Neuro and Seizure Meds
A client is taking Levodopa/Carbidopa (Dopaminergic Agent) for Parkinsons disease. The nurse should instruct the patient to (). The patient may also experience () has a result of dyskinesia
Change positions slowly to prevent orthostatic hypotension
The patient may experience tics and tremors has a result of dyskinesia
A patient taking Alprazolam (Benzodiazepine) AKA Xanax, states that they will take the medication everyday. The nurse should remind the patient
That this medication should NOT be taken daily, even though it causes immediate relief. This drug can cause may cause CNS depression and Anterograde amnesia
A patient is taking Ipratropium a bronchodilator for acute asthma exacerbations, that also decreases mucus production. We would expect the patient to experience what symptom while on this drug?
Dry Mouth (due to decreased mucus production)
A patient has taken 3 doses of Nitroglycerin with 5-minute intervals and is still experiencing angina. What should you instruct the patient to do?
Call 9-1-1
A patient is prescribed Warfarin. We would want to see a () INR indicating ()
A high INR (2.5-3.5) indicating a longer clotting time.
A patient is prescribed Benztropine (Anticholinergic) and has a history of Glaucoma and vision problems. The nurse should
Contact the doctor, this med should not be taken if you have a history of glaucoma or vision problems
A patient is taking Fluoxetine (SSRI). Which herbal supplement should the nurse instruct the patient not take while on this med?
St. Johns wart
A patient is taking Salmeterol (B2 Adrenergic Agonist) for long term maintenance of COPD. What possible side effects should the patient report immediately?
Confusion and urinary retention
A patient is taking Losartan, an ARB to treat high blood pressure. What drug interaction should the nurse be sure to inform the patient of?
The patient should not use ACEi with this drug as it can cause angioedema
A nurse is administering Enoxaparin, an Anticoagulant the nurse should hold this medication of what lab value if less than ()
If platelets are less than 100,000 do not give, if platelets are low, we do not want to give a drug that will reduce the platelet count/make the clotting factor even less (bleeding risk)
A patient is taking Prednisone (Corticosteroid) needs to make what lifestyle change?
The patient should also monitor there () and not take if they have a history of ()
-Avoiding risks of exposer, immunosuppression can occur on this drug.
-The patient should also monitor their blood sugar and not take if they have a history of peptic ulcers
A patient asks their nurse while they were prescribed Amitriptyline (TCAs) Tricyclic antidepressant when they do not have a history of depression. The nurse should explain that this drug.
This drug is often better used as a sleep medicine than an antidepressant
A client needs a non-sedating med for their upper respiratory infection. You would recommend
The client however should not they may experience:
Cetirizine (2nd Gen Antihistamine) is a non-sedating URI med like Zyrtec used once every 24 hours
Patients may still experience mild fatigue and headache”
The nurse is about to administer Metoprolol, a Cardio selective B1 Blocker. What vital sign should the nurse check before administering this med?
The nurse should check the client's pulse before administering this medication as it can cause bradycardia.
A patient is taking Aspirin an Antiplatelet following surgery. The client asks if he can take ibuprophen at the same time has this med. What is the best response
No, you cannot take ibuprofen at the same time as aspirin because both drugs are Nonsteroidal anti-inflammatory drugs. Increased risk of complications. Client can take acetaminophen (Tylenol with asprin)
A patient is taking Cyclobenzaprine (Skeletal Muscle Relaxant), a CNS depressant. the patient should be informed that this med
Is a CNS depression and can cause drowsiness, use caution when operate machinery
A patient is prescribed lithium. The level of lithium in the body will need to be heavily monitored due to lithium's
Narrow therapeutic index
A patient is taking Prednisone (Corticosteroid) the nurse should inform the patient that this medication should not be used long term due to risk of
Immunosuppression and infections like pneumonia
A male patient is prescribed Spironolactone a Potassium Sparing Diuretics. The nurse knows to monitor for which of the following adverse effects?
gynecomastia in males (enlargement of breast tissue)
A patient is taking Clopidogrel (Antiplatelet). They should not be taking what OTC meds while on this medication
ibuprofen or aspirin NSAIDs
A patient is taking Diazepam (Benzodiazepine) for seizures, the patient should monitor for
What med can be used to reverse the effects of benzodiazepines? What can this med cause?
-Monitor for central nervous system depression and dependence
Flumazenil can reverse the effects of benzodiazepines, but it can cause seizures
A nurse is explaining potential side effects of Chlorpromazine (Antipsychotic) to a client. What side effects may they experience due to potential EPS & tardive dyskinesia
lip-smacking or speech disturbances
A patient is taking albuterol via a metered dose inhaler, we would expect which of the following effects?
Tachycardia & Tremor in hands can occur while taking albuterol
A nurse is administering Statins (Atorvastatin) she should let the patient know to report weakness has it can indicate
Myopathy. Weakness and muscle pain can indicate myopathy while on this med
A client is taking Alteplase a Thrombolytic. The clint should now that after taking this med they will () and are at an increased risk of ()
-be on bed rest for several hours
-bleeding risk