Chapter 14: Central Nervous System Stimulants and Related Drugs Flashcards
Which condition is an indication for a central nervous system (CNS) stimulant drug?
a. Insomnia
b. Depression
c. Appetite enhancement
d. Appetite suppression
d. Appetite suppression
Caffeine should be used with caution in which patient?
a. A male with a history of peptic ulcers
b. A female with a history of migraine headaches
c. A teenager with a history of asthma
d. A male with a history of kidney stones
a. A male with a history of peptic ulcers
A patient has a new prescription for orlistat as part of his treatment for weight loss. What
important information should the nurse include when providing patient education about
orlistat?
a. This medication is a CNS stimulant.
b. This medication reduces fat absorption by about 30%.
c. This drug is used for obese patients with a body mass index (BMI) of 25 or higher.
d. This drug is most effective for individuals with Crohn’s disease.
b. This medication reduces fat absorption by about 30%.
A 6-year-old boy has been started on methylphenidate hydrochloride (Ritalin) for the
treatment of attention deficit hyperactivity disorder (ADHD). His mother tells the nurse that
she has been giving the medication at bedtime so that it will be “in his system” when he goes
to school the next morning.
Which is the nurse’s best response to the patient’s mother?
a. The medication dosage is being given appropriately.
b. The medication should not be taken until the boy is at school.
c. The medication should be taken with meals for optimal absorption.
d. The medication should be given 4 to 6 hours before bedtime to diminish the
insomnia it causes.
d. The medication should be given 4 to 6 hours before bedtime to diminish the
insomnia it causes.
A 22-year-old nursing student has been taking Excedrin Extra-Strength tablets for the past few
weeks to “make it through” the end of the semester and examination week. The feeling of
being “exhausted” has brought the patient to the clinic today. Which nursing diagnosis is
appropriate?
a. Nonadherence
b. Impaired physical mobility
c. Disturbed sleep pattern
d. Imbalanced nutrition (less than body requirements)
c. Disturbed sleep pattern
Which CNS stimulant drug is used to treat acute migraines?
a. zolmitriptan (Zomig®)
b. Amphetamines
c. modafinil (Alertec®)
d. methylphenidate hydrochloride (Ritalin®)
a. zolmitriptan (Zomig®)
A 10-year-old boy has been on methylphenidate hydrochloride (Ritalin) for almost 6 months.
His mother reports that he seems to have stopped growing.
Which is the nurse’s best answer to the patient’s mother?
a. Growth will occur with the onset of puberty.
b. Growth can be promoted with a high-protein diet.
c. Growth in 10-year-old children tends to be slower.
d. Temporary slowing of growth is expected with Ritalin therapy.
d. Temporary slowing of growth is expected with Ritalin therapy.
A 10-year-old will be started on methylphenidate hydrochloride (Ritalin) therapy. What
important baseline assessment should be done before therapy with this drug is started?
a. Eye examination
b. Height and weight
c. Liver studies
d. Cognitive function
b. Height and weight
Before administering sumatriptan (Imitrex®) to a patient for the treatment of a migraine
headache, the nurse should assess for the presence of which condition?
a. Hypotension
b. Renal disease
c. Liver damage
d. Coronary artery disease
d. Coronary artery disease
The nurse is evaluating a patient who is taking modafinil (Alertec). Which is an intended therapeutic effect? a. Increased wakefulness b. Increased appetite c. Suppressed appetite d. Decreased hyperactivity
a. Increased wakefulness
Ginkgo biloba is a natural health product that is used for treatment of which condition what purpose? a. Improving memory b. Suppressing appetite c. Treating ADHD d. Stimulating appetite
a. Improving memory
Which CNS stimulant is commonly used in conjunction with supportive measures to treat the
respiratory depression that may occur in postoperative recovery?
a. theophylline
b. amphetamine
c. benzphetamine
d. methylphenidate hydrochloride (Ritalin)
a. theophylline
