322 Meds for the Final
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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?

  • Temperature
  • Intake and output
  • Height and weight (correct)
  • Respirations
  • Which observation is most critical for a nurse to make regarding children possibly diagnosed with attention-deficit/hyperactivity disorder?

  • A boy with smooth coordination
  • A boy with an inability to complete tasks (correct)
  • A girl who is lethargic
  • A girl who lacks impulsivity
  • During monitoring for methylphenidate withdrawal, which condition should the nurse primarily observe?

  • Tachycardia
  • Tremors (correct)
  • Weakness
  • Insomnia
  • Which medication should a nurse teach a patient to use for the treatment of narcolepsy?

    <p>Modafinil</p> Signup and view all the answers

    When monitoring a patient taking phentermine, which symptoms are important for the nurse to observe? (Select all that apply.)

    <p>Palpitations</p> Signup and view all the answers

    What is a significant side effect to monitor for a patient taking ramelteon?

    <p>Sleep-related behaviors</p> Signup and view all the answers

    Which statement correctly describes how lorazepam works in the body?

    <p>It increases GABA's inhibitory action.</p> Signup and view all the answers

    What is the most critical complication for a nurse to assess after a patient receives spinal anesthesia?

    <p>Hypotension and headaches</p> Signup and view all the answers

    Which characteristic of secobarbital should a nurse emphasize to a patient?

    <p>It is a short-acting drug that might cause early awakening.</p> Signup and view all the answers

    Which of the following is important to include when educating a patient about zolpidem?

    <p>The drug should be taken only for 21 days.</p> Signup and view all the answers

    What is a potential harm associated with taking triazolam?

    <p>Agranulocytosis and thrombocytopenia.</p> Signup and view all the answers

    Which of the following best describes the use of secobarbital?

    <p>It is classified as an ultra-short–acting hypnotic.</p> Signup and view all the answers

    What is a significant behavioral side effect to monitor for when a patient is prescribed ramelteon?

    <p>Sleep-related behaviors.</p> Signup and view all the answers

    Which conditions should the nurse monitor for a patient taking albuterol? (Select all that apply.)

    <p>Bronchospasm</p> Signup and view all the answers

    Which condition contraindicates the use of nadolol?

    <p>Bronchial asthma</p> Signup and view all the answers

    Stimulation of beta1 receptors primarily results in which of the following effects?

    <p>Increased myocardial contractility</p> Signup and view all the answers

    What should the nurse monitor for in a patient receiving epinephrine?

    <p>Increased blood pressure</p> Signup and view all the answers

    Which drugs may interact with epinephrine when taken concurrently? (Select all that apply.)

    <p>Metoprolol</p> Signup and view all the answers

    Which finding indicates that a patient has opioid use disorder?

    <p>Craving that results in drug-seeking behaviors</p> Signup and view all the answers

    What reaction is suggested by a patient experiencing nausea, vomiting, abdominal cramps, and restlessness after opioid treatment?

    <p>Opioid withdrawal</p> Signup and view all the answers

    Which treatments should a nurse anticipate for a patient with alcohol toxicity?

    <p>Intravenous fluids</p> Signup and view all the answers

    What is the most appropriate action for a nurse who witnesses another nurse diverting oral opioids?

    <p>Report the finding to the nursing supervisor</p> Signup and view all the answers

    When educating a patient about disulfiram, which topic is essential to address?

    <p>Common food products containing alcohol</p> Signup and view all the answers

    Which statement about disulfiram's mechanism of action is accurate?

    <p>It disrupts alcohol metabolism</p> Signup and view all the answers

    What can happen if alcohol is consumed while taking disulfiram?

    <p>Nausea and vomiting may occur</p> Signup and view all the answers

    Which substance should be avoided due to its potential to contain alcohol while on disulfiram?

    <p>Certain medications</p> Signup and view all the answers

    What condition is suggested by facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face?

    <p>Acute dystonia</p> Signup and view all the answers

    How do antipsychotic drugs primarily work to alleviate symptoms in patients?

    <p>Blocking actions of dopamine</p> Signup and view all the answers

    Which of the following symptoms is characteristic of extrapyramidal syndrome (EPS)?

    <p>Tremors, rigidity, and shuffling gait</p> Signup and view all the answers

    Which drugs are classified as atypical antipsychotics?

    <p>Clozapine</p> Signup and view all the answers

    What is a primary use for lorazepam?

    <p>Treating anxiety and status epilepticus</p> Signup and view all the answers

    Which nursing intervention is essential for a patient receiving aripiprazole?

    <p>Monitor vital signs for orthostatic hypotension</p> Signup and view all the answers

    What intervention might be necessary for treating a phenothiazine overdose?

    <p>Gastric lavage</p> Signup and view all the answers

    Which statement is true regarding the use of activated charcoal in medication overdoses?

    <p>It is used to absorb toxins after drug ingestion</p> Signup and view all the answers

    What type of seizure involves generalized contraction of the body followed by jerkiness of the arms and legs?

    <p>Tonic-clonic</p> Signup and view all the answers

    Which nursing intervention is appropriate for a patient prescribed phenytoin?

    <p>Monitor complete blood count levels for early detection of blood dyscrasias.</p> Signup and view all the answers

    If a patient states they must shake the oral suspension of phenytoin well before taking it, what does this indicate?

    <p>The patient is unsure about the correct usage of phenytoin.</p> Signup and view all the answers

    What medication is commonly prescribed for a patient experiencing absence seizures?

    <p>Valproic acid</p> Signup and view all the answers

    Which drug should the nurse prepare to administer to a patient with status epilepticus?

    <p>Diazepam</p> Signup and view all the answers

    A nurse should monitor for which adverse effect in a patient receiving phenytoin?

    <p>Gum erosion</p> Signup and view all the answers

    What action should a nurse take if the serum valproic acid level is found to be 150 mcg/mL?

    <p>Hold the medication and notify the health care provider.</p> Signup and view all the answers

    Which statement about the use of phenytoin is correct?

    <p>It requires regular dental checkups to prevent gum issues.</p> Signup and view all the answers

    Which medication can be administered to treat bipolar affective disorder instead of lithium?

    <p>Divalproex</p> Signup and view all the answers

    Which of the following alternative therapies may increase the risk of serotonin syndrome when taken with selective serotonin reuptake inhibitors?

    <p>St. John's wort</p> Signup and view all the answers

    What is an example of a selective serotonin reuptake inhibitor?

    <p>Paroxetine</p> Signup and view all the answers

    What important instruction should be included in the teaching plan for a patient taking tranylcypromine sulfate?

    <p>Instruct the patient to avoid beer and cheddar cheese.</p> Signup and view all the answers

    Which statement regarding lithium is accurate?

    <p>NSAIDs may increase lithium levels.</p> Signup and view all the answers

    What nursing intervention is essential for a patient taking an antidepressant?

    <p>Observe the patient for orthostatic hypotension.</p> Signup and view all the answers

    When monitoring a patient taking lithium, which nursing intervention is most important?

    <p>Monitor the patient for motor tremors and hypotension.</p> Signup and view all the answers

    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.

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