NR442 EXAM 1 Questions and Answers 100% Pass

NR442 EXAM 1 Questions and Answers 100% Pass Which medical conditions are CNS stimulants approved to treat? a. ADHD b. Anorexia c. Narcolepsy d. Obesity e. PTSD - Answer- A, C ,D Prior to administering a serotonin agonist ('triptan'), it is most important for the nurse to assess the patient for a history of: a.Hypertension b.Allergy to penicillin c. Chronic bronchitis d. Cataracs - Answer- a CNS stimulants are C/I for patients with a hx of which condition? a. CAD b. cardiac dysrythmias c. diabeters d. hypotension e. uncontrolled htn - Answer- a,b,e A patient has been prescribed methylphenidate for the tx of narcolepsy. What priority teaching considerations should be included? a. avoid operating hazardous equipment b. caffiene should be avoided c. nervousness and tremors may occur d. take the med before meals e. report any weight gain - Answer- a,b,c,d A patient wants to take orlistat (Xenical) to assist in her weight loss program, but she is wary of its unpleasant adverse effects. What measure can be suggested to reduce these effects? .a. restrict dietary intake of fat b. restrict dietary intake of fiber c. increase intake of dairy products d. avoid intake of carbonated beverages - Answer- a A pt is prescribed an anorexiant. which statement will the nurse include in pt teaching? a. take the med with your evening meal b. you will need to take this drug for at least 2 years c. if you develop a dry mouth, stop taking the drug immediately d. avoid intake of caffiene - Answer- d A teenage boy will be recieving atomoxetine (Strattera) as part of treatment for ADHD. Which statement about this drug is accurate? a. Strattera is highly addictive b. psychotherapy is rarely helpful in cases of ADHD c. the pt should be monitored for possible suicidal thoughts and behavior d. Strattera is used to tx narcolepsy as well as ADHD - Answer- c Which statements are true re: methylphenidate? a. if taken with an MAOI may cause HTN crisis b. insulin will be more effective c. effects of anticoag may increase d. there may be increased effecs if taken with caffienated beverages e. may cause increase in appetite - Answer- a,c,d A/E of SSRA's Sumatriptan + Zolmitripan hint: used firstline for miagranes - Answer- tingling flushing CV vasoconstricting effect congested feeling overuse? rebound headache C/I for SSRA's - Answer- CV disease (stroke, angina, TIA) goals for anticonvulsants - Answer- control seizures + minimize adverse effects Which drug is first line for convulsions and status epilepticus? - Answer- Benzos! BBW for all antiepileptic drugs - Answer- SI thoughts and behavior Contraindications for AED - Answer- allergy + pregnancy What is the prototypical drug for epilepsy? - Answer- Phenyotin (dilantin) C/I for phenytoin - Answer- bradycardic heart condition + pregnancy BBW for phenytoin - Answer- CV risk w/ rapid infusion - hypotension, cardiovascular collapse, v-fib How do you give phenytoin? - Answer- SLOW iv infusion How much should the IV infusion rate NOT exceed - Answer- 50 mg/min -only diluted in normal saline, filter must be used!!! phenyotin administration - Answer- large gauge IV, saline flush after infusion of dose therapeutic drug level of phenytoin - Answer- 10-20 mcg/ml -do NOT stop abrupty what drug is used for narcolepsy? - Answer- modafinil (dec daytime sleepyness) what are the drugs used for obesity - Answer- phentermine (Lonamin)