Stimulants & Depressants

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C

A new nurse is admitting a patient who has received doxapram. The nurse recognizes that this is which type of drug? A) Inhaled respiratory stimulant. B) Narcotic antagonist. C) Postanesthetic respiratory stimulant. D) Long-acting narcotic.

C

A newborn patient is in respiratory distress. The nurse anticipates preparation for which medication to be given? A) Modafinil. B) Armodafinil. C) Theophylline. D) Amphetamine.

C

A nurse is caring for a client who is receiving moderate sedation with diazepam IV. The client is oversedated. Which of the following medications should the nurse expect to administer to this client? A) Ketamine. B) Naltrexone. C) Flumazenil. D) Fluvoxamine.

B

A patient is taking ramelteon for insomnia. The nurse prepares a care plan that includes monitoring of the patient for side effects/ adverse reactions of this drug. Which is a side effect of ramelteon? A) Insomnia. B) Bradycardia. C) Laryngospasm. D) Sleep-related behaviors.

C

The 61-year-old patient will be receiving spinal anesthesia for surgery. She states, "Why do I have to sit a certain way? Why can't I just be comfortable?" What is the nurse's best response? A) "It is easier for the anesthesiologist if you sit this way." B) "Because of your age, you have to sit straight up." C) "The anesthesia is injected in a specific area so it distributes evenly." D) "You can sit however you like."

A, B, C & E

The 7 1-year-old patient presents to the health care provider with complaints of inability to go to sleep and inability to stay asleep. What question(s) will the nurse ask to further evaluate her complain? (Select all that apply.) A) "Do you have a bedtime routine?" B) "How many caffeinated beverages do you drink per day?" C) "Do you take naps?" D) "Do you sleep with the windows open?" E) "Are you taking diuretics?"

B

The nurse expects that a newborn who is experiencing apnea is most likely to be ordered treatment with which medication? A) Diphenhydramine B) Caffeine citrate C) Benzphetamine HCl D) Diethylpropion HCl

C

The nurse is assessing a patient with a history of chronic sedative use. The nurse notes the patient is exhibiting muscle twitching, tremors, and dizziness, especially on moving from sitting to standing. Which reaction is the patient experiencing? A) Tolerance to the sedative B) Underdosing of the sedative C) Dependence to the sedative D) An allergic response to the sedative

C

The nurse is caring for a patient who is taking barbiturate. Which assessment finding requires immediate action by the nurse? A) History of a sleep disorder B) +1 pitting edema of the lower extremities C) Urinary output of 10 mL/h D) Blood pressure of 140/95 mm Hg

A

The nurse is caring for a young adult patient who is receiving a first dose of flurazepam (Dalmane) as a sedative-hypnotic medication. What intervention will be included in the nurses plan of care for this patient? A) Instituting a bed alarm system to prevent falls B) Reassuring the patient that nightmares are not a usual effect C) Reporting a urine output greater than 1500 mL/day D) Teaching the patient that this drug may be used for 6 to 8 weeks

B

The nurse is checking an 8-year-old child who has ADHD into a clinic for an annual well-child visit. The child takes methylphenidate HCl (Ritalin). Which assessments are especially important for this child? A) Heart rate, respiratory rate, and oxygen saturation B) Height, weight, and blood pressure C) Measures of fine- and gross-motor development D) Nausea, vomiting, and gastrointestinal upset

C

The nurse is monitoring a patient for methylphenidate withdrawal should observe the patient for which condition? A) Tremors. B) Insomnia. C) Weakness. D) Tachycardia.

C

The nurse is performing a medication history on a patient who reports using phentermine HCl (Suprenza) 15 mg/day for the past 3 months as an appetite suppressant. The nurse will contact the patients provider to discuss A) changing the medication to phentermine-topiramate (Qsymia). B) increasing the dose to 37.5 mg/day since tolerance has likely occurred. C) initiating a slow taper of the phentermine. D) stopping the drug immediately since long-term use is not recommended

C

The parent of an obese 10-year-old child asks the nurse about medications to aid in weight loss. Which response by the nurse is correct? A) Anorexiants are often used to jump start a weight loss regimen in children. B) Children are able to use over-the-counter anorexiants on a long-term basis. C) Children under 12 years of age should not use weight loss drugs. D) Side effects of anorexiants occur less often in children.

