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.
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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.
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.
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 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.
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.
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