Name: ANSWER KEYNSG 325Module 3 QuizSeptember 16, 20131) What is a realistic outcome for a patient receiving drug therapy for Parkinson’s disease? a) Absence of tremorb) A normal gaitc) Improved ability to perform activities of daily livingd) Reversal of neurodegeneration2) Adverse effects of cholinesterase inhibitors come from parasympathetic stimulation. What isa nursing intervention to prevent a common adverse effect?a) Assess for symptoms of hyperglycemiab) Assist with activities of daily living because of tremorsc) Include adequate fiber and fluids to prevent dehydration from diarrhead) Provide mouth moisturizers for dry mouth3) An MS patient complains that she is still depressed and fatigue despite being prescribed fluoxetine (Prozac) for 3 months. What action by the nurse would be most appropriate at thispoint? a) Encourage the patient to increase her intake of caffeineb) Explain that the effects of antidepressants take many months to occur. c) Plan for the patient to discuss this problem with the prescriber. d) Start 1:1 suicide precautions. 4) A 47-year-old patient has been taking phenytoin (Dilantin) for years without significant adverse effects or seizures. Serum levels usually are 12-16 mcg/mL. The patient is admitted with sudden onset of multiple seizures. Serum phenytoin levels now are 7 mcg/mL. What question is of highest priority for the nurse to ask? a) “Have you changed from brand name to generic phenytoin?”b) “Have you noticed a rash anywhere on your body?”c) “Have you had any change in or addition of any other medications?”d) “Have you noticed increased or decreased urination?”5) What is the greatest priority when a patient is experiencing acute laryngeal dystonia?a) Airway clearanceb) Anxiety treatmentc) Pain therapyd) Ensuring patient safety6) When a patient who is receiving an antidepressant verbalizes suicidal ideation, whis is the priority nursing action?a) Administer the antidepressantb) Ask the patient why he or she feels this wayc) Notify the prescriberd) Provide a safe environment7) Divalproex sodium is available as a syrup containing 250mg/5 mL. How many mL should be administered if the prescribed dose is 375 mg?7.5 mls8) In the morning a nurse is caring for a patient how had received zolpidem (Ambien) for sleep the night before, the nurse would monitor for what common adverse effect?a) Dizzinessb) Hypertensionc) Sweatingd) Tremors9) What is the nursing priority when administering a long-acting benzodiazepine as prescribed?a) Gastric distressb) Protential for abusec) Respiratory depressiond) Safety10) What is the benefit of use of risperidone (Risperdal) and olanzapine (Zyprexa) for AD patients?a) Amplified effects of other drugsb) Decrease acting –out behaviorsc) Improved appetite d) Improved
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