Nokea
After administering a CNS stimulant to a client being treated for respiratory depression, the nurse would continue to assess which of the following? Select all that apply.
- A. Blood pressure
- B. Pulse
- C. Respiratory rate
- D. Respiratory pattern
- E. Level of consciousness
Correct Answer: A,B,C,D,E
Rationale: The nurse's ongoing assessment of a client receiving a CNS stimulant for respiratory depression should include blood pressure, pulse, respiratory rate, depth, and pattern; and level of consciousness.
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A client has been prescribed an amphetamine as part of obesity treatment. Which of the following would the nurse document before initiating the prescribed regimen?
- A. Temperature
- B. Weight
- C. Blood glucose level
- D. Arterial blood gas results
Correct Answer: B
Rationale: Before administering amphetamine as part of obesity treatment, the nurse should record the client's weight. There is no need to record the client's temperature or blood glucose level. Arterial blood gas results are reviewed when a CNS stimulant is prescribed for respiratory depression but not for obesity treatment.
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.
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 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 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.