Central Nervous System Stimulants

A child with ADHD is admitted to the pediatric unit for a fractured tibia. Dexmethylphenidate is prescribed 7.5 mg BID; when should these doses be given

7AM and 11AM

Amphetamine/Dextroamphetamine

Adderall

zolpidem

Ambien, Intermezzo

A nurse is reinforcing teaching with a school-age child who has ADHD and his parents about lisdexamfetamine. Which of the following information should the nurse include. Select all that APPLY

An adverse effect of this medication is CNS stimulation, monitor blood pressure while taking this medication, this medication raises the levels of dopamine in the brain

Donepezil

Aricept

Lorazepam

Ativan

sedative and hypnotic drugs exert action to depress the

CNS

Citalopram

Celexa

A nurse is reinforcing teaching with a client who has major depressive disorder and a new prescription for amitriptyline. Which of the following should the nurse include? Select all that APPLY

Change positions slowly to minimize dizziness, chew sugarless gum to prevent dry mouth

clozapine

Clozaril

Methlyphenidate

Concerta

A nurse is caring for a client who has major depressive disorder and a new prescription for venlafaxine. Which of the following findings should the nurse identify as an adverse effect of the medication. Select all that APPLY

Cough, dizziness, decreased libido

which of the following points should be included in a teaching plan for a client taking a sedative or hypnotic

Do not use any OTC cold, cough, or allergy medications while taking a sedative or hypnotic

A nurse is preparing to administer a medication to a client who has absence seizure. The nurse should anticipate administering which of the following medications. Select all that APPLY

Ethosuximide, valproic acid, lamotrigine

Rivastigmine

Exelon

benzodiazepines potentiate which neurotransmitter

GABA

Ziprasidone

Geodon

haloperidol

Haldol

The nurse is leading a medication support group. Which is the best statement to make when a client says the drug don't work?

I know it is hard to keep taking the medicine when you can't readily see the effects

A nurse is reinforcing teaching with a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements indicates that the client understands the teaching

I need to discontinue this medication slowly

A nurse is reinforcing teaching with a female client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements indicates that the client understands the teaching?

I should avoid eating right before I chew a piece of nicotine gum

A nurse is reinforcing teaching with a client who has obsessive compulsive disorder and a new prescription for paroxetine. Which of the following instructions should the nurse include

It can take several weeks before you feel like the medication is helping

Clonazepam

Klonopin

Eszopiclone

Lunesta

which of the following are used to monitor progression of AD? Select all that APPLY

MMSE, brain scan, blood studies, memory testing

Memantine

Namenda

A nurse in a post-anesthesia recovery unit is assisting with the care of a client who has received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate the prescription for which of the following medications

Neostigmine

A nurse is reinforcing teaching with a male client who has schizophrenia and is taking risperidone. Which of the following statements should the nurse include?

Notify the provider if you develop breast enlargement

Paroxetine

Paxil

Galantamine

Razadyne

Rispridone

Risperdal

Zaleplon

Sonata

Atomoxetine

Strattera

A nurse is reinforcing teaching for a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following information should the nurse include?

Take this medication with food

Diazepam

Valium

Lisdexamfetamine

Vyvanse

Bubpropion

Wellbutrin, Zyban

Alprazolam

Xanax

A nurse is reinforcing discharge teaching with a client who has posttraumatic stress disorder and a new prescription for fluoxetine. Which of the following should the nurse make to the client?

You make have a decreased desire for intimacy while taking this medication

A nurse is reinforcing discharge teaching with a client who has a new prescription for clozapine. Which of the following statements should the nurse include?

You should have your WBC count monitored weekly

An obese female client is starting an anorexiant for weight loss. Select all the points the nurse should emphasize in teaching the client about the drug Select all that APPLY

You should modify your diet and exercise when taking these drugs, never take over the counter diet pills when taking these drugs, stop taking the anorexiant if you plan to get pregnant

AD involves protein plaques and nerve tangles that limit which neurotransmitter

acetylcholine

A nurse is reinforcing teaching with the parents of a school-age child who has ADHD about methylphenidate. Which of the following instructions should the nurse include?

administer the last dose before 4 p.m

A nurse is reinforcing medication teaching with a client who has bipolar disorder and a new prescription for valporic acid. The nurse should instruct the client to have which of the following laboratory tests completed periodically? Select all that APPLY

amylase and liver function tests

Which of the listed drug categories is not included as a class of CNS stimulants?

analgesics

describe the feelings of anxiety. Select all that APPLY

apprehension, panic, uneasiness, worry, jitters

Atypical (second generation)

aripiprazole, Geodon, quetiapine, Zyprexa

When a client's dementia causes him or her to pick at items, the rivastigmine transdermal patch should be placed:

between the shoulder blades

a client exhibits high energy and disorganized behavior on the mental health unit. This is best termed

bipolar disorder

when administering donepezil to a client with AD, the nurse would most likely expect which diagnostic test to have been prescribed

brain scan

which of the following antidepressants would be most likely to cause the client to have a seizure

bupropion

which of the following is an indicator of delirium

caused by bladder infection

A nurse is reinforcing teaching with a client who has schizophrenia about strategies to cope with anticholinergic effects. Which of the following strategies should the nurse include?

