Nokea
When describing how analeptics increase the depth of respirations, the pursing instructor addresses the stimulation of chemoreceptors. The instructor would identify these chemoreceptors as being located in which area in the body. Select all that apply.
- A. Upper aorta
- B. Left ventricle
- C. Jugular vein
- D. Carotid artery
- E. Pulmonary vein
Correct Answer: A,D
Rationale: Analeptics increase the depth of respirations by stimulating chemoreceptors located in the carotid arteries and upper aorta.
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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 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 nursing student is preparing a class presentation about CNS stimulants and their uses. After completing the presentation, the student determines that additional explanation is necessary when the class identifies which of the following as a CNS stimulant?
- A. Anorexiant
- B. Antiphetamine
- C. Antipsychotic
- D. Analeptic
Correct Answer: C
Rationale: Antipsychotics are not CNS stimulants. CNS stimulants include anorexiants, amphetamines, and analeptics.
A group of nursing students are reviewing information about central nervous system stimulants. The students demonstrate understanding of the information when they identify which of the following as an indication for use? Select all that apply.
- A. Sleep apnea
- B. Hypertension
- C. Attention deficit hyperactivity disorder (ADHD)
- D. Drug-induced respiratory depression
- E. Hyperglycemia
Correct Answer: A,C,D
Rationale: The CNS stimulants are used in the treatment of the following: ADHD, drug-induced respiratory depression, narcolepsy, sleep apnea, exogenous obesity, and fatigue.
Which of the following would a nurse expect to be prescribed when providing care to a client with narcolepsy? Select all that apply.
- A. Methylphenidate
- B. Phentermine
- C. Modafinil
- D. Armodafinil
- E. Dextroamphetamine
Correct Answer: A,C,D,E
Rationale: A nurse caring for a client with narcolepsy may administer methylphenidate, modafinil, armodafinil, and dextroamphetamine.