Nokea
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.
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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.
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.
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.
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 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.