A, C & D

The patient asks the nurse if there is anything that the physician could order that would function as an appetite suppressant. The nurse anticipates that the physician may order which medications? (Select all that apply.) A) Phentermine-topiramate B) Caffeine citrate C) Diethylpropion HCl D) Benzphetamine HCl E) Armodafinil

D

The patient has a history of migraines, depression, and hypertension and has been started on phentermine-topiramate. For which condition is phentermine-topiramate used? A) ADHD. B) Asthma. C) Narcolepsy. D) Short-term weight management.

B

The patient has been diagnosed with a seizure disorder. The nurse knows that which drugs may be prescribed to control seizures? A) Intermediate-acting barbiturates. B) Long-acting barbiturates. C) Short-acting barbiturates. D) Ultra-short acting barbiturates.

A, B, C & D

The patient has been prescribed methylphenidate for the treatment of narcolepsy. What priority teaching consideration(s) should be included for this patient? (Select all that apply.) A) Avoid operating hazardous equipment. B) Caffeine should be avoided. C) Nervousness and tremors may occur. D) Take the medication before meals. E) Report any weight gain.

A

The patient has been prescribed phentermine hydrochloride for obesity. The patient also has Parkinson's disease and takes selegiline. What should the nurse do before the patient starts the new drug. A) Contact the patient's primary health care provider to verify the prescription. B) Have baseline lab work drawn to assess liver function. C) Tell the patient to immediately stop taking the selegiline. D) Tell the patient to increase fluid intake with the next meal.

C

The patient has recently been prescribed a benzodiazepine and reports experiencing vivid dreams. What does this symptom indicate? A) Overdosage of the medication B) Allergic reaction to the medication C) Therapeutic effect of the medication D) Inadequate amount of the medication

A, B, C, D & F

The patient is being treated with methylphenidate for ADHD. What common side/adverse effect(s) should the patient and family be informed might occur? (Select all that apply.) A) Euphoria. B) Headache. C) Hypertension. D) Irritability. E) Orthostatic hypotension. F) Vomiting.

A

The patient is undergoing anesthesia in preparation for a procedure. The patient is experiencing hallucinations and dreams. Which anesthesia stage is the patient most likely experiencing? A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4

A

The patient is undergoing anesthesia in preparation for surgery. The patient is starting to have difficulty speaking and is losing the sensation of pain. Which anesthesia stage is the patient most likely experiencing? A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4

A

The patient works 12-hour night shifts one week and 12-hour day shifts the next week. He tells the nurse he has been taking "some kind of sleeping pill from the drugstore." What does the nurse suspect is the most likely main ingredient in the OTC sleep drug? A) Antihistamine. B) Barbiturates. C) Benzodiazepines. D) Melatonin.

B

The pediatric patient has been started on methylphenidate for ADHD. What information should the nurse include in the health teaching? A) Constipation is a common side effect. B) Counseling should be combined with drug. C) This drug will only be used for a few weeks. D) Weight gain is to be expected.

B, C & D

Which following conditions would meet the medically approved criteria for use of CNS stimulants? (Select all that apply.) A) Weight loss in the morbidly obese B) Attention-deficit/hyperactivity disorder in children C) Promotion of wakefulness in narcolepsy D) Reversal of respiratory distress E) Severe depressive states

A

A college-age student is brought to the emergency department by friends after consuming NoDoz tablets along with several cups of coffee and a few energy drinks. The patient is complaining of nausea and diarrhea and appears restless. The nurse understands that A) arrhythmias and convulsions may occur. B) caffeine dependence does not occur. C) effects of the substances will wear off shortly. D) severe adverse effects do not occur.

A, D & E

A nurse is providing instructions to a client who has been experiencing insomnia and has a new prescription for temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? (Select all that apply.) A) Incoordination. B) Hypertension. C) Pruritus. D) Sleep driving. E) Amnesia.

D

A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include? A) "Take this medication on an empty stomach." B) "Expect optimal therapeutic effects within 24 hours." C) "Take this medication when needed for anxiety." D) "This medication has a low risk for dependency."

C

A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? A) "I should take the medication on an empty stomach." B) "I will follow a low-sodium diet while taking this medication." C) "I need to discontinue this medication slowly." D) "I should not crush this medication before swallowing."

