Nokea
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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Which of the following would be most important for the nurse to assess before administering a CNS stimulant to a client being treated for obesity? Select all that apply.
- A. Blood pressure
- B. Pulse
- C. Weight
- D. Respiratory rate
- 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 the treatment of obesity should include blood pressure, pulse, respiratory rate, and weight. A review of recent lab work would not be necessary.
A nurse is providing care to a client diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse would expect which of the following as possibly being prescribed for treatment? Select all that apply.
- A. Methylphenidate
- B. Phentermine
- C. Modafinil
- D. Doxapram
- E. Dextroamphetamine
Correct Answer: A,E
Rationale: Methylphenidate and dextroamphetamine are CNS stimulants used in the treatment of ADHD. Phentermine is used to treat obesity. Modafinil is used to treat narcolepsy. Doxapram is used to treat respiratory depression.
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 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.
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.