A nurse understands that a central nervous system (CNS) stimulant would be indicated for a patient with which of the following health alterations?

Depression

Opiate overdose

Poor appetite

Narcolepsy

Answer and Explanation

The Correct Answer is D

A. Depression:

CNS stimulants are generally not indicated for depression. In fact, they can exacerbate symptoms and are not considered a first-line treatment for depressive disorders.

B. Opiate overdose:

CNS stimulants are not indicated for treating opiate overdose. In cases of overdose, other medications like naloxone are commonly used to reverse the effects of opioids.

C. Poor appetite:

CNS stimulants may be used to increase alertness and decrease fatigue, but they are not typically prescribed to address poor appetite. Appetite stimulation is often managed through other approaches.

D. Narcolepsy:

This is the correct answer. CNS stimulants, such as modafinil or methylphenidate, are commonly prescribed to manage symptoms of narcolepsy. These medications help improve wakefulness and reduce excessive daytime sleepiness.

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Correct Answer is ["100"]

Explanation

To calculate the infusion rate for gentamicin, the nurse needs to use the following formula:

infusion rate (mL/h) = volume (mL) x 60 / time (min).

Plugging in the given values, we get: infusion rate (mL/h) = 50 x 60 / 30 = 100.

Therefore, the nurse would program the electronic infusion pump at 100 mL/h.

A. Avoiding hot, spicy foods B. Avoiding tobacco products C. Drinking a glass of red wine with dinner D. Eating a snack before bedtime E. Using a small pillow for sleeping

Correct Answer is ["A","B","E"]

Explanation

A. Avoiding hot, spicy foods

Spicy foods can increase the production of stomach acid and may irritate the esophagus, worsening GERD symptoms. Avoiding hot and spicy foods is a dietary measure to minimize the risk of symptom exacerbation.

B. Avoiding tobacco products

Tobacco use is a known risk factor for GERD. Smoking can relax the lower esophageal sphincter (LES), allowing stomach acid to flow back into the esophagus. Advising the patient to quit or avoid tobacco products can contribute to symptom management.

C. Drinking a glass of red wine with dinner

While red wine may have some potential benefits, alcohol, in general, can relax the LES, leading to increased reflux. Therefore, drinking red wine with dinner may not be recommended for someone experiencing GERD symptoms.

D. Eating a snack before bedtime

Eating close to bedtime can increase the likelihood of GERD symptoms, as lying down may allow stomach acid to flow back into the esophagus. The nurse may advise against eating a snack right before bedtime to minimize nighttime reflux.

E. Using a small pillow for sleeping

Elevating the head and upper body during sleep can help prevent stomach acid from flowing into the esophagus. Using a small pillow for sleeping is a measure to reduce nighttime reflux and alleviate GERD symptoms.

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A nurse understands that a central nervous system (CNS) stimulant would be indicated for a patient with which of the following health alterations?

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Naxlex Comprehensive Predictor Exams

Prescribed is 80 mg of gentamicin in 50 mL to infuse in 30 minutes. The nurse would program the electronic infusion pump at what rate?

Correct Answer is ["100"]

Explanation

A patient who recently began having mild symptoms of GERD is reluctant to take medication. What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

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