Central Nervous System Stimulants and Related Drugs

Question 1 of 5

A patient is receiving instructions regarding the use of caffeine. The nurse shares that caffeine should be used with caution if which of these conditions is present?

A. A history of peptic ulcers

B. Migraine headaches

C. Asthma

D. A history of kidney stones

Correct Answer:

Rationale:

Question 2 of 5

A patient who started taking orlistat 1 month ago calls the clinic to report some 'embarrassing' adverse effects. She tells the nurse that she has had episodes of 'not being able to control my bowel movements.' Which statement is true about this situation?

A. These are expected adverse effects that will eventually diminish.

B. The patient will need to stop this drug immediately if these adverse effects are occurring.

C. The patient will need to increase her fat intake to prevent these adverse effects.

D. The patient will need to restrict fat intake to less than 30% of total calories to help reduce these adverse effects.

Correct Answer:

Rationale:

Question 3 of 5

A 6-year-old boy has been started on an extended-release form of methylphenidate hydrochloride for the treatment of attention deficit hyperactivity disorder (ADHD). During a follow-up visit, his mother tells the nurse that she has been giving the medication at bedtime so that it will be 'in his system' when he goes to school the next morning. What is the nurse's appropriate evaluation of the mother's actions?

A. She is giving him the medication dosage appropriately.

B. The medication should not be taken until he is at school.

C. The medication should be taken with meals for optimal absorption.

D. The medication should be given 4 to 6 hours before bedtime to diminish insomnia.

Correct Answer:

Rationale:

Question 4 of 5

A 22-year-old nursing student has been taking caffeine tablets for the past few weeks to 'make it through' the end of the semester and exam week. She is in the university clinic today because she is 'exhausted.' What human needs statement may be appropriate for her?

A. Altered oxygenation need

B. Altered physical activity

C. Altered need for sleep

D. Altered food intake

Correct Answer:

Rationale:

Question 5 of 5

A 10-year-old patient will be started on methylphenidate hydrochloride therapy. The nurse will perform which essential baseline assessment before this drug is started?

A. Eye examination

B. Height and weight

C. Liver function studies

D. Hearing test

Correct Answer:

Rationale:

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