Chapter 20: Central Nervous System Stimulants

Chapter 20: Central Nervous System Stimulants

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is performing a medication history on a patient who reports using phentermine HCl (Suprenza) 15 mg/day for the past 3 months as an appetite suppressant. The nurse will contact the patient’s provider to discuss

a.	changing the medication to phentermine-topiramate (Qsymia).
b.	increasing the dose to 37.5 mg/day since tolerance has likely occurred.
c.	initiating a slow taper of the phentermine.
d.	stopping the drug immediately since long-term use is not recommended.

 

 

ANS:  C

The nurse should discuss a gradual taper of the medication with the provider. Patients using anorexiants should not stop taking them abruptly because depression and withdrawal symptoms may occur. Phentermine-topiramate is recommended for short-term use only. Patients should not use these medications longer than 12 weeks, so increasing the dose is not indicated.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 289

TOP:   NURSING PROCESS: Planning/Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. A patient reports having recurring headaches described as 1 to 2 headaches per day for several weeks. The nurse understands that these headaches are most likely descriptive of which type of headache?

a.	Cluster headache
b.	Migraine headache
c.	Simple headache
d.	Tension headache

 

 

ANS:  A

Cluster headaches reoccur 1 to 3 times daily in a period lasting from approximately 2 weeks to 3 months. Migraine headaches are severe and characterized by an aura prior to the headache. Tension headaches are related to stress.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 285

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pathophysiology

 

3. The nurse is caring for a patient who has migraine headaches. The patient reports having these headaches more frequently. Which is an appropriate recommendation for this patient?

a.	“Avoid chocolate and caffeine.”
b.	“Engage in strenuous exercise.”
c.	“Have a glass of red wine with dinner.”
d.	“Take ibuprofen prophylactically.”

 

 

ANS:  A

Triggering factors for migraine headache include foods such as chocolate, caffeine, and red wine. Intense physical exertion can trigger migraines. Prophylactic ibuprofen is not indicated.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 285

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pathophysiology

 

4. The nurse is caring for a 7-year-old child who has difficulty concentrating and completing tasks and who cannot seem to sit still. Which diagnostic test may be ordered to assist with a diagnosis of attention deficit/hyperactivity disorder (ADHD) in this child?

a.	Computerized tomography (CT) of the head
b.	Electrocardiogram (ECG)
c.	Electroencephalogram (EEG)
d.	Magnetic resonance imaging (MRI) of the brain

 

 

ANS:  C

A child with ADHD may have abnormal EEG findings. CT, MRI, and ECG tests are not diagnostic for ADHD.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   Page 285

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pathophysiology