The nurse is reviewing the use of central nervous system stimulants. Which of these are indications for this class of drugs? (Select all that apply.)

(Select All that Apply.)

Attention deficit hyperactivity disorder (ADHD)

Panic attacks

Narcolepsy

Neonatal apnea

Answer and Explanation

Correct Answer : A,C,E

A. Attention deficit hyperactivity disorder (ADHD) - Correct. CNS stimulants like

methylphenidate and amphetamine derivatives are commonly used to treat ADHD by improving attention, focus, and impulse control.

B. Panic attacks - Incorrect. CNS stimulants are not typically used to treat panic attacks.

Medications such as benzodiazepines or selective serotonin reuptake inhibitors (SSRIs) are more commonly used for panic disorder.

C. Narcolepsy - Correct. CNS stimulants are used to treat narcolepsy, a sleep disorder characterized by excessive daytime sleepiness and sudden attacks of sleep.

D. Neonatal apnea - Incorrect. CNS stimulants are not indicated for neonatal apnea.

Management of neonatal apnea usually involves supportive measures, respiratory support, and caffeine citrate as a respiratory stimulant.

E. Obesity - Correct. CNS stimulants like phentermine are sometimes used as adjuncts to diet and exercise for short-term management of obesity

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Correct Answer is A

Explanation

A. The benefit to eating frequent small meals during the day: Nonselective beta-blockers can mask symptoms of hypoglycemia, making it harder for patients with diabetes to recognize low
blood sugar levels. Eating frequent small meals can help stabilize blood sugar levels and reduce the risk of hypoglycemia.
B. Perform more frequent blood glucose checks due to effects of the drug: While it's important for patients with diabetes to monitor their blood glucose levels regularly, this instruction doesn't directly address the potential masking of hypoglycemia symptoms by beta-blockers.
C. The need to weight himself once per week at the same time of the day: Weight monitoring is important for overall health management but is not specifically related to the use of nonselective beta-blockers in diabetes management.
D. The correct method for taking their own apical pulse: Knowing how to take one's own apical pulse is important for some individuals, but it's not directly related to the management of
diabetes with nonselective beta-blockers.

A. Constricted pupils B. Increased heart rate C. Bronchial constriction D. Increased GI peristalsis

Correct Answer is B

Explanation

A. Constricted pupils: Adrenergic agonist drugs typically cause pupil dilation (mydriasis), not constriction.
B. Increased heart rate: Adrenergic agonists stimulate the sympathetic nervous system, leading to increased heart rate (positive chronotropic effect) and increased cardiac contractility (positive
inotropic effect).

C. Bronchial constriction: Adrenergic agonists typically cause bronchodilation, not constriction.

D. Increased GI peristalsis: Adrenergic agonists usually inhibit GI motility, leading to decreased GI peristalsis and potentially constipation

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The nurse is reviewing the use of central nervous system stimulants. Which of these are indications for this class of drugs? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 64-year-old male client with diabetes who is being treated with a nonselective beta-blocker. What health education should the nurse prioritize with this client?

Correct Answer is A

Explanation

When a patient is taking an adrenergic agonist drug, the nurse expects to observe which effect?

Correct Answer is B

Explanation

A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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?

The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?

A patient has been taking ergotamine to relieve their migraines. Which of the following adverse effects would indicate to the nurse that the drug may have entered into toxic levels?

The nurse is reviewing the use of central nervous system stimulants. Which of these are indications for this class of drugs? (Select all that apply.)

A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy. He tells the nurse that he feels tense and that the least little thing bothers him now. Which is the correct explanation for this problem?