Nokea
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.
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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.
After teaching a group of nursing students about CNS stimulants, the instructor determines that the teaching was successful when the students identify which of the following as a contraindication?
- A. Parkinson's disease
- B. Severe hypertension
- C. Age younger than 20 years
- D. Renal dysfunction
Correct Answer: B
Rationale: CNS stimulants are contraindicated for clients with severe hypertension. CNS stimulants are not contraindicated in clients younger than 20 years or clients with Parkinson's disease. Even though CNS stimulants are not contraindicated in clients with renal dysfunction, they need to be administered with extreme caution.
A nurse is reviewing the medical record of a client. Which of the following conditions, if found, would the nurse identify as a condition in which CNS stimulants should be avoided? Select all that apply.
- A. Severe hypotension
- B. Hyperthyroidism
- C. Diabetes
- D. Cardiac disease
- E. Seasonal allergies
Correct Answer: B,D
Rationale: CNS stimulants should not be given to clients with cardiac disease, severe hypertension, or hyperthyroidism. Diabetes and seasonal allergies are not contraindications for use of CNS stimulants.
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 nurse caring for a client with obesity would expect the primary health care provider to prescribe which of the following CNS stimulants? Select all that apply.
- A. Benzphetamine
- B. Phentermine
- C. Modafinil
- D. Sibutramine
- E. Dextroamphetamine
Correct Answer: A,B,D
Rationale: A nurse caring for a client with obesity may administer benzphetamine, phentermine, and sibutramine.