chapter 13 adaptive quizzing - central nervous system

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The nurse is teaching a new nurse about medication administration for patients with attention deficit hyperactivity disorder (ADHD). Which statement by the new nurse indicates understanding of the teaching? 1 "I may dispense these medications to nursing staff if needed." 2 "I will give these drugs 30 to 45 minutes before meals to improve absorption." 3 "It is permissible to crush extended-release medications for patients who have difficulty swallowing pills." 4 "If I notice side effects of these medications, I should stop giving the drug immediately and notify the provider."

"I will give these drugs 30 to 45 minutes before meals to improve absorption."

A 7-year-old child is highly impulsive and has not been attentive in school for the last 2 months. The child's parents are worried about the child's behavior. What will the nurse inform the child's parents?

"You should continue to observe the child's behavior for 4 months."

What is the dose regimen of methylphenidate (Ritalin) for a 6-year-old child with attention deficit hyperactivity disorder (ADHD)? 1 20 mg after lunch 2 120 mg at each meal 3 50 mg as a single dose 4 5 mg before breakfast and lunch

5 mg before breakfast and lunch

the nurse explains to a patient using caffeine that which disease process/condition may be exacerbated by this drug? 1 Heart block 2 Constipation 3 Myelin degeneration 4 Cardiac dysrhythmias

Cardiac dysrhythmias

Which patients who have which conditions are contraindicated for anorexiant therapy? Select all that apply.

Patients who have glaucoma Patients who have drug allergies Patients who have bulimia nervosa

anorexiant

administerd to obese patients are central nervous system stimulants that may interfere with sleep patterns phentermine is this that is administered to obese patients

phentermine

administered to obese patients type: anorexiant administered early in the morning and is avoided before going to bed

serotonin agonists

are a class of central nervous system stimulants that are used to treat migraine headaches they work by stimulating 5-hydroxytryptamine 1 receptors in the brain. primarily act on the cerebrovascular system

lipase inhibitors

are a class of drugs that help in inhibiting the enzyme causing excretion of excess fats from the body and resulting in weight reduction

ergot alkaloids

are useful drugs in the case of chronic migraine headache treatments

analeptics

at high doses stimulate the vagal vasomotor and respiratory centers of the medulla in the brainstem and increase the blood flow to the skeletal muscles vagal stimulation may cause diarrhea and reflex tachycardia can cause increase in respiratory rates include reduced deep tendon reflex

A patient is diagnosed with attention deficit hyperactivity disorder (ADHD). Which drug is suitable for treatment of this disorder? 1 Orlistat 2 Doxapram Incorrect3 Sumatriptan Correct4 Atomoxetine

atomoxetine

which drug is most commonly used for the treatment of a spinal headache?

caffeine

narcolepsy

cataplexy - is a symptom associated with narcolepsy and is characterized by skeletal muscle weakness another symptom would be dysfunctional REM sleep the patient may have sleep attacks due to this condition this patient will be drowsy or fall asleep easily to obtain accurate information the nurse should keep the dialogue short and focused this disease is an incurable neurologic condition in which patients unexpectedly fall asleep in the middle of normal daily activities it is difficult for patients to complete a structured form

Which is the primary action site for serotonin agonists? 1 Cerebral cortex 2 Medulla and brainstem 3 Cerebrovascular system 4 Hypothalamic and limbic regions

cerebrovascular system

Which drug is used to treat attention deficit hyperactivity disorder (ADHD)? 1 Orlistat 2 Modafinil 3 Sumatriptan 4 Dextroamphetamine

dextroamphetamine

Which adverse effect does the nurse anticipate in a patient who uses analeptics at high doses? 1 Diarrhea 2 Reflex bradycardia 3 Decreased respiratory rate 4 Increased deep tendon reflexes

diarrhea

diplopia

double vision

Which analeptic may cause gasping syndrome in a newborn? 1 Caffeine 2 Doxapram 3 Theophylline 4 Aminophylline

doxapram

Which is an adverse effect of orlistat therapy? 1 Mania 2 Diarrhea t3 Fecal incontinence 4 Foul taste in the mouth

fecal incontinence

euphoria

includes a sense of joy elation and excitement

glaucoma

increase in intraocular pressure

amphetamines

increases a sense of joy elation and excitement, increase an individuals energy level degree and duration of wakefulness and capacity for work

methylphenidate (ritalin)

is a central nervous system (CNS) stimulant prescribed for the treatment of ADHD the dose for a 6-year old child is 5mg before breakfast and lunch the dose prescribed to an adult is 20mg after lunch

orlistat

is a drug used in the treatment of obesity - a common adverse effect of this drug is gastrointestinal distress which causes fecal incontinence and oily stools doesn't cause diarrhea

atomoxetine

is a nonstimulant drug used to treat ADHD it is prescribed to children older than 6 years

doxapram

is an analeptic that is used as a respiratory stimulant it is contraindicated for new-borns because it causes gasping syndrome as a result of the presence of benzyl alcohol

metformin

is an anti-diabetic drug that should be used with caution when the herbal drug ginseng is used as it may cause possible drug interactions

dextroamphetamine

is the drug used in the treatment of ADHD because it stimulates the central nervous system and increases alertness

sumatriptan

is used in the treatment of acute migraine headache attack

Which class of drugs is prescribed for a patient who is obese to promote weight reduction? 1 Ergot alkaloids 2 Lipase inhibitors 3 Serotonin receptor agonists 4 Phosphodiesterase inhibitors

lipase inhibitors

Which drug should be used with caution with the herbal drug ginseng to prevent possible drug interactions? 1 Aspirin 2 Warfarin 3 Metformin 4 Disulfiram

metformin

While caring for a patient, the nurse learns that the patient has dysfunctional rapid eye movement (REM) sleep. This finding is a symptom of which condition?

narcolepsy

The nurse is assessing a patient who is obese. After reviewing the prescription the nurse instructs the patient to take the medication in the morning and avoid taking the medication before going to bed. Which drug is this patient taking? 1 Morphine 2 Diazepam 3 Phentermine 4 Phenobarbitone

phentermine

migraine headache

pulsating headache with vomiting and nausea

A patient is diagnosed with narcolepsy. Which symptom does the nurse expect to find in the patient? 1 Hyperactivity 2 Pulsating headache 3 Skeletal muscle weakness 4 High body mass index (BMI)

skeletal muscle weakness

Which characteristic of amphetamines is the most likely reason that these drugs are abused? They induce euphoria. 2 They increase energy. 3 They induce wakefulness. 4 They promote industriousness.

they induce euphoria

The nurse is assessing a child with attention deficit hyperactivity disorder (ADHD) who is prescribed amphetamine aspartate. The nurse instructs the parent to give medications 5 to 6 hours before bed. Why did the nurse give this instruction? 1 To prevent insomnia 2 To prevent gastric ulcer 3 To prevent hyperglycemia 4 To prevent nutrition deficiency

to prevent insomnia

The nurse prepares to collect the health history of a patient with narcolepsy. Which strategy should be used to complete this assessment? 1 Provide a structured form for the patient to complete in writing. 2 Seek information from significant others rather than the patient. 3 Use the patient's past medical records to locate important information. 4 Use short, focused interview sessions with active participation by the patient.

use short focused interview sessions with active participation by the patient

modafinil

used for the treatment of narcolepsy


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