A nurse is caring for a client who is prescribed a central nervous system stimulant. Which of the following assessments should the nurse prioritize?
Heart rate
Liver function tests
Urine output
Blood glucose level
The Correct Answer is A
A) Correct. Central nervous system stimulants can increase heart rate and blood pressure. Monitoring the client's heart rate is essential to identify any cardiovascular side effects, such as tachycardia or arrhythmias.
B) Incorrect. While liver function tests may be relevant for some medications, it is not the priority assessment specifically related to central nervous system stimulants.
C) Incorrect. Urine output monitoring is important but is not the priority assessment specifically related to central nervous system stimulants.
D) Incorrect. Blood glucose levels are not directly affected by central nervous system stimulants and do not require prioritization in this scenario.
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Related Questions
Correct Answer is A
Explanation
A) Correct. Central nervous system stimulants can increase heart rate and blood pressure. Monitoring the client's heart rate is essential to identify any cardiovascular side effects, such as tachycardia or arrhythmias.
B) Incorrect. While liver function tests may be relevant for some medications, it is not the priority assessment specifically related to central nervous system stimulants.
C) Incorrect. Urine output monitoring is important but is not the priority assessment specifically related to central nervous system stimulants.
D) Incorrect. Blood glucose levels are not directly affected by central nervous system stimulants and do not require prioritization in this scenario.
Correct Answer is C
Explanation
C) Correct. Benzodiazepines are central nervous system depressants that can cause respiratory depression. Therefore, monitoring the client's respiratory rate is essential to ensure adequate oxygenation and identify any signs of respiratory compromise.
A) Incorrect. Blood pressure monitoring is important but is not the priority assessment specifically related to benzodiazepines.
B) Incorrect. Blood glucose levels are not directly affected by benzodiazepine use and do not require prioritization in this scenario.
D) Incorrect. While liver function tests may be relevant for some medications, it is not the priority assessment specifically related to benzodiazepines.
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