Nokea
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.
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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.
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 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.
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 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.