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The patient on methylphenidate (Ritalin) should be assessed for:

Signs of weight loss

Renal toxicity

Hypotension

Extreme euphoria and insomnia

Answer and Explanation

The Correct Answer is A

A. Weight loss is a common side effect of methylphenidate (Ritalin) and should be monitored during treatment.

B. Methylphenidate is not typically associated with renal toxicity.

C. Methylphenidate can cause increases in blood pressure and heart rate, not hypotension.

D. Extreme euphoria and insomnia may indicate overstimulation or inappropriate dosing but are not typical side effects of methylphenidate.

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Correct Answer is B

Explanation

A. Hearing loss is not a common adverse effect of phenelzine (Nardil).

B. Orthostatic hypotension is a common adverse effect of phenelzine due to its monoamine oxidase inhibitor (MAOI) activity, leading to decreased blood pressure upon standing.

C. Weight loss is not a common adverse effect of phenelzine and may be more indicative of other factors or conditions.

D. Gastrointestinal bleeding is not a common adverse effect of phenelzine.

A. Lithium toxicity B. Increased effectiveness C. The need to increase the lithium dosage D. Lower serum lithium levels

Correct Answer is A

Explanation

A. Lithium toxicity can occur if the patient becomes dehydrated while taking lithium, as dehydration can lead to higher concentrations of lithium in the blood.

B. Increased effectiveness is not a consequence of dehydration while taking lithium.

C. Dehydration would not typically lead to the need to increase the lithium dosage but rather to the risk of toxicity.

D. Dehydration can lead to higher, not lower, serum lithium levels, increasing the risk of toxicity.

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The patient on methylphenidate (Ritalin) should be assessed for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new prescription of phenelzine (Nardil) for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?

Correct Answer is B

Explanation

The nurse informs the patient to remain well hydrated while taking lithium because dehydration can lead to:

Correct Answer is A

Explanation

According to the nurse instructing the client, which foods contain high amounts of omega-3 fatty acids? (Select all that apply.)

The client has been diagnosed with hyperlipidemia and is being educated on types of food to include in his diet. What is the most appropriate nursing diagnosis for this client?

The client has been taking nicotinic acid. Which adverse effects are common with nicotinic acid? (Select all that apply.)

A client has just begun therapy with lithium (Eskalith). The nurse notices the serum level of lithium for this client is 1.3 mEq/L What is the normal range of lithium?

A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

A nurse is collecting data from a client who takes several daily medications and states that he wants to ask the provider for a prescription for sildenafil (Viagra). The nurse knows that sildenafil is contraindicated due to an interaction with which of the following client's medications?

The client is in a manic phase of bipolar disorder, and is receiving lithium. What will the nurse expect to assess when the client's lithium level is 0.3 mEq/L?

A nurse is reinforcing teaching to a client who has a new prescription for imipramine (Tofranil) for treatment of depression. Which of the following should the nurse reinforce in the teaching? (Select all that apply)