S TIMULANTS AND R ELATED D RUGS
Lilley: Pharmacology and the Nu rsing Process, 10th Edition
MULTIPLE CHOICE
1. A 22-year-old nursing student has been taking caff eine tablets for the past
few weeks to “make it through ” the end of the semester and exam week.
She is in the university clinic today because she is “exhausted. ” What
human needs statement may be appropriate for her?
a. Altered ox ygenation need
b. Altered physical activit y
c. Altered need for sleep
d. Altered food intake
ANS: C
Caffeine, is a central nervous system stimulant that can be used to
increase mental alertness. It is available in OTC forms such as NoDoz.
Restlessness, anxiet y, and insomnia are common adverse effects. Thus,
altered need for sleep is the most appropriate human needs statement of
those listed.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Physiological Adaptation
, 2. A 10-year-old patient will be started on methylphenidate hydrochloride
therapy. The nurse will perform which essential baseline assessment
before this drug is started?
a. Eye examination
b. Height and weight
c. Liver function studies
d. Hearing test
ANS: B
Assessment of baseline he ight and weight is important before
beginning methylphenidate therapy because it may cause a temporary
slowing of growth in prepubertal children. The other studies are not as
essential at this time.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. When evaluating a patient who is taking orlistat, which is an intended
therapeutic effect?
a. Increased wakefulness
b. Increased appetite
c. Decreased weight
d. Decreased hyperactivit y
ANS: C
Orlistat is a nonstimulant drug that is used as part of a weight loss
program. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)