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A nurse is reviewing the medical record of a client. Which of the following conditions, if found, would the nurse identify as a condition in which CNS stimulants should be avoided? Select all that apply.
- A. Severe hypotension
- B. Hyperthyroidism
- C. Diabetes
- D. Cardiac disease
- E. Seasonal allergies
Correct Answer: B,D
Rationale: CNS stimulants should not be given to clients with cardiac disease, severe hypertension, or hyperthyroidism. Diabetes and seasonal allergies are not contraindications for use of CNS stimulants.
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A child is prescribed dexmethylphenidate. When developing the teaching plan for the child and parents, the nurse instructs the parents to administer the drug at which time? Select all that apply.
- A. After breakfast
- B. Before breakfast
- C. After lunch
- D. Before lunch
- E. At bedtime
Correct Answer: B,D
Rationale: The nurse should instruct the client's parents to administer dexmethylphenidate 30 to 45 minutes before breakfast and before lunch.
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 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.
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 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.