chew sugarless gum to moisten the mouth

which of the following drugs is a scheduled IV controlled substance

chlordiazepoxide

Conventional (first generation)

chlorpromazine

A nurse is collecting data from a client who has bipolar disorder and is taking lithium carbonate. The nurse should identify which of the following findings as a possible indication of toxicity?

coarse tremors

As a nurse on the mental health unit, you are ordering weekly lab draws for morning rounds. Three clients are taking the drug clozapine. Which of the following labs should be drawn on these clients?

complete blood count

when administering a second-generation antipsychotic to a client, the nurse would most likely expect which diagnostic test(s) to be prescribed? Select all that APPLY

complete blood count, fasting blood glucose levels, and cholesterol levels

A nurse caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that he grinds his teeth during the night. The nurse should identify which of the following interventions to manage bruxism? Select all that APPLY

concurrent administration of buspirone, use of a mouth guard, changing to a different class of antidepressant medication

An obese client is weighed at the clinic. The starting weight was 370 lb.; after 12 weeks the client now weighs 348 lb. The best action at this time is to

continue the anorexiant

A nurse is reinforcing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include?

decreases cravings

A nurse is collecting data from a client who has schizophrenia and is taking chlorpromazine. In which of the manifestations should the nurse expect the most improvement? Select all that APPLY

disorganized speech, bizarre behavior, decreased motivation

schizophrenia involves an overabundance of which neurotransmitter

dopamine

antidepressant drugs prevent the reuptake of which neurotransmitters? Select all that APPLY

dopamine, norepinephrine and serotonin

A nurse is reinforcing teaching for a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects

dry mouth

A nurse is planning to reinforcing with a female client who has bipolar disorder and a new prescription for carbamazepine. Which of the following statements should the nurse include? Select all that APPLY

eliminate grapefruit juice from your diet, you will need to have your blood count monitored periodically, notify your provider if you develop a rash, avoid driving for the first few days after starting this medication

A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following findings alert the nurse to the possibility that the client is developing serotonin syndrome?

fever

which of the following is a negative symptom associated with schizophrenia

flat affect

A nurse is assisting with the care of a client who becomes oversedated following administration of diazepam IV. The nurse should expect the client to receive which of the following medications

flumazenil

the nurse correctly disposes the rivastigmine transdermal patch by first

folding it over so the adhesive side sticks together

A nurse is reinforcing teaching with a client who has a new prescription for ramelteon. The nurse should instruct the client not to take ramelteon with which of the following foods?

fried chicken

Alprazolam is contraindicated in clients with

glaucoma

A nurse is reinforcing teaching with a client who has early Parkinson's disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?

hallucinations

Nonbarbiturates are used instead of barbiturates because they

have fewer adverse reactions

a family member calls the nurse to report that the client taking antianxiety medication is hypotensive. The nurse instructs the family member to

have the client rise more slowly from a lying or sitting position

When assessing the client receiving doxapram for CPD, the nurse observes the client for adverse reactions, which may include

headache, dizziness, variations in heart rate

A nurse is collecting data from a client who is suspected of having benzodiazepine toxicity. Which of the following findings should the nurse identify as the priority to report to the provider

hypotension

which of the following nursing diagnoses would the nurse most likely place on the care plan of a client with AD that is related to adverse reactions of the cholinesterase inhibitors

imbalanced nutrition

A nurse is reinforcing instructions with a client who has been experiencing insomnia and has a new prescription for temazepam. Which of the following manifestations are adverse effects of temazepam? Select all that APPLY

incoordination, euphoria, sleep driving, amnesia

in giving discharge instructions to a client taking lithium, the nurse stresses that the client should

increase oral fluid intake to approximately 3000 mL/day

when administering an antidepressant to a client with suicidal ideation, it is most important for the nurse to

inspect he client's oral cavity to be sure the drug was swallowed

When teaching a client who is receiving an amphetamine for a diagnosis of narcolepsy, the nurse instructs the client to

keep a record of how often periods of sleepiness occurs

the benzodiazepines are pregnancy category D drugs that should not be taken while lactating because the newborn may become

lethargic and lose weight

A nurse is reinforcing medication teaching with a client who has bipolar disorder and a new prescription for lithium carbonate. Which of the following information should the nurse include?

