Nokea
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.
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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 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.
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.
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 child is diagnosed with attention deficit hyperactivity disorder and is prescribed lisdexamfetamine. The child and his parents return to the clinic for a follow-up visit. The mother reports that his behavior has improved and 'he's been sleeping okay at night.' She also says, 'He seems to eat like a bird sometimes and he's so thin.' The child's weight and height are within the lower percentiles for his age. When developing the plan of care for this child, which nursing diagnosis would the nurse most likely identify as the priority?
- A. Disrupted Sleep Patterns
- B. Ineffective Coping
- C. Imbalanced Nutrition: Less Than Body Requirements
- D. Ineffective Breathing Pattern
Correct Answer: C
Rationale: Based on the assessment findings, the child is clearly having difficulty with nutritional intake. Therefore, Imbalanced Nutrition: Less Than Body Requirements would be the priority. The mother reports that the child's sleeping is 'okay,' so disturbed sleep patterns would not be an issue. There is no evidence to suggest ineffective coping or ineffective breathing pattern.