A 29-year-old patient is admitted to the intensive care unit with the following symptoms: restlessness, hyperactive reflexes, talkativeness, confusion and periods of panic, and tachycardia. The nurse suspects that he may be experiencing the effects of taking which substance?

Opioids

Depressants

Alcohol

Stimulants

Answer and Explanation

The Correct Answer is D

A.   Opioids: Opioids typically cause sedation, respiratory depression, and decreased reflexes, which are opposite to the symptoms described.
B.   Depressants: Depressants, such as benzodiazepines or alcohol, would likely cause sedation, decreased reflexes, and confusion, but not the symptoms of restlessness, talkativeness, and hyperactive reflexes.
C.   Alcohol: While alcohol intoxication can cause confusion, talkativeness, and tachycardia, it is less likely to result in hyperactive reflexes and restlessness as described.
D.   Stimulants: Stimulants, such as amphetamines or cocaine, can cause restlessness, hyperactivity, talkativeness, confusion, panic, and tachycardia, matching the symptoms described.

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Correct Answer is A

Explanation

A. Decreased weight: Orlistat is a medication used for weight management by inhibiting the absorption of dietary fats. Its intended therapeutic effect is to promote weight loss by reducing the amount of fat absorbed from the diet.
B. Increased appetite: Orlistat does not increase appetite; rather, it may help control appetite by promoting satiety through its mechanism of action.
C. Decreased hyperactivity: Orlistat is not indicated for the treatment of hyperactivity.

D. Increased wakefulness: Orlistat does not affect wakefulness; it primarily acts in the gastrointestinal tract to inhibit fat absorption.

A. Increased heart rate B. Decrease in urinary bladder muscle tone C. Increased blood pressure D. Decreased salivation E. Decreased bowel sounds

Correct Answer is ["A","C"]

Explanation

A. Increased heart rate: Sympathetic nervous system stimulation typically leads to increased heart rate as part of the "fight or flight" response.
B. Decrease in urinary bladder muscle tone: Sympathetic stimulation would typically cause relaxation of the urinary bladder, leading to increased muscle tone.
C. Increased blood pressure: Sympathetic nervous system activation results in vasoconstriction and increased cardiac output, leading to elevated blood pressure.
D. Decreased salivation: Sympathetic stimulation can lead to decreased salivation as part of the "fight or flight" response, but it's not a consistent finding.
E. Decreased bowel sounds: Sympathetic activation can inhibit gastrointestinal motility, leading to decreased bowel sounds, but it's not a universal finding in sympathetic stimulation.

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A 29-year-old patient is admitted to the intensive care unit with the following symptoms: restlessness, hyperactive reflexes, talkativeness, confusion and periods of panic, and tachycardia. The nurse suspects that he may be experiencing the effects of taking which substance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When evaluating a patient who is taking orlistat, which is an intended therapeutic effect?

Correct Answer is A

Explanation

The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply. (Select All that Apply.)

Correct Answer is ["A","C"]

Explanation

The nurse is assessing a patient for contraindications to drug therapy with acetaminophen. Which patient should not receive acetaminophen?

An adrenergic agonist is ordered for a patient in shock. The nurse will note that this drug has had its primary intended effect if which expected outcome occurs?

The opioid acetaminophen/hydrocodone is prescribed for a patient who has had surgery. The nurse informs the patient that which common adverse effects can occur with this medication? (Select all that apply.)

When a patient is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?

During the immediate postoperative period, the Post Anesthesia Care Unit nurse is assessing a patient who had hip surgery. The patient is experiencing tachycardia, tachypnea, and muscle rigidity, and his temperature is 103°F (39.4°C). The nurse will prepare for what immediate treatment?