Nokea
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.
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A nurse instructs a client to avoid other CNS stimulants while taking dexmethylphenidate. Which of the following would the nurse include in the instructions? Select all that apply.
- A. Tea
- B. Fruit juice
- C. Coffee
- D. Cola drinks
- E. Milk
Correct Answer: A,C,D
Rationale: CNS stimulants include tea, coffee, and cola drinks. Fruit juices and milk are caffeine free.
A group of nursing students are reviewing information about central nervous system stimulants. The students demonstrate understanding of the information when they identify which of the following as an indication for use? Select all that apply.
- A. Sleep apnea
- B. Hypertension
- C. Attention deficit hyperactivity disorder (ADHD)
- D. Drug-induced respiratory depression
- E. Hyperglycemia
Correct Answer: A,C,D
Rationale: The CNS stimulants are used in the treatment of the following: ADHD, drug-induced respiratory depression, narcolepsy, sleep apnea, exogenous obesity, and fatigue.
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 is providing care to a client taking a CNS stimulant. The nurse assesses the client closely for which of the following as a possible adverse reaction? Select all that apply.
- A. Disorientation
- B. Dyspnea
- C. Bradycardia
- D. Urinary retention
- E. Headache
Correct Answer: A,B,D,E
Rationale: A nurse should monitor a client taking a CNS stimulant for the following adverse reactions: headache, dizziness, apprehension, disorientation, hyperactivity, nausea, vomiting, cough, dyspnea, urinary retention, tachycardia, and palpitations.
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.