A nurse is caring for a client who has been taking amphetamine (Adderall) for attention-deficit/hyperactivity disorder (ADHD). The client reports insomnia, weight loss, and palpitations. Which of the following actions should the nurse take?

Advise the client to stop taking the medication immediately

Assess the client for signs of substance abuse

Encourage the client to increase fluid and food intake

Notify the provider of the client's symptoms

Answer and Explanation

The Correct Answer is D

Correct answer: d) Notify the provider of the client's symptoms

Rationale: Insomnia, weight loss, and palpitations are common adverse effects of amphetamine and other stimulants. The nurse should notify the provider of these symptoms as they may indicate a need for dosage adjustment or discontinuation of the medication.

Incorrect choices:

a) Advise the client to stop taking the medication immediately: The nurse should not advise the client to stop taking a prescribed medication without consulting with the provider. Abrupt cessation of amphetamine can cause withdrawal symptoms such as fatigue, depression, and irritability.

b) Assess the client for signs of substance abuse: While amphetamine has a high potential for abuse and dependence, these symptoms do not necessarily indicate that the client is abusing the medication. The nurse should assess the client for other signs of substance abuse such as increased tolerance, craving, loss of control, and impaired functioning.

c) Encourage the client to increase fluid and food intake: While increasing fluid and food intake may help with dehydration and malnutrition caused by amphetamine use, this does not address the underlying problem of adverse effects from the medication.

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Correct Answer is A

Explanation

Correct answer: a) Grapefruit juice

Rationale: Grapefruit juice can increase the blood levels of alprazolam and other benzodiazepines by inhibiting their metabolism in the liver. This can result in increased sedation, drowsiness, and risk of adverse effects.

Incorrect choices:

b) Green tea: Green tea does not interact with alprazolam or other benzodiazepines.

c) Vitamin C: Vitamin C does not interact with alprazolam or other benzodiazepines.

d) Calcium supplements: Calcium supplements do not interact with alprazolam or other benzodiazepines.

A. Administer naloxone (Narcan) B. Administer flumazenil (Romazicon) C. Administer activated charcoal D. Administer acetylcysteine (Mucomyst)

Correct Answer is B

Explanation

Correct answer: b) Administer flumazenil (Romazicon)

Rationale: Flumazenil is an antidote for benzodiazepine overdose that works by blocking the benzodiazepine receptors in the brain. It can reverse the effects of benzodiazepines such as sedation, respiratory depression, and coma.

Incorrect choices:

a) Administer naloxone (Narcan): Naloxone is an antidote for opioid overdose that works by displacing opioids from their receptors in the brain. It has no effect on benzodiazepines or their receptors.

c) Administer activated charcoal: Activated charcoal is a substance that binds to drugs or toxins in the gastrointestinal tract and prevents their absorption into the bloodstream. It may be useful for some cases of drug overdose, but it is not effective for benzodiazepines as they are rapidly absorbed and distributed in the body.

d) Administer acetylcysteine (Mucomyst): Acetylcysteine is an antidote for acetaminophen overdose that works by replenishing glutathione, a substance that helps detoxify acetaminophen in the liver. It has no effect on benzodiazepines or their metabolism.

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A nurse is caring for a client who has been taking amphetamine (Adderall) for attention-deficit/hyperactivity disorder (ADHD). The client reports insomnia, weight loss, and palpitations. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed alprazolam (Xanax) for anxiety disorder. The nurse should instruct the client to avoid which of the following substances while taking this medication?

Correct Answer is A

Explanation

A nurse is planning care for a client who has a benzodiazepine overdose. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

A nurse is teaching a client who is prescribed disulfiram (Antabuse) for alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assessing a client who has a history of opioid abuse and is experiencing withdrawal symptoms. Which of the following findings should the nurse expect?

A nurse is caring for a client who has been taking amphetamine (Adderall) for attention-deficit/hyperactivity disorder (ADHD). The client reports insomnia, weight loss, and palpitations. Which of the following actions should the nurse take?

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A nurse is reviewing the medication history of a client who is prescribed lithium carbonate (Lithobid) for bipolar disorder. Which of the following medications should alert the nurse to a potential drug interaction?

A nurse is assessing a client who has been prescribed oxycodone for chronic pain. Which of the following signs and symptoms should alert the nurse to possible prescription drug abuse?

A nurse is caring for a client who has been prescribed benzodiazepines for anxiety disorder. The client tells the nurse that they have been taking more than the prescribed dose because they feel more anxious lately. Which of the following actions should the nurse take?