chapter 13 adaptive quizzing - central nervous system
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