When assessing a patient taking stimulant medications, the nurse should monitor for which of the following?

Headache

Tachycardia

Dizziness

Dry mouth

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Numbness of fingers. Numbness or tingling (paresthesia) is more common in respiratory alkalosis due to low CO₂ levels causing calcium binding changes.

B. Dry skin. Respiratory acidosis does not typically cause dry skin; rather, it may cause cyanosis or flushed skin due to CO₂ retention.

C. Abdominal pain. Abdominal pain is more commonly seen in metabolic acidosis, not respiratory acidosis.

D. Lethargy. Respiratory acidosis leads to CO₂ retention, which depresses the central nervous system, causing lethargy, confusion, and even coma in severe cases.

A. Hypotension, urinary retention, and blurred vision B. Dizziness, lethargy, and headache C. Hypomania, arrhythmias, and panic attacks D. Confusion, restlessness, tachycardia, and diparesis

Correct Answer is D

Explanation

A. Hypotension, urinary retention, and blurred vision: These symptoms are more characteristic of anticholinergic toxicity rather than serotonin syndrome.

B. Dizziness, lethargy, and headache: These symptoms are non-specific and do not define serotonin syndrome, which involves neuromuscular, autonomic, and mental status changes.

C. Hypomania, arrhythmias, and panic attacks:. While serotonin syndrome can cause agitation, it does not cause hypomania (a mild form of mania). Arrhythmias can occur but are not a hallmark symptom.

D. Confusion, restlessness, tachycardia, and diaphoresis: Serotonin syndrome is characterized by mental status changes (confusion, agitation), autonomic instability (tachycardia, hypertension, hyperthermia), and neuromuscular abnormalities (hyperreflexia, tremors, clonus).

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When assessing a patient taking stimulant medications, the nurse should monitor for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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