Nokea
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.
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After administering a CNS stimulant to a client being treated for respiratory depression, the nurse would continue to assess which of the following? Select all that apply.
- A. Blood pressure
- B. Pulse
- C. Respiratory rate
- D. Respiratory pattern
- E. Level of consciousness
Correct Answer: A,B,C,D,E
Rationale: The nurse's ongoing assessment of a client receiving a CNS stimulant for respiratory depression should include blood pressure, pulse, respiratory rate, depth, and pattern; and level of consciousness.
A child is diagnosed with attention deficit hyperactivity disorder and is prescribed lisdexamfetamine. The child and his parents return to the clinic for a follow-up visit. The mother reports that his behavior has improved and 'he's been sleeping okay at night.' She also says, 'He seems to eat like a bird sometimes and he's so thin.' The child's weight and height are within the lower percentiles for his age. When developing the plan of care for this child, which nursing diagnosis would the nurse most likely identify as the priority?
- A. Disrupted Sleep Patterns
- B. Ineffective Coping
- C. Imbalanced Nutrition: Less Than Body Requirements
- D. Ineffective Breathing Pattern
Correct Answer: C
Rationale: Based on the assessment findings, the child is clearly having difficulty with nutritional intake. Therefore, Imbalanced Nutrition: Less Than Body Requirements would be the priority. The mother reports that the child's sleeping is 'okay,' so disturbed sleep patterns would not be an issue. There is no evidence to suggest ineffective coping or ineffective breathing pattern.
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.
A nurse is conducting a class for a local community group about caffeine. The nurse discusses conditions in which over-the-counter caffeine products should be avoided. Which of the following would the nurse include in this discussion? Select all that apply.
- A. Hyperlipidemia
- B. Peptic ulcer disease
- C. GERD
- D. Hypertension
- E. Heart disease
Correct Answer: B,D,E
Rationale: Clients with heart disease, hypertension, and peptic ulcer disease should avoid the use of over-the-counter caffeine preparations.
A client is prescribed a CNS stimulant as treatment for attention deficit hyperactivity disorder. Which of the following assessments would be most important for the nurse to obtain before administering the drug? Select all that apply.
- A. Blood pressure
- B. Weight
- C. Respiratory rate
- D. Behavior pattern
- 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 attention deficit hyperactivity disorder should include blood pressure, respiratory rate, weight, and behavior pattern. A review of recent lab work would not be necessary.