Nokea
The nurse would monitor a client who is receiving caffeine for which of the following?
- A. Decease in heart rate
- B. Decrease in urinary output
- C. Feeling of euphoria and well-being
- D. Skeletal muscle stimulation
Correct Answer: D
Rationale: Caffeine leads to skeletal muscle stimulation. Caffeine results in an increase, not decrease, in heart rate. Caffeine is a diuretic and it increases, not decreases, urinary output. Caffeine does not lead to a feeling of euphoria or well-being.
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A client is prescribed a CNS stimulant as treatment for respiratory depression. Before administering the drug, which of the following would be most important for the nurse to assess? Select all that apply.
- A. Blood pressure
- B. Pulse
- C. Respiratory rate
- D. Respiratory pattern
- E. Review of recent lab work
Correct Answer: A,B,C,D,E
Rationale: Before administering a CNS stimulant, the nurse should assess the following: blood pressure; pulse; respiratory rate, depth, and pattern; and review of recent lab work. In addition, the nurse should identify the drug or drugs that may have contributed to the client's respiratory depression.
An older adult client is receiving a CNS stimulant. When assessing this client, the nurse integrates knowledge about an older adult client's increased sensitivity to the drug, closely monitoring the client for which of the following? Select all that apply.
- A. Anxiety
- B. Insomnia
- C. Bradycardia
- D. Confusion
- E. Hypotension
Correct Answer: A,B,D
Rationale: A nurse caring for an older adult client receiving CNS stimulants should monitor the client closely for anxiety, nervousness, insomnia, and mental confusion because older clients are more sensitive to the adverse reactions of this group of drugs.
A client has been prescribed an amphetamine. The nurse would assess the client for which of the following?
- A. Decreased appetite
- B. Low blood pressure
- C. Drowsiness
- D. Depression
Correct Answer: A
Rationale: Amphetamines have the ability to suppress appetite, so the client will show a decrease in appetite. The drug action results in high blood pressure, not low blood pressure. The client also experiences wakefulness, not drowsiness. Amphetamines produce a euphoric state, not depression.
A client is prescribed modafinil as treatment for narcolepsy. When teaching the client about the drug, which of the following would the nurse include in the instructions for the client?
- A. Record any changes in weight.
- B. Avoid coffee or tea.
- C. Record number of periods of sleepiness.
- D. Take over-the-counter antidepressants for depression.
Correct Answer: C
Rationale: The nurse should instruct the client to keep a record of the number of times per day that periods of sleepiness occur and to bring this record to each visit to the primary health care provider or clinic. There is no need to avoid tea or coffee or to record weight. The client should be instructed not to take antidepressants for the duration of the dosage regimen.
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.