Keiser University, Sarasota

NURSING 1211C

Quiz 3

1)Causes of muscle spasms include all EXCEPT:

2. Centrally acting anticholinergic drugs are sometimes used to relieve symptoms of parkinsonism, although they are less effective than levodopa.
3. Uses for anticholinergic (parasympatholytic) medications include:
4. Amyloid plaques and neurofibrillary tangles within the brain are diagnostic signs of which of the following?
5. The client diagnosed with early-stage Parkinson's disease has been prescribed pramipexole (Mirapex), a dopamine agonist medication. Which side effect of this medication should the nurse teach the client?
6. A nurse in the post-anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The anesthesologist is ready to wake the patient up after surgery. The nurse should anticipate a prescription for which of the following medications?
7. True or False:

Succinylcholine has sedating and pain-relieving properties, so when administered to a patient to paralyze the muscles, the patient is unaware of the effects of the medication.

8. True or False:

Dystonia is a chronic neurologic disorder characterized by continuous, involuntary muscle contractions that force body parts into abnormal, occasionally painful movements or postures.

9. Given that the goal of pharmacotherapy for patients with Parkinson's disease is to increase the ability of the client to perform normal activities of daily living (ADLs) such

as eating, walking, dressing, and bathing, what drugs might be used to treat the symptoms of this devastating disease?

10. Match the neuromuscular disease with the symptoms and transmitters involved:
11. Which of the following client statements indicates that the levodopa/ carbidopa (Sinemet) is effective?
12. The most common medication used for Parkinson's disease attempts to increase the levels of dopamine in the brain. This drug of choice is:
13. True or False:

Acetylcholinesterase inhibitors can cure Alzheimer's disease.

14. A client has been prescribed clonazepam (Klonopin) for muscle spasms and stiffness secondary to an automobile accident. While the client is taking this drug, what is the nurse's primary concern?
15. Neuromuscular blockers of the depolarizing blocking type are used primarily for:

16. The priority nursing diagnosis for a patient receiving an adrenergic-blocking drug (also called an adrenergic antagonist or beta-blocker) would be:
17. The patient has an order for cyclobenzaprine (Flexeril) 20 mg tid. On hand are tablets labeled "cyclobenzaprine 10 mg." How many tablets will the patient get each day? Do not enter the unit of measure; only the number.

18. Scopolamine (Hyoscine, Transderm-Scop) is a patch applied to a patient's skin to reduce the potential for motion sickness and/or nausea/vomiting. It is often used as an adjunct to anesthesia so when the patient wakes up, the chances of having nausea and vomiting are significantly lessened. Scopolamine is what category of medication?
19. Baclofen (Lioresal) may be preferred for which of the following reasons?
20. A client who has been prescribed baclofen (Lioresal) returns to the health care provider after a week of drug therapy, complaining of continued muscle spasms of the lower back. What further assessment data will the nurse gather?