Nokea
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.
You may also like to solve these questions
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.
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 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.
The nurse would monitor a client who is receiving caffeine for which of the following?
- A. Decease in heart rate
- B. Decrease in urinary output
- C. Feeling of euphoria and well-being
- D. Skeletal muscle stimulation
Correct Answer: D
Rationale: Caffeine leads to skeletal muscle stimulation. Caffeine results in an increase, not decrease, in heart rate. Caffeine is a diuretic and it increases, not decreases, urinary output. Caffeine does not lead to a feeling of euphoria or well-being.
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.