Exam 9: Drug Therapy for Central Nervous System Problems

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A patient in your long-term care facility is prescribed to receive a total of 24 mg of ropinirole daily in three divided doses. The drug on hand is ropinirole 4 mg/tablet. How many tablets will you give for one dose? _______

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2
24 mg/day in 3 divided doses = 24/3 or 8 mg/dose
Want 8 mg
Have 4 mg/tablet 8 mg divided by 4 mg = 2 tablets

The healthcare provider orders valproic acid at 10 mg/kg orally every 12 hours. The patient weighs 160 lb. How many mg will you give for each dose? How many mg is the total daily dose? _______

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1500 mg
Patient weight in lb is 160. 1 kg = 2.2 lb. 160 lb divided by 2.2 kg = 74.7 kg, round up to 75 kg.
10 mg × 75 kg = 750 mg/dose
750 mg × 2 doses = 1500 mg total daily dose

Order: lamotrigine 250 mg orally twice daily. Have: lamotrigine 100-mg tablets How many tablets of lamotrigine are needed for the correct dose? _______

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2.5
Want lamotrigine 250 mg; have lamotrigine 100 mg
Divide 250 mg by 100 mg/tablet = 2.5 tablets

What is the most important precaution to teach patients taking any monoclonal antibody or neurologic drug to manage multiple sclerosis?

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Which precaution is most important to tell parents of young children prescribed lamotrigine for epilepsy?

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When assessing a patient before starting the first dose of a newly prescribed antiepileptic drug, what is the most important nursing action to perform?

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When assessing a patient with Parkinson disease who takes a carbidopa/levodopa combination drug, you find that he now has almost constant muscle movements that look like uncoordinated dancing. What is your best action?

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Why are carbidopa and levodopa usually given together?

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When asking the family of a patient with Alzheimer's disease who takes the drug donepezil (Aricept) what other prescribed or over-the-counter drugs the patient takes, they list all the following drugs. Which one will you tell them to stop giving the patient?

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When admitting a new patient with Alzheimer's to a memory unit of a long-term care facility, you note that she is prescribed both memantine and rivastigmine. What is your best action?

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A patient newly diagnosed with Parkinson disease is prescribed an oral dopamine agonist. Which precaution is most important to teach the patient and family about the timing for taking this drug?

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A patient is prescribed to receive memantine extended release (XR) 14 mg orally once daily. You have on hand memantine XR 7-mg capsule and memantine 28-mg capsule. What is the best way to ensure the patient gets a 14-mg dose?

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Which changes are most important to assess for in a patient who is taking topirimate for seizure control? (Select all that apply.)

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Which symptoms in a patient taking levodopa for Parkinson disease indicate the drug is "wearing off?" (Select all that apply.)

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A family member of a patient using the rivastigmine patches reports that the patient keeps taking the patches off his chest. Where will you suggest the family member apply the patches to avoid this problem?

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When reviewing the preoperative laboratory results of a patient taking oxcarbazepine for seizure control, you note all of the following values. For which one will you notify the surgeon immediately?

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How does the drug tolcapone relieve the symptoms of Parkinson disease?

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A patient taking lacosamide tells you that he never forgets to take his prescribed doses because he feels so good and happy when he is on the drug. What is your best response?

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Which drug to manage multiple sclerosis should be avoided by patients who also have epilepsy?

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Which neurotransmitter has an inhibitory action within the central nervous system?

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