Nokea
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.
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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.
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.
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.
A nurse is conducting a class for a local community group about caffeine. The nurse discusses conditions in which over-the-counter caffeine products should be avoided. Which of the following would the nurse include in this discussion? Select all that apply.
- A. Hyperlipidemia
- B. Peptic ulcer disease
- C. GERD
- D. Hypertension
- E. Heart disease
Correct Answer: B,D,E
Rationale: Clients with heart disease, hypertension, and peptic ulcer disease should avoid the use of over-the-counter caffeine preparations.
A client has been prescribed benzphetamine. Which intervention would be most appropriate for the nurse to implement while administering the drug?
- A. Provide tea, coffee, and other stimulants.
- B. Administer the drug around dinner time.
- C. Avoid administering antidepressants.
- D. Encourage the intake of carbonated caffeine beverages.
Correct Answer: C
Rationale: The nurse should ensure that benzphetamine, or any other anorexiant, is not taken concurrently with antidepressant medications. The nurse should avoid or decrease the use of coffee, tea, and carbonated beverages containing caffeine. The drug should be taken early in the day, not around dinner time, to avoid insomnia.