Pharm Made Easy 4.0 Neuro Part 1

Questions and Answers

What instruction should a nurse include for a client with Alzheimer's disease taking memantine?

Increase fluid intake

Take the drug with food

Avoid taking over-the-counter antacids (correct)

Limit physical activity

Which laboratory test requires monitoring for a client prescribed pramipexole for Parkinson's disease?

Electrolyte levels

Creatinine clearance (correct)

Glucose level

Liver function tests

What should a client taking dantrolene report as an adverse effect?

Diarrhea

What adverse effect should a client taking valproic acid monitor for?

Jaundice Signup and view all the answers

What instruction should be included for a client taking levodopa/carbidopa?

Change position slowly to prevent orthostatic hypotension Signup and view all the answers

When should a client taking modafinil be instructed to take the drug?

In the morning Signup and view all the answers

What should a client taking baclofen be advised regarding driving?

Avoid driving until the drug's effects are evident Signup and view all the answers

What pharmacologic effect does levodopa/carbidopa have?

Increases available dopamine in the brain Signup and view all the answers

What should a client do to help avoid adverse effects when taking interferon beta-1a?

Premedicate with acetaminophen Signup and view all the answers

What adverse effect should a nurse monitor for in a client receiving methohexital sodium?

Respiratory depression Signup and view all the answers

What can a drug interaction between selegiline and meperidine result in?

Muscle rigidity Signup and view all the answers

What instruction should be given to a client about taking carbamazepine?

Begin taking the drug at a low dosage Signup and view all the answers

What condition is sumatriptan indicated for?

Presence of a migraine headache Signup and view all the answers

What medical history finding indicates a need to withhold memantine?

Cirrhosis Signup and view all the answers

What drug should be available to reverse the effects of fentanyl?

Naloxone (Narcan) Signup and view all the answers

What adverse effects should be monitored in a client taking valproic acid?

Drowsiness, headache, and rash Signup and view all the answers

Where should interferon beta-1a be administered?

In your thigh or upper arm Signup and view all the answers

Which laboratory test requires monitoring for a client on dantrolene?

Liver function Signup and view all the answers

What adverse effect should a client taking amphetamine sulfate monitor for?

Tachycardia Signup and view all the answers

What can result from the interaction between valproic acid and phenytoin?

Phenytoin toxicity Signup and view all the answers

What adverse effect should be monitored in a client starting sumatriptan therapy?

Chest pain Signup and view all the answers

What adverse effect should a nurse monitor in a client taking donepezil?

Nausea Signup and view all the answers

What weight change should be reported by a client taking amphetamine/dextroamphetamine sulfate?

Weight loss of 2.3 kg (5 lb) Signup and view all the answers

What indicates a potential serious adverse effect of interferon beta-1b?

Fatigue Signup and view all the answers

What should the family of a client with Alzheimer's disease know about donepezil?

Avoid the use of NSAIDs for pain Signup and view all the answers

Study Notes

Memantine

Used for Alzheimer's disease; instruct to avoid over-the-counter antacids.
Antacids with sodium bicarbonate can increase urine alkalinity, decreasing drug excretion and leading to toxicity.

Pramipexole

Prescribed for Parkinson's disease; monitor creatinine clearance.
Use cautiously in patients with renal impairment.

Dantrolene

Used to treat skeletal muscle spasms; instruct clients to report diarrhea as a potential adverse effect.

Valproic Acid

Prescribed for seizure disorders; monitor for jaundice due to the risk of hepatic toxicity.
Symptoms of hepatic toxicity include abdominal pain and nausea.

Levodopa/Carbidopa

Treats Parkinson's disease; instruct clients to change positions slowly to prevent orthostatic hypotension.

Modafinil

Prescribed for narcolepsy; advise clients to take the drug in the morning to align with wakefulness.

Baclofen

A muscle relaxant; instruct clients to avoid driving until they understand the drug's effects on them.

Interferon Beta-1a

Used for multiple sclerosis; premedicate with acetaminophen to minimize fever, chills, and muscle aches.
Administer subcutaneously in the thigh or upper arm.

Methohexital Sodium

A short-acting barbiturate; monitor for respiratory depression and ensure mechanical ventilation is available if needed.

Selegiline

Used for Parkinson's disease; monitor for muscle rigidity when considering concurrent use of meperidine due to potential interactions.

Carbamazepine

Prescribed for seizures; instruct clients to start at a low dosage to minimize adverse effects like visual disturbances and ataxia.

Sumatriptan

Indicated for migraine headaches; instruct clients to monitor for chest pain as a potential adverse effect.

Fentanyl

Used to reduce pain; naloxone (Narcan) should be available to reverse severe respiratory depression.

Donepezil

Used for Alzheimer's disease; monitor for nausea, a common adverse effect. Advise taking with food to lessen stomach upset.

Amphetamine/Dextroamphetamine Sulfate

Treats ADHD; report unintended weight loss (e.g., 5 lb) due to decreased appetite.

Drug Interactions

Valproic acid can increase blood levels of phenytoin, risking toxicity.
Avoid using NSAIDs in conjunction with donepezil due to the risk of gastrointestinal bleeding.

Additional Monitoring

Dantrolene requires liver function monitoring.
Amphetamine sulfate may lead to tachycardia; clients should report palpitations or chest pain.

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Description

This quiz focuses on key concepts related to neuropharmacology, specifically medications like memantine and pramipexole. It is designed for nursing students and professionals to enhance their understanding of treatment protocols for Alzheimer's and Parkinson's diseases. Test your knowledge and ensure you are well-prepared for real-world applications.