Chapter 17, Central Nervous System Stimulants

TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford 1. The nurse is conducting an ongoing assessment on a client who has received methylphenidate. Which finding would the nurse anticipate if the medication is therapeutic? A) Decreased appetite B) Low blood pressure C) Drowsiness D) Depression Answer: A Rationale: Amphetamines have the ability to suppress appetite, so the client will show a decrease in appetite. The drug action results in high blood pressure, not low blood pressure. The client also experiences wakefulness, not drowsiness. Amphetamines produce a euphoric state, not depression. Question Format: Multiple Choice Chapter: 17 Learning Objective: 3 Cognitive Level: Analyze Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 223, Summary Drug Table 2. The nurse is monitoring a client who is receiving caffeine. The nurse determines the client is experiencing a therapeutic response with which assessment finding? A) Decease in heart rate B) Decrease in urinary output C) Feeling of euphoria and well-being D) Skeletal muscle stimulation Answer: D Rationale: Caffeine leads to skeletal muscle stimulation. Caffeine results in an increase, not decrease, in heart rate. Caffeine is a diuretic and it increases, not decreases, urinary output. Caffeine does not lead to a feeling of euphoria or well-being. Question Format: Multiple Choice Chapter: 17 Learning Objective: 2 Cognitive Level: Analyze Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 218, Actions