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ATI Pharmacology Made Easy 4.0 ~ The Neurological System (Part 2)

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ATI Pharmacology Made Easy 4.0 ~ The Neurological System (Part 2)

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  • 9 de junio de 2024
  • 32
  • 2023/2024
  • Examen
  • Preguntas y respuestas

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  • ati pharmacology made easy 40 the neurological
  • ati pharmacology made easy 40 the neurologica
  • ati pharmacology made easy 40 the neurologi

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  • ATI Pharmacology Made Easy 4.0 ~ The Neurological
  • ATI Pharmacology Made Easy 4.0 ~ The Neurological

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ATI Pharmacology Made Easy 4.0 ~ The Neurological System (Part 2) A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? A. "W eigh yourself twice a month." B. "If you have persistent headaches, let the provider know." C. "Reduce your daily sodium intake." D. "If your symptoms don't improve in 10 days, you will need a higher dosage." - ANSWER -B. "If you have persistent headaches, let the provider know." Rationale: A. The nurse should instruct the client to measure their weight weekly and report a consistent decline to the provider. Fluoxetine can cause abdominal pain, abnormal taste, dry mouth, nausea, and anorexia, which can affect appetite. B. The client should report persistent headache, anxiety, or insomnia to the provider as an adverse drug reaction. C. Fluoxetine can cause hyponatremia. The nurse should instruct the client to maintain consistent sodium intake and to monitor for indications of a low blood sodium level. D. The nurse should inform the client that the medication can take up to 4 weeks to be come effective, and the client should communicate a lack of effectiveness after that time. A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that th e client undergo periodically? A. Chest x -ray B. Tonometry C. Thyroid function tests D. Endoscopic retrograde cholangiopancreatography (ERCP) - ANSWER -C. Thyroid function tests Rationale: A. Chest x -rays help identify problems with the heart and lungs. Lithium can cause dysrhythmias, but it is unlikely to cause a dysfunction of the heart or lungs that will be detectable on chest x -rays. B. Tonometry is a method of testing for glaucoma. Lithium carbonate is unlikely to cause glaucoma. C. Hypothyroidism is an adverse effect of lithium carbonate. Clients should report neck enlargement, weight gain, lethargy, and constipation. They should also have their thyroid function checked before they begin taking lithium and annually thereafter. D. An ERCP helps identi fy disorders of the liver, gallbladder, bile ducts, and pancreas. Lithium carbonate is unlikely to cause abnormalities of these structures. A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity? (Select all that apply.) A. Tremors B. Confusion C. Bronchospasm D. Nausea E. Muscle weakness - ANSWER -A. Tremors B. Confusion D. Nausea E. Muscle weakness Rationale: A. A fine hand tremor is an early indication of lithium toxicity. A coarse tremor indicates advanced toxicity that can lead to seizure activity. B. Confusion, slurred speech, and ataxia are indications of lithium toxicity tha t develop because of the drug's narrow therapeutic range. C. Lithium toxicity is unlikely to cause bronchospasm because it does not usually affect the respiratory system. D. Nausea, vomiting, and diarrhea are early indications of lithium toxicity that dev elop because of the drug's narrow

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