B

A nurse is teaching a client who has a new prescription for ramelteon. The nurse should instruct the client to avoid which of the following foods at the time of medication administration? A) Backed potato. B) Fried chicken. C) Whole-grain bread. D) Citrus fruits.

B

A nurse is teaching a patient about zolpidem. Which is important for the nurse to include in the teaching of this drug? A) The maximum dose is 20 mg/day. B) It is used for short-term treatment less than 10 days. C) For older adults, the dose is 15 mg at bedtime. D) The drug should only be used for 21 days or less.

B

A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority? A) Administer flumazenil. B) Identify the client's level of orientation. C) Infuse IV fluids. D) Prepare the client for gastric lavage.

B

A patient asks the nurse about taking over-the-counter sleeping aids. The nurse will tell the patient that the active ingredient in these products is often a(n) A) antiemetic. B) antihistamine. C) barbiturate. D) benzodiazepine.

A

A patient describes having vivid dreams to the nurse. The nurse understands that these occur during which stage of sleep? A) Rapid eye movement (REM) sleep B) Stage 2 nonrapid eye movement sleep C) Stage 3 nonrapid eye movement sleep D) Stage 4 nonrapid eye movement sleep

A

A patient has been using an amphetamine drug as an anorexiant for several weeks and asks the nurse about long-term adverse effects of this type of medication. The nurse will explain to the patient that these drugs A) can cause cardiac dysrhythmias. B) contribute to the development of narcolepsy. C) do not have severe effects when used properly. D) will cause orthostatic hypotension.

A

A patient is admitted to the emergency department with an overdose of benzodiazepine. Which antidote will the nurse expect to administer? A) Flumazenil B) Naloxone C) Naltrexone D) Nalmefene

C

A patient is brought to the emergency department with a drug overdose causing respiratory depression. Which drug will the nurse expect to administer? A) Albuterol (Proventil) B) Caffeine (Cafcit) C) Doxapram (Dopram) D) Methylphenidate (Ritalin)

D

A patient is taking triazolam. Which instructions about this drug are important for the nurse to include? A) It may be used as a barbiturate for only 4 weeks. B) Use as a nonbenzodiazepine to reduce anxiety. C) It may cause agranulocytosis and thrombocytopenia. D) Avoid alcohol and smoking while taking this drug.

A, B & C

A patient is to receive conscious sedation for a minor surgical procedure. Which drug administration should the nurse expect? (Select all that apply.) A) Propofol to reduce anxiety. B) Lidocaine to provide local anesthesia. C) Midazolam to promote sedation and following of commands. D) Ketamine for rapid induction and prolonged duration of action. E) Phenobarbital for short-acting duration of sleep.

C

A patient received spinal anesthesia. Which is most important for the nurse to monitor? A) Loss of consciousness. B) Hangover effects and dependence. C) Hypotension and headaches. D) Excitement or delirium.

B

A patient reports difficulty falling asleep most nights and is constantly fatigued. The patient does not want to take medications to help with sleep. What nonpharmacologic measure will the nurse recommend? A) Exercise in the evening to promote bedtime fatigue. B) Get out of bed at the same time each morning. C) Have a glass of wine at bedtime to help you relax. D) Take daytime naps to minimize daytime fatigue.

C

A patient reports difficulty staying awake during the daytime in spite of getting adequate sleep every night. Which medication will the nurse expect the provider to order for this patient? A) Caffeine (NoDoz) B) Methylphenidate (Ritalin) C) Modafinil (Provigil) D) Theophylline

A

A patient reports having recurring headaches described as 1 to 2 headaches per day for several weeks. The nurse understands that these headaches are most likely descriptive of which type of headache? A) Cluster headache B) Migraine headache C) Simple headache D) Tension headache

C & D

A patient returns to the unit after having surgery with spinal anesthesia. What does the nurse know is/are the best action(s) to take to decrease the possibility of spinal headache? (Select all that apply.) A) Administer morphine 1 to 2 mg IV. B) Ambulate the patient as soon as she regains sensation. C) Encourage the patient to stay flat in bed. D) Increase fluid intake. E) Position the patient in high-Fowler's position.