limit aerobic activity in hot weather

major depressive disorder is suspected in which of the following clients

line worker lost his job in a manufacturing plant 3 months ago

A nurse is caring for a school-age child who has a new prescription for atomoxetine. For which of the following adverse effects should the nurse monitor

liver damage

A nurse is assisting with a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medication should the nurse include in the discussion. Select all that APPLY

lorazepam, diazepam

which of the following is sign of drug withdrawal and not an adverse reaction

metallic taste

which of the following symptoms would indicate to the nurse that a client taking lithium is experiencing toxicity

nausea, vomiting, diarrhea

A nurse is collecting data from a client who recently began taking haloperidol. Which of the following findings should the nurse identify as the highest priority to report to the provider

neck spasms

an elderly woman has arthritis in her lower back and the pain keeps her awake at night. She asks if she can have a "sleeping pill". In considering her request, the nurse must take into account that hypnotic medications might

not be the drug of choice when pain causes insomnia

A nurse is reinforcing instructions with a female client who has a new prescription for zolpidem. Which of the following instructions should the nurse include?

notify the provider if you plan to become pregnant

A nurse in an acute mental health facility is assisting with the care of a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority

obtain baseline vital signs

Initial assessment of the child with ADHD includes

obtaining a record of the child's behavior pattern

the nurse correctly administers donepezil

once daily at bedtime

A nurse is caring for a client who has major depressive disorder and a new prescription for phenelzine. Which of the following findings should the nurse identify as an adverse effect of this medication

orthostatic hypotension

when teaching about the nonbenzodiazepine hypnotics, certain foods should not be taken because they interfere with absorption. Select all of the foods that should not be taken with these drugs

peanut butter and crackers, ice cream, and apple pie with ice cream

A nurse is reviewing a client's laboratory results and notes a lithium level of 2.1 mEq/L. Which of the following actions should the nurse plan to take?

perform immediate gastric lavage

which condition is best treated with benzodiazepines

pre-surgical apprehension

antianxiety medications are used cautiously in older adults because of the

reduced elimination, making it build up in the circulation

a client taking fluphenazine for schizophrenia is also prescribed an antiparkinson drug. What is the best explanation for adding an antiparkinson drug to the regimen

reduces fine tremors, muscle rigidity, and slow movement

which of these assessments should the nurse report immediately to the primary health provider

respiration rate of 8 breaths/min

which of the following behaviors would the nurse expect to see in a client experiencing TD

rhythmic, involuntary movements of tongue, face, jaw, or mouth

which of the following drugs is least likely to produce extrapyramidal effects

risperidone

A nurse is caring for a client who is to undergo a surgical procedure. Which of the following pre-existing conditions can be a contraindication for the use of ketamine as an IV anesthetic?

schizophrenia

which of the following adverse reactions would the nurse expect to find in a client taking amitriptyline

sedation and dry mouth

when giving a hypnotic to an older adult client, the nurse is aware that

smaller doses of the drug are usually given to older clients

for drug development purposes, AD is now defined in three stages. Cholinesterase inhibitors are used during which stage(s)

stage 2, stage 3

the client nurse prepares teaching materials to give a client about the use of a hypnotic. Which statement would prompt the nurse to contact the PCP

stopping off at the tavern should help calm me before bedtime

A nurse is reinforcing teaching with parents of a child wo has autism spectrum disorder and anew prescription for desipramine. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider

suicidal thoughts

which of the following sedative/hypnotics is a pregnancy category X drug

temazepam (Restoril)

When administering an amphetamine, the nurse first checks to see if the client is taking or has taken a monoamine oxidase inhibitor because

the amphetamine is not given within 14 days of the MAOI

The parent of a child with ADHD asks why a stimulant is used on a child who is too stimulated already. The best answer is

the drug strengthens the nerve pathway to focus concentration

A nurse is reinforcing teaching with a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include

this medication has a low risk for dependency

History of which disease is significant when administering a second-generation antipsychotic?

type 2 diabetes

the nurse instructs the client taking an MAOI not to eat foods containing

tyramine

a client with limited health literacy is prescribed controlled release fluoxetine for depression. It will be prescribed to take one 90-mg capsule weekly. What methods should you use to help this client remember when to take the medication? Select all that APPLY

use a calendar on the wall, ask a family member to call the client weekly, set a cellphone to alarm weekly

A nurse reviewing a new prescription for oxcarbazepine with a female client who has partial seizures. Which of the following instructions should the nurse include? Select all that APPLY

use caution if the doctor prescribes a diuretic medication, consider using another form of birth control if you are taking an oral contraceptive, avoid driving until you see how the medication effects you, notify the doctor if you develop a skin rash

adverse reactions that the nurse would assess for in a client taking rivastigmine include

vomiting

criteria for diagnosing insomnia include which of the items below. Select all that APPLY

waking too early, difficulty falling asleep, trouble returning to sleep at might

A nurse is reinforcing teaching with an adolescent client who has obsessive compulsive disorder and a new prescription for clomipramine. Which of the following instructions should the nurse include to minimize an adverse effect of the medication?

wear sunglasses when outdoors