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Questions and Answers
Which parameter is most important for a nurse to monitor in a 12-year-old child prescribed with methylphenidate?
Which parameter is most important for a nurse to monitor in a 12-year-old child prescribed with methylphenidate?
Which observation is most critical for a nurse to make regarding children possibly diagnosed with attention-deficit/hyperactivity disorder?
Which observation is most critical for a nurse to make regarding children possibly diagnosed with attention-deficit/hyperactivity disorder?
During monitoring for methylphenidate withdrawal, which condition should the nurse primarily observe?
During monitoring for methylphenidate withdrawal, which condition should the nurse primarily observe?
Which medication should a nurse teach a patient to use for the treatment of narcolepsy?
Which medication should a nurse teach a patient to use for the treatment of narcolepsy?
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When monitoring a patient taking phentermine, which symptoms are important for the nurse to observe? (Select all that apply.)
When monitoring a patient taking phentermine, which symptoms are important for the nurse to observe? (Select all that apply.)
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What is a significant side effect to monitor for a patient taking ramelteon?
What is a significant side effect to monitor for a patient taking ramelteon?
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Which statement correctly describes how lorazepam works in the body?
Which statement correctly describes how lorazepam works in the body?
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What is the most critical complication for a nurse to assess after a patient receives spinal anesthesia?
What is the most critical complication for a nurse to assess after a patient receives spinal anesthesia?
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Which characteristic of secobarbital should a nurse emphasize to a patient?
Which characteristic of secobarbital should a nurse emphasize to a patient?
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Which of the following is important to include when educating a patient about zolpidem?
Which of the following is important to include when educating a patient about zolpidem?
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What is a potential harm associated with taking triazolam?
What is a potential harm associated with taking triazolam?
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Which of the following best describes the use of secobarbital?
Which of the following best describes the use of secobarbital?
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What is a significant behavioral side effect to monitor for when a patient is prescribed ramelteon?
What is a significant behavioral side effect to monitor for when a patient is prescribed ramelteon?
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Which conditions should the nurse monitor for a patient taking albuterol? (Select all that apply.)
Which conditions should the nurse monitor for a patient taking albuterol? (Select all that apply.)
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Which condition contraindicates the use of nadolol?
Which condition contraindicates the use of nadolol?
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Stimulation of beta1 receptors primarily results in which of the following effects?
Stimulation of beta1 receptors primarily results in which of the following effects?
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What should the nurse monitor for in a patient receiving epinephrine?
What should the nurse monitor for in a patient receiving epinephrine?
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Which drugs may interact with epinephrine when taken concurrently? (Select all that apply.)
Which drugs may interact with epinephrine when taken concurrently? (Select all that apply.)
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Which finding indicates that a patient has opioid use disorder?
Which finding indicates that a patient has opioid use disorder?
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What reaction is suggested by a patient experiencing nausea, vomiting, abdominal cramps, and restlessness after opioid treatment?
What reaction is suggested by a patient experiencing nausea, vomiting, abdominal cramps, and restlessness after opioid treatment?
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Which treatments should a nurse anticipate for a patient with alcohol toxicity?
Which treatments should a nurse anticipate for a patient with alcohol toxicity?
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What is the most appropriate action for a nurse who witnesses another nurse diverting oral opioids?
What is the most appropriate action for a nurse who witnesses another nurse diverting oral opioids?
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When educating a patient about disulfiram, which topic is essential to address?
When educating a patient about disulfiram, which topic is essential to address?
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Which statement about disulfiram's mechanism of action is accurate?
Which statement about disulfiram's mechanism of action is accurate?
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What can happen if alcohol is consumed while taking disulfiram?
What can happen if alcohol is consumed while taking disulfiram?
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Which substance should be avoided due to its potential to contain alcohol while on disulfiram?
Which substance should be avoided due to its potential to contain alcohol while on disulfiram?
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What condition is suggested by facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face?
What condition is suggested by facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face?
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How do antipsychotic drugs primarily work to alleviate symptoms in patients?
How do antipsychotic drugs primarily work to alleviate symptoms in patients?
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Which of the following symptoms is characteristic of extrapyramidal syndrome (EPS)?
Which of the following symptoms is characteristic of extrapyramidal syndrome (EPS)?
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Which drugs are classified as atypical antipsychotics?
