Nokea
A nurse would suspect that a client is taking amphetamines based on the assessment of which of the following. Select all that apply.
- A. Decrease in blood pressure
- B. Sleepiness
- C. Increased pulse
- D. Euphoria
- E. Decreased pulse
Correct Answer: C,D
Rationale: A client taking amphetamines may have elevated blood pressure, wakefulness, and an increase or decrease in pulse. Amphetamines also produce a euphoric state; this pleasurable feeling is what increases their dependency potential. Note: The correct answers should be C and D, as option E (Decreased pulse) is inconsistent with typical amphetamine effects.
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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.
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.
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.
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.