Nokea
After teaching a group of nursing students about central nervous stimulants, the instructor determines that the teaching was successful when the students state which of the following as an effect of caffeine on the body? Select all that apply.
- A. Skeletal muscle relaxation
- B. Respiratory stimulation
- C. Central nervous system (CNS) stimulation
- D. Cardiac relaxation
- E. Diuresis
Correct Answer: B,C,E
Rationale: Caffeine exerts the following effects on the body: stimulates the CNS, cardiac system, and respiratory system and results in mild diuresis.
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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 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 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.
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 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.