C

A patient taking lorazepam asks the nurse how this drug works. The nurse should respond by stating that it is a benzodiazepine that acts by which mechanism? A) Depressing the CNS, leading to a loss of consciousness. B) Depressing the CNS, including the motor and sensory activities. C) Increasing the action of the inhibitory neurotransmitter GABA to GABA receptors. D) Creating an epidural block by placement of the local anesthetic into the epidural space.

B

A patient taking methylphenidate is nauseous and vomiting. What is the nurse's best action? A) Monitor the patient's vital signs. B) Ask the patient if he or she has been taking the medication regularly. C) Assess the patient's temperature. D) Administer an antiemetic medication.

D

A patient who has been taking a benzodiazepine as a sleep aid for several months wishes to stop taking the medication. The nurse will suggest that the patient taper the dose gradually to avoid which effect? A) Depression B) Hangover C) Hypnotic rebound D) Withdrawal

B

A patient who has been taking butabarbital (Butisol) for several weeks reports being drowsy and having difficulty performing tasks at work most mornings. The nurse suspects that which drug effects have occurred? A) Dependence B) Hangover C) Tolerance D) Withdrawal

D

An older adult has difficulty falling asleep. The nurse understands that which sedative hypnotic is appropriate for this patient? A) Butabarbital (Butisol) B) Flurazepam (Dalmane) C) Secobarbital (Seconal) D) Temazepam (Restoril)

D

An older adult patient reports frequent nighttime awakening because of arthritis pain and asks the nurse about taking an over-the-counter product to help with this problem. The nurse will recommend that the patient discuss which medication with the provider? A) Ibuprofen (Motrin) B) Nytol C) Sominex D) Tylenol PM

A, D & E

CNS stimulants are absolutely contraindicated for patients with a history of which condition(s)? (Select all that apply.) A) Coronary artery disease. B) Diabetes. C) Hypothyroidism. D) Hypertension. E) Glaucoma.

B

Children who experience nightmares have these during which stage of sleep? A) Early morning sleep B) Nonrapid eye movement sleep C) Rapid eye movement sleep D) Sleep induction

D

During balanced anesthesia, which type of medication is given while the surgery is performed? A) Anticholinergics B) Benzodiazepines C) Hypnotics D) Inhaled anesthetic

C

During which phase of sleep do most recallable dreams occur? A) Stage 1 of nonrapid eye movement sleep B) Stage 2 of nonrapid eye movement sleep C) During rapid eye movement (REM) sleep D) Throughout all phases of sleep

A

It is important for the nurse teaching the patient regarding secobarbital to include which information about the drug? A) It is a short-acting drug that may cause one to awaken early in the morning. B) It is an intermediate-acting drug that frequently causes REM rebound. C) It is an intermediate-acting drug that frequently causes a hangover effect. D) It is a long-acting drug that is frequently associated with dependence.

D

Several children are admitted for diagnosis with possible ADHD. Which is most important for the nurse to observe. A) A girl who is lethargic. B) A girl who lacks impulsivity. C) A boy with smooth coordination. D) A boy with an inability to complete tasks.

C

The 18-year-old patient is brought to the emergency department by her roommates. Her blood pressure is 220/136 mm Hg, heart rate 142 bpm, and respiratory rate is 20 breaths/min. She is responsive only to deep pain. Her roommate say she has been trying to lose weight and has been taking "these pills she gets over the Internet." What will the nurse consider as the most likely cause for this patient's symptoms. A) Cardiac arrest. B) Food poisoning. C) Hemorrhagic stroke. D) Pregnancy-induced hypertension.

C

The nurse is caring for a 7-year-old child who has difficulty concentrating and completing tasks and who cannot seem to sit still. Which diagnostic test may be ordered to assist with a diagnosis of ADHD in this child? A) Computerized tomography (CT) of the head B) Electrocardiogram (ECG) C) Electroencephalogram (EEG) D) Magnetic resonance imaging (MRI) of the brain

B

The nurse is caring for a child taking methylphenidate (Ritalin). Assessment reveals a heart rate of 110, and the child is complaining of chest pain. What is the nurse's highest priority action? A) Administer an antianxiety agent. B) Assess for over-the-counter medication use. C) Stay with the child and use relaxation techniques. D) Hold the next dose of the medication.

