Nokea
The nurse is caring for a client with an acute exacerbation of Bell's palsy. The nurse anticipates that the physician will prescribe which medications? Select all that apply.
- A. Prednisone
- B. Donepezil
- C. Pyridostigmine
- D. Valacyclovir
- E. Topiramate
Correct Answer: A,D
Rationale: Prednisone (a corticosteroid) reduces inflammation, and valacyclovir (an antiviral) addresses possible viral causes in Bell's palsy. Donepezil, pyridostigmine, and topiramate are not indicated.
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The nurse is caring for a client receiving prescribed sumatriptan. Which client report would indicate that the client is experiencing an adverse response?
- A. Nervousness
- B. Warm sensation
- C. Angina
- D. Tingling sensation
Correct Answer: C
Rationale: Sumatriptan, a triptan used for migraines, can cause coronary vasospasm, leading to angina (chest pain), a serious adverse effect requiring immediate attention. Nervousness, warm sensation, and tingling are common, less severe side effects.
The nurse has administered the first dose of prescribed rivastigmine to a client with Alzheimer's disease. Which clinical data is necessary to monitor while this client takes this medication?
- A. Glucose
- B. Weight
- C. Creatinine
- D. Hemoglobin and hematocrit
Correct Answer: B
Rationale: Rivastigmine, a cholinesterase inhibitor, can cause gastrointestinal side effects such as nausea, vomiting, and weight loss. Monitoring weight is essential to assess for significant weight loss, which can impact the client's health. Glucose, creatinine, and hemoglobin/hematocrit are not typically affected by rivastigmine.
The nurse is caring for a client with newly prescribed sumatriptan. The nurse understands that this medication is intended to treat which condition?
- A. Peripheral artery disease
- B. Accelerated hypertension
- C. Migraine headache
- D. Angina
Correct Answer: C
Rationale: Sumatriptan is a triptan specifically used to treat migraine headaches by constricting blood vessels and reducing inflammation. It is not used for peripheral artery disease, hypertension, or angina.
The nurse assesses a client with damage to cranial nerve III. Which finding would be expected?
- A. Ptosis
- B. Anosmia
- C. Uvula deviation
- D. Asymmetric facial movement
Correct Answer: A
Rationale: Cranial nerve III (oculomotor) damage causes ptosis due to impaired eyelid elevation.
The nurse is performing medication reconciliation for a client with Parkinson's disease. Which medication should the nurse question with the primary healthcare provider (PHCP)?
- A. Haloperidol
- B. Levodopa-carbidopa
- C. Pramipexole
- D. Ropinirole
Correct Answer: A
Rationale: Haloperidol is a typical antipsychotic that blocks dopamine receptors, which can worsen Parkinson's disease symptoms by counteracting the dopamine-enhancing effects of medications like levodopa-carbidopa, pramipexole, and ropinirole, which are used to manage Parkinson's disease.