A client is being prescribed a central nervous system stimulant. Which will haw lowest risk of abuse and dependence?

Dextroamphetamine

Dexmethylphenidate

Dextroamphetamine and amphetamine

Atomoxetme

Answer and Explanation

The Correct Answer is D

Atomoxetine is a non-stimulant medication that is used to treat attentiondeficit/hyperactivity disorder (ADHD). Unlike central nervous system (CNS) stimulants such as dextroamphetamine, dexmethylphenidate, and dextroamphetamine/amphetamine, atomoxetine does not have a high risk of abuse or dependence.

CNS stimulants like dextroamphetamine, dexmethylphenidate, and dextroamphetamine/amphetamine can be effective in treating ADHD symptoms, but they can also be abused and lead to dependence. These medications work by increasing levels of dopamine and norepinephrine in the brain, which can improve focus and attention. However, they also have the potential to be misused, particularly by individuals seeking a "high" or increased alertness.

In contrast, atomoxetine works by selectively inhibiting the reuptake of norepinephrine in the brain. This mechanism of action does not produce the same effects on dopamine levels as CNS stimulants, and it is not associated with a high risk of abuse or dependence. However, it may take several weeks for the full therapeutic effects of atomoxetine to be seen, and it may not be as effective as CNS stimulants for some individuals with ADHD.

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Correct Answer is A

Explanation

Schizophrenia is believed to be related to an overactivity of the dopamine system in certain areas of the brain. Antipsychotic medications, which are the primary treatment for schizophrenia, work by blocking dopamine receptors, thereby decreasing the activity of the dopamine system. This is referred to as the dopamine hypothesis of schizophrenia.

A. Massage the chosen injection site. B. Assess the client's urine for the presence of glucose. C. Assess the client's understanding of diabetes. D. Have a colleague confirm the dosage.

Correct Answer is D

Explanation

This intervention is important to ensure accurate dosing and prevent medication errors. Insulin is a high-alert medication, meaning that it has a high potential for causing significant harm to the patient if administered incorrectly. Doublechecking the insulin dosage with a colleague can help prevent errors in dosing, which could lead to hypoglycemia or hyperglycemia in the client. It is also important to confirm the dosage since insulin dosing is based on individualized factors such as the client's blood glucose levels, weight, and overall health status.

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A client is being prescribed a central nervous system stimulant. Which will haw lowest risk of abuse and dependence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has been diagnosed with schizophrenia. The nurse understands that the client's condition is thought to be most likely related to an increased level of activity of what neurotransmitter?

Correct Answer is A

Explanation

The nurse is preparing to administer 20 units of NPH insulin to a client. Before administering the medication, the nurse should implement which intervention?

Correct Answer is D

Explanation

A client who regularly takes metformin has developed a severe infection. How will the infection change the established diabetic regimen?

A client is to be started on amphetamine therapy for attention deficit hyperactivity disorder. Which medication has less physical dependence and abuse than other amphetamines?

A client with a history of heroin use has begun addiction treatment. The nurse had administered the client's daily dose of methadone. How does methadone therapy affect opioid addiction?

Hydrocortisone has been prescribed to a client for the treatment of Addison's disease What action should the nurse encourage the client to take regarding the selfadministration of this medication?

An 8-month-old infant admitted with a new diagnosis of diabetes is to receive 1 unit of regular insulin. How will that 1 unit be administered?

A client is diagnosed with overdose of diazepam. What drug does the nurse anticipate being administered?

A client is being prescribed dextroamphetamine for the treatment of attention deficit hyperactivity disorder (ADHD). During health education, the nurse should make the client aware of the black box warning relating to what potential risk issue?

An adult client underwent a short plasma corticotropin (ACTH) stimulation test this morning. What subsequent assessment finding would rule out a diagnosis of adrenal insufficiency?