Nokea
A client has been prescribed an amphetamine as part of obesity treatment. Which of the following would the nurse document before initiating the prescribed regimen?
- A. Temperature
- B. Weight
- C. Blood glucose level
- D. Arterial blood gas results
Correct Answer: B
Rationale: Before administering amphetamine as part of obesity treatment, the nurse should record the client's weight. There is no need to record the client's temperature or blood glucose level. Arterial blood gas results are reviewed when a CNS stimulant is prescribed for respiratory depression but not for obesity treatment.
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A client is prescribed a CNS stimulant as treatment for respiratory depression. Before administering the drug, which of the following would be most important for the nurse to assess? Select all that apply.
- A. Blood pressure
- B. Pulse
- C. Respiratory rate
- D. Respiratory pattern
- E. Review of recent lab work
Correct Answer: A,B,C,D,E
Rationale: Before administering a CNS stimulant, the nurse should assess the following: blood pressure; pulse; respiratory rate, depth, and pattern; and review of recent lab work. In addition, the nurse should identify the drug or drugs that may have contributed to the client's respiratory depression.
A client has been prescribed an amphetamine. The nurse would assess the client for which of the following?
- A. Decreased appetite
- B. Low blood pressure
- C. Drowsiness
- D. Depression
Correct Answer: A
Rationale: Amphetamines have the ability to suppress appetite, so the client will show a decrease in appetite. The drug action results in high blood pressure, not low blood pressure. The client also experiences wakefulness, not drowsiness. Amphetamines produce a euphoric state, not depression.
When describing how analeptics increase the depth of respirations, the pursing instructor addresses the stimulation of chemoreceptors. The instructor would identify these chemoreceptors as being located in which area in the body. Select all that apply.
- A. Upper aorta
- B. Left ventricle
- C. Jugular vein
- D. Carotid artery
- E. Pulmonary vein
Correct Answer: A,D
Rationale: Analeptics increase the depth of respirations by stimulating chemoreceptors located in the carotid arteries and upper aorta.
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.
Which of the following would be most important for the nurse to assess before administering a CNS stimulant to a client being treated for obesity? Select all that apply.
- A. Blood pressure
- B. Pulse
- C. Weight
- D. Respiratory rate
- E. Review of recent lab work
Correct Answer: A,B,C,D
Rationale: The nurse's preadministration assessment of a client receiving a CNS stimulant for the treatment of obesity should include blood pressure, pulse, respiratory rate, and weight. A review of recent lab work would not be necessary.