Deck 17: Central Nervous System Stimulant Drugs

Question 1

Before administering sumatriptan (Imitrex)to a patient for the treatment of a migraine headache,the nurse should assess for the presence of which of the following?

A)Hypotension
B)Renal disease
C)Liver damage
D)Coronary artery disease

Answer 1

Coronary artery disease

Question 2

Which of the following conditions is an indication for a central nervous system (CNS)stimulant drug?

A)Insomnia
B)Depression
C)Appetite enhancement
D)Appetite suppression

Answer 2

Appetite suppression

Question 3

The nurse is evaluating a patient who is taking sibutramine (Meridia).Which of the following is an intended therapeutic effect?

A)Increased wakefulness
B)Increased appetite
C)Suppressed appetite
D)Decreased hyperactivity

Answer 3

Suppressed appetite

Question 4

Caffeine should be used with caution in which of the following patients?

A)A male with a history of peptic ulcers
B)A female with a history of migraine headaches
C)A teenager with a history of asthma
D)A male with a history of kidney stones

Question 5

Which central nervous system stimulant is commonly used in conjunction with supportive measures to treat the respiratory depression that may occur in postoperative recovery?

A)theophylline
B)Amphetamine
C)benzphetamine
D)methylphenidate hydrochloride (Ritalin)

Question 6

Which of the following central nervous system (CNS)stimulant drugs is used to treat acute migraines?

A)zolmitriptan (Zomig)
B)Amphetamines
C)modafinil (Alertec)
D)methylphenidate hydrochloride (Ritalin)

Question 7

A 22-year-old nursing student has been taking NoDoz tablets for the past few weeks to "make it through" the end of the semester and exam week.She is in the clinic today because she is "exhausted." Which of the following nursing diagnoses is appropriate?

A)Nonadherence
B)Impaired physical mobility
C)Disturbed sleep pattern
D)Imbalanced nutrition: less than body requirements

Question 8

A patient has a new prescription for sibutramine (Meridia)as part of his treatment for weight loss.What important information should the nurse tell this patient about sibutramine?

A)This medication should be taken after meals to enhance the effect.
B)Taking one glass of wine at night will counteract the stimulant effects and allow for sleep.
C)Missed doses should be taken with the next meal to maintain sufficient blood levels of the medication.
D)Other sources of central nervous system (CNS)stimulants,such as coffee,tea,and colas,should be avoided while on this medication.

Question 9

A 6-year-old boy has been started on methylphenidate hydrochloride (Ritalin)for the treatment of attention deficit hyperactivity disorder (ADHD).His mother tells the nurse that she has been giving the medication at bedtime so that it will be "in his system" when he goes to school the next morning.Which of the following is the nurse's best response to the patient's mother?

A)She is giving him the medication dosage appropriately.
B)The medication should not be taken until the boy is at school.
C)The medication should be taken with meals for optimal absorption.
D)The medication should be given at least 6 hours before bedtime to diminish the insomnia it causes.

Question 10

Ginkgo biloba is a natural health product that is used for treatment of which of the following conditions?

A)Improving memory
B)Appetite suppression
C)Treatment of attention deficit hyperactivity disorder (ADHD)
D)Appetite stimulation

Question 11

A 10-year-old will be started on methylphenidate hydrochloride (Ritalin)therapy.What important baseline assessments should be done before this drug is started?

A)Eye examination
B)Height and weight
C)Liver studies
D)Cognitive function

Question 12

A 10-year-old boy has been on methylphenidate hydrochloride (Ritalin)for almost 6 months.His mother reports that he seems to have stopped growing.Which of the following statements is the nurse's best response to the patient's mother?

A)Growth will occur with the onset of puberty.
B)Growth can be promoted with a high-protein diet.
C)Growth in 10-year-old children tends to be slower.
D)Temporary slowing of growth is expected with Ritalin therapy.