Nokea
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: B
Rationale: Methylphenidate may cause temporary growth suppression in children, making baseline height and weight assessment essential for monitoring. Eye exams, liver function studies, and hearing tests are not routinely required for this therapy.
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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: A
Rationale: Caffeine can exacerbate peptic ulcers by increasing gastric acid secretion, which may worsen the condition. It is not contraindicated in migraine headaches, asthma, or kidney stones, though it may have varying effects on these conditions.
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: C
Rationale: Caffeine, a CNS stimulant, can cause restlessness, anxiety, and insomnia, leading to an altered need for sleep. This is the most relevant human needs statement given her exhaustion from overuse. The other options are not directly related to caffeine's effects.
When evaluating a patient who is taking orlistat, which is an intended therapeutic effect?
- A. Increased wakefulness
- B. Increased appetite
- C. Decreased weight
- D. Decreased hyperactivity
Correct Answer: C
Rationale: Orlistat is a nonstimulant drug used for weight loss by inhibiting fat absorption, making decreased weight the intended therapeutic effect. It does not affect wakefulness, appetite, or hyperactivity.
A patient has just received an injection of onabotulinumtoxin A. The nurse will monitor for which adverse effects? (Select all that apply.)
- A. Insomnia
- B. Dysphagia
- C. Weight gain
- D. GI upset
- E. Difficulty breathing
Correct Answer: B,E
Rationale: Onabotulinumtoxin A (Botox) carries a Black Box Warning for toxin spread beyond the injection site, which may cause dysphagia and breathing difficulties. Insomnia, weight gain, and GI upset are not commonly associated adverse effects.
A patient has a new prescription for phentermine as part of the treatment for weight loss. Which information will the nurse include when teaching this patient about a stimulant such as phentermine? (Select all that apply.)
- A. Take this medication after meals.
- B. Take this medication in the morning.
- C. This drug is taken along with supervised exercise and suitable diet.
- D. Use mouth rinses, sugarless gum, or hard candies to minimize dry mouth.
- E. Avoid foods that contain caffeine, such as coffee, tea, and colas.
Correct Answer: B,C,D,E
Rationale: Phentermine should be taken in the morning to avoid insomnia, alongside supervised exercise and diet for weight loss, and with measures like mouth rinses to manage dry mouth. Avoiding caffeine prevents additive stimulant effects. Taking it after meals is not necessary, as timing is not meal-dependent.