Nokea
A 10-year-old child is receiving a CNS stimulant as treatment for ADHD. When developing the teaching plan for the parents, the nurse would include instructions about recording which of the following periodically?
- A. Social interaction
- B. Weight and growth
- C. Voiding pattern
- D. Sleeping pattern
Correct Answer: B
Rationale: The nurse should instruct the parents to monitor the weight and growth patterns of the child. The child's social interaction or sleeping pattern need not be recorded unless specified by the primary health care provider. Since the drugs administered for ADHD do not cause urinary retention, there is no need to monitor urinary patterns.
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A nurse is providing care to a client diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse would expect which of the following as possibly being prescribed for treatment? Select all that apply.
- A. Methylphenidate
- B. Phentermine
- C. Modafinil
- D. Doxapram
- E. Dextroamphetamine
Correct Answer: A,E
Rationale: Methylphenidate and dextroamphetamine are CNS stimulants used in the treatment of ADHD. Phentermine is used to treat obesity. Modafinil is used to treat narcolepsy. Doxapram is used to treat respiratory depression.
A client has been prescribed modafinil for the treatment of narcolepsy. The nurse would assess the client for which of the following as a common adverse reaction?
- A. Insomnia
- B. Nausea
- C. Urinary retention
- D. Tremors
Correct Answer: B
Rationale: The nurse should monitor for nausea because it is one of the common adverse reactions associated with analeptics such as modafinil. Insomnia, urinary retention, and tremors are not reactions generally associated with analeptic drugs.
Which of the following would a nurse expect to be prescribed when providing care to a client with narcolepsy? Select all that apply.
- A. Methylphenidate
- B. Phentermine
- C. Modafinil
- D. Armodafinil
- E. Dextroamphetamine
Correct Answer: A,C,D,E
Rationale: A nurse caring for a client with narcolepsy may administer methylphenidate, modafinil, armodafinil, and dextroamphetamine.
The nurse would monitor a client who is receiving caffeine for which of the following?
- A. Decease in heart rate
- B. Decrease in urinary output
- C. Feeling of euphoria and well-being
- D. Skeletal muscle stimulation
Correct Answer: D
Rationale: Caffeine leads to skeletal muscle stimulation. Caffeine results in an increase, not decrease, in heart rate. Caffeine is a diuretic and it increases, not decreases, urinary output. Caffeine does not lead to a feeling of euphoria or well-being.
A client has been prescribed benzphetamine. Which intervention would be most appropriate for the nurse to implement while administering the drug?
- A. Provide tea, coffee, and other stimulants.
- B. Administer the drug around dinner time.
- C. Avoid administering antidepressants.
- D. Encourage the intake of carbonated caffeine beverages.
Correct Answer: C
Rationale: The nurse should ensure that benzphetamine, or any other anorexiant, is not taken concurrently with antidepressant medications. The nurse should avoid or decrease the use of coffee, tea, and carbonated beverages containing caffeine. The drug should be taken early in the day, not around dinner time, to avoid insomnia.