The nurse is reviewing the use of central nervous system stimulants. Which of these are indications for this class of drugs? (Select all that apply.)
(Select All that Apply.)
Attention deficit hyperactivity disorder (ADHD)
Panic attacks
Narcolepsy
Neonatal apnea
Correct Answer : A,C,E
A. Attention deficit hyperactivity disorder (ADHD) - Correct. CNS stimulants like
methylphenidate and amphetamine derivatives are commonly used to treat ADHD by improving attention, focus, and impulse control.
B. Panic attacks - Incorrect. CNS stimulants are not typically used to treat panic attacks.
Medications such as benzodiazepines or selective serotonin reuptake inhibitors (SSRIs) are more commonly used for panic disorder.
C. Narcolepsy - Correct. CNS stimulants are used to treat narcolepsy, a sleep disorder characterized by excessive daytime sleepiness and sudden attacks of sleep.
D. Neonatal apnea - Incorrect. CNS stimulants are not indicated for neonatal apnea.
Management of neonatal apnea usually involves supportive measures, respiratory support, and caffeine citrate as a respiratory stimulant.
E. Obesity - Correct. CNS stimulants like phentermine are sometimes used as adjuncts to diet and exercise for short-term management of obesity
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Carbamazepine is an anticonvulsant medication used to treat seizures and certain mood disorders. It is not typically used in the treatment of Parkinson's disease.
B. Piperacillin/tazobactam is an antibiotic combination used to treat bacterial infections. It is not used in the treatment of Parkinson's disease.
C. Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism. It is not used in the treatment of Parkinson's disease.
D. Levodopa/carbidopa is a medication commonly used in the treatment of Parkinson's disease to manage motor symptoms such as tremor, rigidity, and bradykinesia. The nurse should provide
thorough education to the client regarding the indication, dosage, administration, potential side effects, and precautions associated with levodopa/carbidopa therapy.
Correct Answer is C
Explanation
A. These are adverse effects that usually subside after a few weeks: While some adverse effects of phenobarbital may diminish over time, the symptoms described by the patient are more likely related to its impact on REM sleep.
B. The drug must be stopped immediately because of possible adverse effects: Stopping phenobarbital abruptly can lead to withdrawal symptoms and potential rebound seizures; discontinuation should be done gradually under medical supervision.
C. This drug causes deprivation of REM sleep and may cause the inability to deal with normal stress: Phenobarbital is known to disrupt REM sleep, leading to emotional lability, irritability, and difficulty coping with stress.
D. This drug causes the rapid eye movement (REM) sleep period to increase, resulting in nightmares and restlessness: Phenobarbital actually decreases REM sleep, which can lead to disturbances in sleep patterns and mood changes.
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