Nokea
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.
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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.
When describing how analeptics increase the depth of respirations, the pursing instructor addresses the stimulation of chemoreceptors. The instructor would identify these chemoreceptors as being located in which area in the body. Select all that apply.
- A. Upper aorta
- B. Left ventricle
- C. Jugular vein
- D. Carotid artery
- E. Pulmonary vein
Correct Answer: A,D
Rationale: Analeptics increase the depth of respirations by stimulating chemoreceptors located in the carotid arteries and upper aorta.
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 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.
A nursing student is preparing a class presentation about CNS stimulants and their uses. After completing the presentation, the student determines that additional explanation is necessary when the class identifies which of the following as a CNS stimulant?
- A. Anorexiant
- B. Antiphetamine
- C. Antipsychotic
- D. Analeptic
Correct Answer: C
Rationale: Antipsychotics are not CNS stimulants. CNS stimulants include anorexiants, amphetamines, and analeptics.