Which drugs are classified as atypical antipsychotics?
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What is a primary use for lorazepam?
What is a primary use for lorazepam?
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Which nursing intervention is essential for a patient receiving aripiprazole?
Which nursing intervention is essential for a patient receiving aripiprazole?
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What intervention might be necessary for treating a phenothiazine overdose?
What intervention might be necessary for treating a phenothiazine overdose?
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Which statement is true regarding the use of activated charcoal in medication overdoses?
Which statement is true regarding the use of activated charcoal in medication overdoses?
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What type of seizure involves generalized contraction of the body followed by jerkiness of the arms and legs?
What type of seizure involves generalized contraction of the body followed by jerkiness of the arms and legs?
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Which nursing intervention is appropriate for a patient prescribed phenytoin?
Which nursing intervention is appropriate for a patient prescribed phenytoin?
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If a patient states they must shake the oral suspension of phenytoin well before taking it, what does this indicate?
If a patient states they must shake the oral suspension of phenytoin well before taking it, what does this indicate?
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What medication is commonly prescribed for a patient experiencing absence seizures?
What medication is commonly prescribed for a patient experiencing absence seizures?
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Which drug should the nurse prepare to administer to a patient with status epilepticus?
Which drug should the nurse prepare to administer to a patient with status epilepticus?
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A nurse should monitor for which adverse effect in a patient receiving phenytoin?
A nurse should monitor for which adverse effect in a patient receiving phenytoin?
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What action should a nurse take if the serum valproic acid level is found to be 150 mcg/mL?
What action should a nurse take if the serum valproic acid level is found to be 150 mcg/mL?
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Which statement about the use of phenytoin is correct?
Which statement about the use of phenytoin is correct?
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Which medication can be administered to treat bipolar affective disorder instead of lithium?
Which medication can be administered to treat bipolar affective disorder instead of lithium?
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Which of the following alternative therapies may increase the risk of serotonin syndrome when taken with selective serotonin reuptake inhibitors?
Which of the following alternative therapies may increase the risk of serotonin syndrome when taken with selective serotonin reuptake inhibitors?
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What is an example of a selective serotonin reuptake inhibitor?
What is an example of a selective serotonin reuptake inhibitor?
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What important instruction should be included in the teaching plan for a patient taking tranylcypromine sulfate?
What important instruction should be included in the teaching plan for a patient taking tranylcypromine sulfate?
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Which statement regarding lithium is accurate?
Which statement regarding lithium is accurate?
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What nursing intervention is essential for a patient taking an antidepressant?
What nursing intervention is essential for a patient taking an antidepressant?
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When monitoring a patient taking lithium, which nursing intervention is most important?
When monitoring a patient taking lithium, which nursing intervention is most important?
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Study Notes
Monitoring Children on Methylphenidate
- Height and weight are crucial for monitoring growth in children taking methylphenidate, as the medication could influence growth.
- Intake and output assessments are essential for managing fluid balance and potential side effects.
- Monitoring respirations and temperature, while important in general patient care, are less directly crucial for methylphenidate-related issues compared to growth and fluid status.
Diagnosing ADHD (Attention-Deficit/Hyperactivity Disorder)
- A key characteristic of ADHD is an inability to complete tasks. The inability to consistently follow through with tasks is a core symptom.
- Lethargy (low energy) isn't a primary marker of ADHD. Similarly, smooth coordination or lack of impulsivity also aren't typically observed in core symptoms of ADHD.
Methylphenidate Withdrawal
- Tremors are a potential symptom of methylphenidate withdrawal
- Other potential symptoms of withdrawal like insomnia and tachycardia are also important to watch for
Narcolepsy Treatment
- Modafinil is used to treat narcolepsy.
Phentermine Monitoring
- Dry mouth and insomnia can be common side effects of phentermine.
- The nurse should monitor for euphoria, hypotension(low blood pressure), and palpitations (rapid heartbeats) as those could also occur.
- Bradycardia (slow heart rate) is less commonly observed as a side effect of phentermine compared to the other side effects.
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Description
This quiz covers key aspects of monitoring children on methylphenidate, as well as diagnosing ADHD. It addresses important growth metrics and withdrawal symptoms related to the medication. Test your understanding of the effects of methylphenidate and ADHD characteristics.