All of the following are side effects of stimulants except
Tachycardia
Decreased appetite
Delayed growth
Drooling
The Correct Answer is D
A. Tachycardia. Stimulants (e.g., methylphenidate, amphetamines) increase dopamine and norepinephrine levels, leading to sympathetic nervous system activation. This can cause tachycardia, increased blood pressure, and palpitations, making cardiovascular monitoring important in patients taking stimulants.
B. Decreased appetite. Stimulants suppress appetite, often leading to weight loss and nutritional deficiencies in children and adolescents. This is due to their effect on the hypothalamus, which regulates hunger and satiety.
C. Delayed growth. Chronic stimulant use has been associated with temporary growth suppression in children, possibly due to reduced appetite and changes in growth hormone regulation. However, growth typically normalizes after drug holidays or discontinuation.
D. Drooling (sialorrhea) is not a side effect of stimulants. Instead, it is more commonly associated with antipsychotics like clozapine, which cause excessive salivation due to muscarinic receptor effects. Stimulants, if anything, may cause dry mouth rather than drooling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Aripiprazole (Abilify) is a second-generation (atypical) antipsychotic with a lower risk of extrapyramidal symptoms (EPS) due to its partial dopamine agonist mechanism. It has a lower incidence of tardive dyskinesia and dystonia compared to typical antipsychotics.
B. Clozapine (Clozaril) has the lowest risk of EPS among antipsychotics because it weakly blocks D2 receptors and primarily targets serotonin (5-HT2A) receptors. However, it carries a high risk of agranulocytosis, sedation, and metabolic syndrome.
C. Lurasidone (Latuda) is a second-generation antipsychotic with a moderate risk of EPS, particularly akathisia (restlessness). However, it has a lower risk than first-generation (typical) antipsychotics like haloperidol.
D. Haloperidol (Haldol) is a first-generation (typical) antipsychotic with a high risk of EPS due to its strong dopamine (D2) receptor blockade. It is associated with dystonia, akathisia, parkinsonism, and tardive dyskinesia, making it the antipsychotic with the highest EPS risk in this list.
Correct Answer is D
Explanation
A. Overreaction of a medical symptom. While individuals with illness anxiety disorder (IAD) may misinterpret normal bodily sensations as signs of serious illness, the key feature is excessive health-related worry in the absence of significant symptoms, rather than just overreacting to existing symptoms.
B. Faked symptoms. Feigning symptoms is characteristic of factitious disorder (formerly Munchausen syndrome) or malingering, where individuals intentionally produce or exaggerate symptoms for attention or external gain. In IAD, the concern is genuine but unfounded, rather than intentionally fabricated.
C. Abnormal voluntary motor or sensory dysfunction. This describes conversion disorder (functional neurological symptom disorder), where individuals experience neurological symptoms (e.g., paralysis, blindness, or seizures) without a medical explanation, typically triggered by psychological stress.
D. Worry about health despite no symptoms. Illness anxiety disorder (IAD) is marked by persistent, excessive fear of having a serious illness, despite minimal or no symptoms and repeated medical reassurance. Patients often engage in excessive health-related behaviors (e.g., frequent doctor visits, checking their body) or avoid medical care altogether due to fear of diagnosis.
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