Chapter 13: Central Nervous System Stimulants and Related Drugs
Lilley: Pharmacology and the Nursing Process, 8th Edition
MULTIPLE CHOICE
1. A patient is receiving instructions regarding the use of caffeine. The nurse shares that caffeine
should be used with caution if which of these conditions is present?
a.
A history of peptic ulcers
b.
Migraine headaches
c.
Asthma
d.
A history of kidney stones
ANS: A
Caffeine should be used with caution by patients who have histories of peptic ulcers or cardiac
dysrhythmias or who have recently had myocardial infarctions. The other conditions are not
contraindications to the use of caffeine.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 212
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. A patient who started taking orlistat (Xenical) 1 month ago calls the clinic to report some
“embarrassing” adverse effects. She tells the nurse that she has had episodes of “not
being able to control my bowel movements.” Which statement is true about this situation?
a.
These are expected adverse effects that will eventually diminish.
b.
The patient will need to stop this drug immediately if these adverse effects
are occurring.
c.
The patient will need to increase her fat intake to prevent these adverse effects.
d.
The patient will need to restrict fat intake to less than 30% to help reduce these
adverse effects.
ANS: D
Restricting dietary intake of fat to less than 30% of total calories can help reduce some of the
GI adverse effects, which include oily spotting, flatulence, and fecal incontinence. The other
options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 208
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. A 6-year-old boy has been started on an extended-release form of methylphenidate
hydrochloride (Ritalin) for the treatment of attention deficit hyperactivity disorder (ADHD).
During a follow-up visit, 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. What is
the nurse’s appropriate evaluation of the mother’s actions?
a.
She is giving him the medication dosage appropriately.
b.
The medication should not be taken until he is at school.
c.
The medication should be taken with meals for optimal absorption.
d.
The medication should be given 4 to 6 hours before bedtime to diminish insomnia.
This study source was downloaded by 100000815611969 from CourseHero.com on 04-27-2023 01:02:55 GMT -05:00
https://www.coursehero.com/file/17152543/c13/
Lilley: Pharmacology and the Nursing Process, 8th Edition
MULTIPLE CHOICE
1. A patient is receiving instructions regarding the use of caffeine. The nurse shares that caffeine
should be used with caution if which of these conditions is present?
a.
A history of peptic ulcers
b.
Migraine headaches
c.
Asthma
d.
A history of kidney stones
ANS: A
Caffeine should be used with caution by patients who have histories of peptic ulcers or cardiac
dysrhythmias or who have recently had myocardial infarctions. The other conditions are not
contraindications to the use of caffeine.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 212
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. A patient who started taking orlistat (Xenical) 1 month ago calls the clinic to report some
“embarrassing” adverse effects. She tells the nurse that she has had episodes of “not
being able to control my bowel movements.” Which statement is true about this situation?
a.
These are expected adverse effects that will eventually diminish.
b.
The patient will need to stop this drug immediately if these adverse effects
are occurring.
c.
The patient will need to increase her fat intake to prevent these adverse effects.
d.
The patient will need to restrict fat intake to less than 30% to help reduce these
adverse effects.
ANS: D
Restricting dietary intake of fat to less than 30% of total calories can help reduce some of the
GI adverse effects, which include oily spotting, flatulence, and fecal incontinence. The other
options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 208
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. A 6-year-old boy has been started on an extended-release form of methylphenidate
hydrochloride (Ritalin) for the treatment of attention deficit hyperactivity disorder (ADHD).
During a follow-up visit, 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. What is
the nurse’s appropriate evaluation of the mother’s actions?
a.
She is giving him the medication dosage appropriately.
b.
The medication should not be taken until he is at school.
c.
The medication should be taken with meals for optimal absorption.
d.
The medication should be given 4 to 6 hours before bedtime to diminish insomnia.
This study source was downloaded by 100000815611969 from CourseHero.com on 04-27-2023 01:02:55 GMT -05:00
https://www.coursehero.com/file/17152543/c13/
