The patient on methylphenidate (Ritalin) should be assessed for:
Signs of weight loss
Renal toxicity
Hypotension
Extreme euphoria and insomnia
The Correct Answer is A
A. Weight loss is a common side effect of methylphenidate (Ritalin) and should be monitored during treatment.
B. Methylphenidate is not typically associated with renal toxicity.
C. Methylphenidate can cause increases in blood pressure and heart rate, not hypotension.
D. Extreme euphoria and insomnia may indicate overstimulation or inappropriate dosing but are not typical side effects of methylphenidate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bile acid agents primarily work by binding to bile acids in the intestines, leading to increased excretion of bile acids and cholesterol, but they are not specifically indicated for reducing triglyceride levels.
B. Fibric acid agents, such as gemfibrozil and fenofibrate, are considered the drug of choice for decreasing triglyceride levels, primarily by increasing the breakdown of triglyceride-rich particles and reducing hepatic triglyceride production.
C. HMG-CoA reductase inhibitors (statins) primarily lower LDL cholesterol levels but may also have modest effects on triglyceride levels.
D. Statins primarily target LDL cholesterol levels and are not considered the first-line therapy specifically for reducing triglyceride levels.
Correct Answer is D
Explanation
A. Beta-adrenergic blockers primarily work by decreasing heart rate and contractility rather than directly affecting peripheral resistance.
B. Beta-adrenergic blockers decrease contractility and heart rate, rather than increasing them.
C. Relaxation of arterial and venous smooth muscle is typically associated with calcium channel blockers, not beta-adrenergic blockers.
D. Beta-adrenergic blockers slow the heart rate and reduce the force of contraction of the heart muscle, reducing myocardial oxygen demand and helping to relieve angina symptoms.
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