Nokea
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.
You may also like to solve these questions
A group of nursing students are reviewing information about the different types of CNS stimulants used. The students demonstrate understanding of the information when they identify drugs used for narcolepsy as being classified as which of the following?
- A. Anorexiant
- B. Analeptic
- C. Sympathomimetic
- D. Neuroleptic
Correct Answer: B
Rationale: Analeptics are drugs used to treat narcolepsy because they stimulate the respiratory center of the brain. Anorexiants are drugs used to suppress the appetite. Sympathomimetic agents are drugs that act by stimulating the sympathetic nervous system. Neuroleptics are antipsychotic drugs used to treat psychotic disorders.
An older adult client is receiving a CNS stimulant. When assessing this client, the nurse integrates knowledge about an older adult client's increased sensitivity to the drug, closely monitoring the client for which of the following? Select all that apply.
- A. Anxiety
- B. Insomnia
- C. Bradycardia
- D. Confusion
- E. Hypotension
Correct Answer: A,B,D
Rationale: A nurse caring for an older adult client receiving CNS stimulants should monitor the client closely for anxiety, nervousness, insomnia, and mental confusion because older clients are more sensitive to the adverse reactions of this group of drugs.
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.
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.
A 10-year-old child is receiving a CNS stimulant as treatment for ADHD. When developing the teaching plan for the parents, the nurse would include instructions about recording which of the following periodically?
- A. Social interaction
- B. Weight and growth
- C. Voiding pattern
- D. Sleeping pattern
Correct Answer: B
Rationale: The nurse should instruct the parents to monitor the weight and growth patterns of the child. The child's social interaction or sleeping pattern need not be recorded unless specified by the primary health care provider. Since the drugs administered for ADHD do not cause urinary retention, there is no need to monitor urinary patterns.