Nokea
After teaching a group of nursing students about CNS stimulants, the instructor determines that the teaching was successful when the students identify which of the following as a contraindication?
- A. Parkinson's disease
- B. Severe hypertension
- C. Age younger than 20 years
- D. Renal dysfunction
Correct Answer: B
Rationale: CNS stimulants are contraindicated for clients with severe hypertension. CNS stimulants are not contraindicated in clients younger than 20 years or clients with Parkinson's disease. Even though CNS stimulants are not contraindicated in clients with renal dysfunction, they need to be administered with extreme caution.
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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.
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.
A 10-year-old child is receiving a CNS stimulant as treatment for ADHD. When developing the teaching plan for the parents, the nurse would include instructions about recording which of the following periodically?
- A. Social interaction
- B. Weight and growth
- C. Voiding pattern
- D. Sleeping pattern
Correct Answer: B
Rationale: The nurse should instruct the parents to monitor the weight and growth patterns of the child. The child's social interaction or sleeping pattern need not be recorded unless specified by the primary health care provider. Since the drugs administered for ADHD do not cause urinary retention, there is no need to monitor urinary patterns.
A client taking a CNS stimulant may experience altered sleep patterns. Which of the following suggestions would be most helpful? Select all that apply.
- A. Administer the drug early in the day.
- B. Take frequent naps throughout the day.
- C. Avoid caffeine products.
- D. Stop taking the medication.
- E. Be active during the day.
Correct Answer: A,C,E
Rationale: The nurse can instruct the client to administer the drug early in the day, avoid caffeine and other CNS stimulants, be active during the day, and not nap during the day to aid in sleep alteration caused by the use of a CNS stimulant.
A group of nursing students are reviewing information about the different types of CNS stimulants used. The students demonstrate understanding of the information when they identify drugs used for narcolepsy as being classified as which of the following?
- A. Anorexiant
- B. Analeptic
- C. Sympathomimetic
- D. Neuroleptic
Correct Answer: B
Rationale: Analeptics are drugs used to treat narcolepsy because they stimulate the respiratory center of the brain. Anorexiants are drugs used to suppress the appetite. Sympathomimetic agents are drugs that act by stimulating the sympathetic nervous system. Neuroleptics are antipsychotic drugs used to treat psychotic disorders.