Chapter 17 Flashcards
When a 12-year-old girl is prescribed methylphenidate, which is most important for the nurse to monitor?
a. Temperature
b. Respirations
c. I&O
d. Height & weight
d. Height & weight
Several children are admitted for diagnosis with possible ADHD. Which is most important for the nurse to observe?
a. A girl who is lethargic
b. A girl who lacks impulsivity
c. A boy with smooth coordination
d. A boy with an inability to complete tasks
d. A boy with an inability to complete tasks
The nurse monitoring a patient for methylphenidate withdrawal should observe the patient for which condition?
a. Tremors
b. Insomnia
c. Weakness
d. Tachycardia
c. Weakness
The nurse is teaching a patient to self-administer meds. The nurse knows that which drug is used to treat narcolepsy?
a. Modafinil
b. Atomoxetine
c. Lisdexamfetamine
d. Phendimetrazine
a. Modafinil
A newborn patient is in respiratory distress. The nurse anticipates preparation for which med to be given?
a. Modafinil
b. Armodafinil
c. Theophylline
d. Amphetamine
c. Theophylline
What is a priority nursing action when taking care of a patient who is prescribed a central nervous system (CNS) stimulant?
a. Keep the patient on bed rest
b. Monitor the patient for seizure activity
c. Continuously monitor the patient’s pulse rate
d. Obtain a bedside commode for the patient
b. Monitor the patient for seizure activity
* Central nervous system (CNS) stimulation occurs when the amount and duration of action of excitatory neurotransmitters are increased. This can lead to the development of seizure activity in the patient who has received a central nervous system stimulant.
The nurse is caring for a child taking methylphenidate (Ritalin). Assessment reveals a heart rate of 110, and the child is complaining of chest pain. What is the nurse’s highest priority action?
a. Administer an anti-anxiety agent
b. Assess for OTC med use
c. Stay with the child and use relaxation techniques
d. Hold the next dose of the med
b. Assess for OTC med use
* Methylphenidate interacts with over-the-counter cold medication. The nurse should assess for the use of over-the-counter medication use.
A patient taking methylphenidate is nauseous and vomiting. What is the nurse’s best action?
a. Monitor the patient’s vital signs
b. Ask the patient if he/she has been taking the med regularly
c. Assess the patient’s temp
d. Administer an antiemetic med
b. Ask the patient if he/she has been taking the med regularly
* Nausea, vomiting, and headache are symptoms of withdrawal. The nurse should find out if the patient has been taking the medication regularly.
Which following conditions would meet the medically approved criteria for use of CNS stimulants?
a. Weight loss in the morbidly obese (Select All)
b. ADHD in children
c. Promotion of wakefulness in narcolepsy
d. Reversal of respiratory distress
e. Severe depressive states
b. ADHD in children
c. Promotion of wakefulness in narcolepsy
d. Reversal of respiratory distress
*Medically approved use of CNS stimulants is limited to the treatment of attention-deficit/hyperactivity disorder in children, narcolepsy, and the reversal of respiratory distress. Although the drug has anorexiant properties, this is not its medically approved indication. It is not indicated for depression
Which is a priority nursing action when assessing for side effects expected in a patient taking analeptics?
a. Assessing the HR for bradycardia
b. Assessing patient for decreased mental alertness
c. Assessing BP for hypotension
d. Assessing patient for nervousness
d. Assessing patient for nervousness
* Analeptics are CNS stimulants, which cause nervousness as a side effect. The stimulation effect can result in increased heart rate, increased mental alertness, and hypertension as well.
The nurse is caring for a patient who describes symptoms indicative of narcolepsy. The nurse recognizes that the physician is most likely to order which medication for the patient?
a. Phentermine-topiramate
b. Diethylpropion HCl
c. Modafinil
d. Benzphetamine HCl
c. Modafinil
* Modafinil (Provigil) is indicated for treatment of narcolepsy.
Which suggestion should the nurse provide to the parents of a child taking methylphenidate for attention-deficit/hyperactivity disorder to offset anticipated side effects?
a. Suck on hard candy
b. Increase vitamin C in the diet
c. Decrease fluid intake prior to bedtime
d. Take the med with grapefruit juice
a. Suck on hard candy
* Side effects of amphetamines include dry mouth. Sucking on hard candy can help eliminate this effect. Vitamin loss does not accompany the use of amphetamines. Dehydration is not a common side effect, and grapefruit juice could alter the metabolism of the drug.
The patient asks the nurse if there is anything that the physician could order that would function as an appetite suppressant. The nurse anticipates that the physician may order which medications? Select all:
a. Phentermine-topiramate
b. Caffeine citrate
c. Diethylpropion HCl
d. Benzphetamine HCl
e. Armodafinil
a. Phentermine-topiramate
c. Diethylpropion HCl
d. Benzphetamine HCl
The nurse expects that a newborn who is experiencing apnea is most likely to be ordered treatment with which medication?
a. Diphenhydramine
b. Caffeine citrate
c. Benzphetamine HCl
d. Diethylpropion HCl
b. Caffeine citrate
Amphetamines
Drugs that stimulate the cerebral cortex of the brain