C

The nurse is caring for a patient in the post-anesthesia care unit and notes that the patient received isoflurane (Forane) to induce anesthesia. When will the nurse expect the patient to recover consciousness? A) Immediately B) In 15 to 30 minutes C) In 1 hour D) In hours

C

The nurse is caring for a patient in the post-anesthesia care unit who has received a spinal anesthetic. Which action will the nurse perform? A) Ambulate the patient as soon as consciousness returns. B) Elevate the head of the bed to a semi-Fowlers position. C) Have the patient lay flat for 6 to 8 hours after the surgery. D) Turn the patient from side to side every 15 minutes.

C

The nurse is caring for a patient who describes symptoms indicative of narcolepsy. The nurse recognizes that the physician is most likely to order which medication for the patient? A) Phentermine-topiramate B) Diethylpropion HCl C) Modafinil D) Benzphetamine HCl

A

The nurse is caring for a patient who has migraine headaches. The patient reports having these headaches more frequently. Which is an appropriate recommendation for this patient? A) Avoid chocolate and caffeine. B) Engage in strenuous exercise. C) Have a glass of red wine with dinner. D) Take ibuprofen prophylactically.

A

The nurse is caring for a patient who reports being able to fall asleep but has difficulty staying asleep. The nurse will contact the provider to obtain an order for which medication? A) Butabarbital (Butisol) B) Flurazepam (Dalmane) C) Secobarbital (Seconal) D) Temazepam (Restoril)

A

The nurse is preparing a patient for surgery. The patient received a hypnotic medication the night prior and the nurse is administering midazolam (Versed) and atropine. The patient asks why all of these medications are necessary. The nurse will tell the patient that they are given for which reason? A) To decrease the amount of general anesthesia needed B) To minimize post-operative drowsiness C) To prolong the anesthetized state D) To speed up anesthesia induction

B

The nurse is providing teaching for a patient who will begin taking zolpidem tartrate (Ambien) 10 mg at bedtime as a sleep aid. Which statement by the patient indicates understanding of the teaching? A) I should take this medication with food to avoid stomach upset. B) I will take this medication within 30 minutes of bedtime. C) If this medication is not effective, I may increase the dose to 15 mg. D) Tolerance and drug dependence do not occur with this medication.

B

The nurse is teaching a child and a parent about taking methylphenidate (Ritalin) to treat ADHD. Which statement by the parent indicates understanding of the teaching? A) I should give this drug to my child at bedtime. B) My child should avoid products containing caffeine. C) The drug should be stopped immediately if my child develops aggression. D) We should monitor my childs weight since weight gain is common.

A

The nurse is teaching a parent about methylphenidate (Ritalin) to treat ADHD. Which statement by the parent indicates understanding of the teaching? A) I should consult a pharmacist when giving my child OTC medications. B) I will only give my child diet soft drinks while administering this medication. C) Medication therapy means that behavioral therapy will not be necessary. D) Weight gain is a common side effect of this medication.

A

The nurse is teaching a patient to self-administer medications. The nurse knows that which drug is used to treat narcolepsy? A) Modafinil. B) Atomoxetine. C) Lisdexamfetamine. D) Phendimetrazine.

A

The nurse is teaching a patient who will begin taking butabarbital (Butisol). What information will the nurse include when teaching this patient? A) Avoid alcohol while taking this drug. B) This drug may be used long-term. C) This medication will take effect immediately. D) You will not experience a hangover effect.

B

The nurse is working in a neonatal intensive care unit and is caring for an infant who is experiencing multiple periods of apnea and bradycardia. Which drug will the nurse expect to administer? A) Albuterol (Proventil) B) Caffeine (Cafcit) C) Doxapram (Dopram) D Methylphenidate (Ritalin)

D

The nurse performs a preoperative assessment on a patient and asks about alcohol use. The patient asks why this information is important. The nurse will explain that patients who consume increased amounts of alcohol A) may have a prolonged postoperative recovery time. B) may not be eligible for surgery. C) may not receive inhaled gases for anesthesia. D) may require changes in anesthesia drug doses.

A

The parent of a child who is taking amphetamine (Adderall) to treat ADHD asks the provider to recommend an over-the-counter medication to treat a cold. What will the nurse tell the parent? A) Avoid any products containing pseudoephedrine or caffeine. B) Never give over-the-counter medications with Adderall. C) Sudafed is a safe and effective decongestant. D) Use any over-the-counter medication from the local pharmacy.

