurse that acetaminophen (Tylenol) is taken daily as prescribed by the physician. Which laboratory value would indicate a toxicity of the medication?
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Question 14 of 20
14. Question
A nurse is caring for a client with a history of overdosage of aspirin. The nurse suspects which of the following can be an early sign of aspirin toxicity?
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Question 15 of 20
15. Question
Meperidine hydrochloride (Demerol) is given to a client who is experiencing post-operative pain. Which of the following are the side effects of the medication, except?
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Question 16 of 20
16. Question
Codeine sulfate is prescribed to a client with a severe back pain. Which of the following side effect is associated with this medication?
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Question 17 of 20
17. Question
Mannitol (Osmitrol), an osmotic diuretic, is contraindicated to which conditions? Select all that apply.
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Question 18 of 20
18. Question
A client with tonic-clonic seizure is receiving phenobarbital (Luminal) and valproic acid (Depakene). The nurse tells the client that:
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Question 19 of 20
19. Question
A nurse is providing instructions to a client who is taking doxapram (Dopram). Which of the following statements made by the client needs further instructions?
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Question 20 of 20
20. Question
Diazepam (Valium) is prescribed to a client with alcohol withdrawal. Which of the following statements made by the client indicates an understanding of the treatment regimen?
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