Nokea
A client has been prescribed doxapram. The nurse would closely assess the client for which of the following after administration?
- A. Visual acuity
- B. Heart rate
- C. Urinary pattern
- D. Auditory function
Correct Answer: C
Rationale: Urinary retention may result from doxapram administration, so the nurse should measure fluid intake and output and notify the primary health care provider if any problems occur. Analeptics do not cause impaired vision or tinnitus, nor do they cause tachycardia, so monitoring visual acuity, heart rate, and auditory function are not indicated.
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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.
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.
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 is prescribed modafinil as treatment for narcolepsy. When teaching the client about the drug, which of the following would the nurse include in the instructions for the client?
- A. Record any changes in weight.
- B. Avoid coffee or tea.
- C. Record number of periods of sleepiness.
- D. Take over-the-counter antidepressants for depression.
Correct Answer: C
Rationale: The nurse should instruct the client to keep a record of the number of times per day that periods of sleepiness occur and to bring this record to each visit to the primary health care provider or clinic. There is no need to avoid tea or coffee or to record weight. The client should be instructed not to take antidepressants for the duration of the dosage regimen.
After conducting an in-service presentation about CNS stimulants, the presenter determines that the teaching was successful when the group identifies which of the following as a contraindication to their use? Select all that apply.
- A. Epilepsy
- B. COPD
- C. Glaucoma
- D. Diabetes
- E. GERD
Correct Answer: A,B,C
Rationale: The use of CNS stimulants is contraindicated in clients with known hypersensitivity, epilepsy, COPD, or glaucoma.