A

The parent of an adolescent who has taken methylphenidate 20 mg/day for 6 months for ADHD brings the child to clinic for evaluation of a recent onset of nausea, vomiting, and headaches. The parent expresses concern that the child seems less focused and more hyperactive than before. What will the nurse do next? A) Ask the child whether the drug is being taken as prescribed. B) Contact the provider to discuss increasing the dose to 30 mg/day. C) Recommend taking the drug with meals to reduce gastrointestinal side effects. D) Report signs of drug toxicity to the patients provider.

A

The patient has recently been prescribed a sedative-hypnotic medication and reports experiencing a "hangover"-type effect upon awakening. What does this symptom indicate? A) A need to change to a different medication B) Toxicity level of the medication C) Allergic reaction to the medication D) Inadequate amount of the medication

A

The patient is born at 28 weeks gestation and is scheduled to receive caffeine citrate 20 mg IC shortly after birth. The patient's mother asks, "Why are you giving my baby stuff that is in coffee?" What is the nurse's best response? A) "Caffeine can help your baby breathe better." B) "It will help your baby gain weight faster." C) "The baby's temperature will be warmer with caffeine." D) "This isn't the same substance that is in coffee."

D

The patient is postoperative day 3 from major orthopedic surgery and is unable to sleep. If non pharmacologic measures have not been effective, what drug does the nurse anticipate may be ordered? A) Flumazenil. B) Phenobarbital. C) Triazolam. D) Zolpidem.

C

The patient is receiving anesthesia in preparation for surgery. The patient will be in which stage of anesthesia when the procedure occurs? A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4

C

The patient is receiving triazolam as part of treatment for insomnia. The patient complains of experiencing memory problems. The nurse recognizes this as A) evidence of an allergic response. B) an idiosyncratic effect. C) an adverse reaction to the drug. D) evidence of drug toxicity.

B

To maintain the half-life of immediate-release methylphenidate, how often should this drug be taken? A) Daily. B) 2 to 3 times a day. C) 4 times a day. D) Every other day.

B

What is a priority nursing action when taking care of a patient who is prescribed a central nervous system (CNS) stimulant? A) Keep the patient on bed rest. B) Monitor the patient for seizure activity. C) Continuously monitor the patient's pulse rate. D) Obtain a bedside commode for the patient.

C

What is the most commonly prescribed drug to assist patients with sleep disorders? A) Analeptic. B) Anesthetic. C) Sedative-hypnotic. D) Triptan.

D & F

What is/are the possible complication(s) of spinal anesthesia? (Select all that apply.) A) Drowsiness. B) Dysrhythmias. C) Dizziness. D) Headache. E) Hypertension. F) Respiratory distress.

D

When a 12-year-old child is prescribed methylphenidate, which is most important for the nurse to monitor? A) Temperature. B) Respirations. C) Intake and output. D) Height and weight.

B

Which drug group acts on the brainstem and medulla to stimulate respiration? A) Amphetamine. B) Analeptic. C) Anorexiant. D) Triptan.

D

Which is a priority nursing action when assessing for side effects expected in a patient taking analeptics? A) Assessing heart rate for bradycardia B) Assessing patient for decreased mental alertness C) Assessing blood pressure for hypotension D) Assessing patient for nervousness

A, C & D

Which medical condition(s) is/are central nervous system (CNS) stimulants approved to treat? (Select all that apply.) A) Attention-deficit/hyperactivity disorder (ADHD). B) Anorexia. C) Narcolepsy. D) Obesity. E) Posttraumatic stress disorder.

A, B & E

Which statement(s) is/are true of methylphenidate? (Select all that apply.) A) If taken with MAOIs, they may increase a hypertensive crisis. B) The effects of anticoagulants may increase. C) Hyperglycemia may occur. D) Insulin will be more effective. E) There may be increased effects if taken with caffeinated beverages.

A

Which suggestion should the nurse provide to the parents of a child taking methylphenidate for attention-deficit/hyperactivity disorder to offset anticipated side effects? A) Suck on hard candy. B) Increase vitamin C in the diet. C) Decrease fluid intake prior to bedtime. D) Take the medication with grapefruit juice.

D & E

Which type(s) of anesthesia is/are administered using lidocaine? (Select all that apply.) A) General. B) Inhaled. C) Intravenous. D) Local. E) Spinal.


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