Before administering a client's prescribed nonselective adrenergic blocker, what should the nurse assess?

WBC count

Pulse and blood pressure

Bowel sounds

Serum sodium and potassium levels

Answer and Explanation

The Correct Answer is B

A.   Assessing the WBC count is not directly related to the administration of a nonselective adrenergic blocker. These medications primarily affect the cardiovascular system.
B.   Assessing pulse and blood pressure is crucial before administering a nonselective adrenergic blocker. These medications can cause bradycardia and hypotension as side effects, so it's
important to ensure the client's baseline pulse and blood pressure are within acceptable ranges before giving the medication.
C.   Assessing bowel sounds is not directly related to the administration of a nonselective adrenergic blocker. These medications primarily affect the cardiovascular system.
D.   Assessing serum sodium and potassium levels is not directly related to the administration of a nonselective adrenergic blocker. These medications primarily affect the cardiovascular system.

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Correct Answer is A

Explanation

A. Improved ability to perform activities of daily living: Antiparkinson medications are aimed at improving motor symptoms such as tremors, rigidity, and bradykinesia, leading to improved function in activities of daily living.
B. Decreased appetite: Decreased appetite is not a therapeutic response to antiparkinson medications. In fact, some medications may cause weight gain due to increased appetite.
C. Newly developed dyskinesias: Dyskinesias are involuntary movements that can occur as a side effect of long-term treatment with antiparkinson medications, particularly levodopa. They are not a therapeutic response and may require adjustments to medication.
D. Gradual development of cogwheel rigidity: Cogwheel rigidity is a symptom of Parkinson's disease and would not be expected to develop gradually with treatment. Antiparkinson
medications aim to reduce rigidity, not cause it.

A. "I know that I cannot switch brands of this medication." B. "I have made an appointment to see my dentist next week." C. "I will notify my doctor before taking any other medications." D. "I'll be glad when I can stop taking this medicine."

Correct Answer is D

Explanation

A. "I know that I cannot switch brands of this medication." - This statement indicates an understanding of the importance of consistency in medication use. Phenytoin requires consistent dosing and should not be switched between different brands without consulting a healthcare provider.
B. "I have made an appointment to see my dentist next week." - This statement shows awareness of the need for dental care while taking phenytoin. Phenytoin can cause gum hyperplasia, so regular dental check-ups are recommended.

C. "I will notify my doctor before taking any other medications." - This statement demonstrates understanding of the potential for drug interactions with phenytoin. Phenytoin can interact with many other medications, so it's crucial to consult a doctor before starting any new medications.
D. "I'll be glad when I can stop taking this medicine." - This statement indicates a

misunderstanding about the management of epilepsy. Phenytoin is typically a long-term medication used to control seizures, and it's not usually discontinued unless directed by a healthcare provider. Further teaching is needed to address this misconception.

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Before administering a client's prescribed nonselective adrenergic blocker, what should the nurse assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been treated with antiparkinson medications for 3 months. What therapeutic responses should the nurse look for when assessing this patient?

Correct Answer is A

Explanation

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is D

Explanation

A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?

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The nurse has given medication instructions to a patient receiving phenytoin. Which statement by the patient indicates that the patient has an adequate understanding of the instructions?

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