A 38-year-old with nicotine use disorder takes varenicline, buprenorphine-naloxone, and duloxetine. What should be monitored?

A patient with myasthenia gravis, managed on pyridostigmine, is admitted with extreme muscle weakness, excessive salivation, and bradycardia. The nurse suspects a cholinergic crisis. What is the most likely cause and the appropriate antidote?

Case continues…At follow-up, the client reports partial relief with sumatriptan but continues to experience 5 migraines monthly. Because migraines remain frequent, the provider adds rimegepant.

A client with Parkinson’s disease is started on levodopa/carbidopa. One week later, the client reports improved rigidity and tremor but also experiences lightheadedness when standing. Which nursing interpretation is MOST appropriate?

A patient is experiencing a “fight or flight” response due to stress. Which of the following physiological changes is mediated by the sympathetic nervous system?

 A client taking a MAOI is prescribed tramadol for pain. What is the critical nursing concern?

Case Study # 1: Please read the case and answer the questions that follow. A 41-year-old female presents to the neurology clinic for worsening migraines. She reports a 10-year history of migraine with aura. Over the past 3 months, frequency has increased to 5–6 episodes per month. Migraines typically begin with flashing lights and blurred peripheral vision lasting 20–30 minutes, followed by unilateral throbbing pain rated 8/10, nausea, photophobia, and phonophobia. Headaches last 12–24 hours if untreated.She reports missing work twice this month due to migraine severity.Medical history:Hypertension (controlled with lisinopril 10 mg daily)Hyperlipidemia (LDL 162 mg/dL)BMI 31Former smoker (20 pack-years; quit 2 years ago)No known coronary artery diseaseCurrent medications:Lisinopril 10 mg dailyCombined oral contraceptive pill (ethinyl estradiol/norgestimate)Occasional acetaminophen (minimal relief)No prior triptan useVital signs:BP 138/86HR 78BMI 31The provider prescribes sumatriptan for acute migraine attacks and schedules follow-up in 6 weeks.

MATCH the following insomnia drug class to the mechanism of action most commonly associated with it. (Use each answer only once)

What should you do to determine why ratings are low? 

When conducting a “Brand Audit” pack size and flavor options would be reviewed in which part of the check list discussed in class?