1. Anticholinergics used in Parkinsons disease control symptoms by a. blocking cholinergic receptors 2. Contraindications to carbadiazipine (Tegretol) therapy is a.

preexisting hematologic abnormalities 3. Nurse caring for 80 year old with throat surgery which causes concern about urinary retention after morphine therapy? a. Tricyclic antidepressants 4. Persistent pain should be managed by a. every 4 hours around the clock 5. Major indication for intraspinal and IV opiods: a. pain that cannot be controlled with pain medicine by mouth 6. Triptan therapy for migraines complains of heavy sensation in arms and chest; nurse should tell him: a. About half the patients experience similar symptoms and symptoms should go away 7. Dantrolene for spasticity: a. Monitor liver enzymes 8. Valproic acid (as opposed to lithium) has a a. greater therapeutic index 9. Carbadiazipines (Tegretol ): lab value--a. complete blood count 10. Benzodiazipines have a. built in limit to the depth of CNS depression they can produce 11. Benzodiazipines (as a group) differ from one another in terms of a. onset and duration of action 12. Preparing for wound closure with use of local anesthetic; which statement is most accurate? a. Local anesthetics block conduction in motor nerves as well as sensory nerves 13. Lidocaine as an Axillary block for a surgical procedure, a nurse checks pulse rate 5 minutes after and pulse is slightly irregular and slow; the nurse understands that the a. Pt has absorbed lidocaine and may have cardiac toxicity 14. Teaching session on opiates (potency of morphine and phetynol) a. Fetynal is more potent than morphine sulfate 15. Chronic pain taking morphine sulfate for 4 months; expect which effect? a. Tolerance 16. Prozac- decreased sexual interest/ orders a drug holiday; which is? a. Dont take the drug on Friday and Saturday 17. Local anesthetic administered; w/in minutes-- vital signs are pulse 55/min, respirations 18/min and BP 90/42, the nurse should monitor the a. for further signs of heart block 18. Pt in labor, local anesthetic, nurse monitors Fetus via a maternal fetal monitor, anticipate a. Fetal bradycardia 19. Good symptom control with levadopa, however he reports symptoms begin to return before next dose; remedy for the wearing off phenomenon is to:

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24. 25. 26. 27. 28. 29. 30. 31. 32. 33.

34. 35. 36. 37. 38.

a. Switch to the long-acting form of the drug such as Sintamate CR Important contraindication for valproic acid (Depakote) use is a. Preexisting liver disease Patient at risk for respiratory depression; how long after the nurse administers the dose of IV morphine should the respiratory depressant effects last? a. 4 5 hours History of migraines asks for preventative medication; which would the paitent be given? a. Propanolol (inderal) MS pt admitted for acute exacerbation and given inferon Beta 1 a (Avonex); what should the nurse include in the assessment? a. Do you have headaches, chills, or muscle aches? Reviewing lab findings: lithium level 2.2 drawn yesterday; 300 mg of lithium a day a. Hold next dose and notify prescriber Always takes 4 medications with bacon and eggs; can he take levodopa at the same time? a. You should take levodopa at least one hour before breakfast Mild to moderate alzheimers disease; recommend a. Cholinesterase inhibitors How does cholinesterase inhibitory drugs work? a. Helps healthier nerve cells transmit impulses better Dilantin works by a. Inhibiting sodium entry into hyperactive neurons Valproic acid; drinks 6 pack of beer daily & on the weekends a. Liver function tests Tegretol a. Monitor for blood sodium content 26 year old; head injury at 19; seizure free; wants to discontinue a. Dose must be gradually reduced as to not initiate status epilepticus Which class of drug should be avoided with opiods for fear of respiratory depression? a. Barbiturates Suspected of having opioid overdose ; prepare to administer what if pt becomes comatose or develops respiratory depression? a. Narcan Preferred route of opioid administration with mild pain is? a. Oral Ergotamine for headaches reports fingers getting cold and numb; instruct pt to a. Come for evaluation; this could be a sign of ergotoxicity Aspirin and requests another med when headache first begins, which would be most suitable? a. Ergotamine Prozac; begins to take st johns wart; the nurse should explain the a. Risk of serotonin syndrome and discourage the use of herbal preparations Taking MAOI which of the following would indicate need for additional teaching? a. Cheese omelet

39. Blurred vision, dry mouth, and constipation are adverse effects of antidepressants; these adverse effects are classified as a. Anticholinergic effects 40. Drug that once replaced lithium as a treatment of choice for bipolar disorder: a. Valproic acid (Depakote) 41. Which electrolyte channels inhibit axonal conduction as a result of administration of local anesthetics? a. Sodium 42. Lidocaine with epinephrine together: a. Epinephrine prolongs local anesthesia and reduces the risk of systemic toxicity from lidocaine 43. Opiates for 2 years a. Taper drug slowly over 7-10 days 44. Which symptom is not an adverse effect of morphine sulfate? a. Diarrhea 45. Antipsychotic pt complains of dizziness and lightheadedness upon standing a. Get up slowly; tolerance to this effect should go away in 2-3 months 46. Pt on antipsychotic begins to Drool, tremors and shuffling gait; nurse knows the pt is experiencing extrapyramidal symptoms consistent with? a. Parkinsonism 47. MAOIs, nausea and vomiting, headache, pulse 128, respirations 30/min; red wine with dinner each night a. Hypertensive crisis