When assessing a patient taking stimulant medications, the nurse should monitor for which of the following?
Headache
Tachycardia
Dizziness
Dry mouth
The Correct Answer is B
A. Headache: While headaches can occur, they are not the most concerning side effect of stimulant medications.
B. Tachycardia: Stimulant medications, such as those used to treat ADHD (e.g., methylphenidate, amphetamines), increase central nervous system activity, which can lead to an increased heart rate (tachycardia).
C. Dizziness: While dizziness can occur, it is not the primary concern with stimulants.
D. Dry mouth: Dry mouth is a possible side effect but is not as clinically significant as tachycardia when monitoring for adverse effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Polyuria: COPD with chronic respiratory acidosis is not associated with excessive urine production. Instead, clients may experience fluid retention due to right-sided heart failure (cor pulmonale).
B. Delirium: Chronic respiratory acidosis leads to CO₂ retention, which can cause confusion, drowsiness, and even delirium due to cerebral vasodilation and altered mental status.
C. Osteoporosis: While COPD patients may have osteoporosis due to steroid use or inactivity, it is not a direct effect of chronic respiratory acidosis.
D. Anxiety and depression: While common in COPD due to lifestyle limitations, anxiety and depression are not direct physiological effects of respiratory acidosis.
Correct Answer is C
Explanation
A. Financial stability: Financial stability is a protective factor against suicide.
B. Engaging in extracurricular activities: Social involvement and participation in activities generally reduce suicide risk.
C. Loss of a job: Job loss is a significant psychosocial stressor that can contribute to feelings of hopelessness, depression, and suicidal ideation.
D. Exercising caution in behavior: Individuals at risk for suicide often engage in impulsive or risky behavior, not cautious behavior.
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