A nurse is reviewing the electronic health record of a client who is prescribed methylphenidate, a stimulant. Which of the following findings should alert the nurse to a possible contraindication for this medication?
The client has a diagnosis of attention deficit hyperactivity disorder (ADHD).
The client has a history of hypertension and angina.
The client has a positive urine drug screen for cannabis.
The client has a family history of bipolar disorder.
The Correct Answer is B
Correct answer: b) The client has a history of hypertension and angina.
Rationale: Hypertension and angina are contraindications for methylphenidate, which is a stimulant that can increase blood pressure and heart rate and cause cardiac complications.
Incorrect choices:
a) The client has a diagnosis of attention deficit hyperactivity disorder (ADHD).: This is an indication for methylphenidate, which is used to treat ADHD by increasing attention and focus.
c) The client has a positive urine drug screen for cannabis.: This is not a contraindication for methylphenidate, but it indicates that the client may have a substance use disorder and may need further assessment and intervention.
d) The client has a family history of bipolar disorder.: This is not a contraindication for methylphenidate, but it indicates that the client may be at risk for developing bipolar disorder and may need close monitoring for mood changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct answer: b) Flumazenil
Rationale: Flumazenil is an antidote for benzodiazepine overdose as it reverses its sedative effects by blocking its action on the GABA receptors.
Incorrect choices:
a) Naloxone: This is an antidote for opioid overdose as it displaces opioids from their receptors and restores respiration.
c) Acetylcysteine: This is an antidote for acetaminophen overdose as it replenishes glutathione and prevents liver damage.
d) Atropine: This is an antidote for organophosphate poisoning as it blocks the effects of acetylcholine and relieves bronchoconstriction and bradycardia.
Correct Answer is D
Explanation
Correct answer: d) "Methadone will block the effects of opioids if I relapse."
Rationale: Methadone is an opioid agonist that blocks the effects of opioids by occupying their receptors and preventing them from binding. This reduces the risk of overdose and relapse by eliminating the reward or pleasure of using opioids.
Incorrect choices:
a) "Methadone will help me stop craving opioids.": This is incorrect as methadone does not eliminate cravings for opioids, but it reduces them by preventing withdrawal symptoms.
b) "Methadone will make me feel euphoric like opioids do.": This is incorrect as methadone does not produce euphoria or sedation like opioids do, but it maintains a steady state of opioid tolerance and dependence.
c) "Methadone will cause me to have withdrawal symptoms when I stop taking it.": This is incorrect as methadone prevents withdrawal symptoms by providing a long-acting opioid substitute. However, methadone itself can cause dependence and withdrawal if discontinued abruptly, so it should be tapered off gradually under medical supervision.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.