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Chapter 13. Nervous System Medications

Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins

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Chapter 13. Nervous System Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is providing care for a client with a history of manic-depression. Which of the following classifications of medications would the nurse expect to find prescribed for the client?

A. Narcotics
B. Benzodiazepines
C. Cholinergics
D. Psychotropics

 

 

____     2.   A nursing student asks another student, “What does the blood brain barrier have to do with medications?” Which of the following responses by the student is best?

A. “The barrier helps reduce the risk of infection, so not as many antibiotics are needed.”
B. “It prevents some medications from affecting the central nervous system.”
C. “There are only a few medications that don’t cross the barrier, so we have to know those.”
D. “It has to do with how medications affect brain growth in a developing fetus.”

 

 

____     3.   While studying for the medication exam, the nursing student determines that norepinephrine (Levophed), if given to a patient, would be contraindicated for which of the following individuals?

A. A 52-year-old patient with a blood pressure of 186/94
B. A 49-year-old patient with a pulse of 65
C. A 61-year-old patient with a respiratory rate of 18
D. A 75-year-old patient with a history of seizures

 

 

____     4.   The LPN is collecting history information for a client planning outpatient surgery. Which of the following statements by the client would cause the nurse to contact the anesthesiologist?

A. “I forgot to sign the consent form while I was in the office last time.”
B. “I usually take alprazolam (Xanax) to help me sleep a couple times a week.”
C. “I used my pilocarpine (Pilopine) eye drops this morning but didn’t take any of my pills.”
D. “I brushed my teeth this morning with just a sip of water.”

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  D                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Nervous System Medications   KEY:  Application

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master Essentials Table and The Nervous System (p. 231, 232–236): Psychotropics are medications that affect the mind, emotions, or behaviors would be necessary for a client with manic-depression.

 

  1. ANS:  B                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Nervous System Medications   KEY:  Analysis

MSC:  NCLEX Category: Physiological Adaptation

NOT:  See Master Essentials Table and The Nervous System (p. 231, 232–236): The blood brain barrier is a barrier in the brain that prevents toxic substances and some medications from entering the brain. It serves as a protective mechanism just as the placental barrier protects a fetus. There are a number of medications that cross the blood brain barrier.

 

  1. ANS:  A                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Nervous System Medications   KEY:  Application

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master Essentials Table and The Nervous System (p. 232–236): Norepinephrine is an adrenergic medication and should be used cautiously in clients with hypertension, myocardial infarction, atrial fibrillation, or hypovolemia.

 

  1. ANS:  C                    PTS:   1                    DIF:    Hard

TOP:   Therapeutic Classification: Nervous System Medications   KEY:  Analysis

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master Essentials Table and Medications to Control Pain and Fever (p. 232–236; 237–238): Pilocarpine is used in the treatment of open-angle glaucoma. Because it is a cholinergic medication, it must be stopped several weeks before surgical procedures to prevent intra-operative breathing problems.

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