When assessing a patient taking stimulant medications, the nurse should monitor for which of the following?

Headache

Tachycardia

Dizziness

Dry mouth

Answer and Explanation

The Correct Answer is B

A. Headache: While headaches can occur, they are not the most concerning side effect of stimulant medications.

B. Tachycardia: Stimulant medications, such as those used to treat ADHD (e.g., methylphenidate, amphetamines), increase central nervous system activity, which can lead to an increased heart rate (tachycardia).

C. Dizziness: While dizziness can occur, it is not the primary concern with stimulants.

D. Dry mouth: Dry mouth is a possible side effect but is not as clinically significant as tachycardia when monitoring for adverse effects.

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Correct Answer is D

Explanation

A. The client has a pleasant affect: "Affect" refers to outward emotional expression, whereas "mood" is the client's internal emotional state.

B. The client appears happy with an elevated mood: The nurse should document objective data rather than interpreting the client’s emotions.

C. The client self-isolated today: While self-isolation may indicate mood disturbances, it does not directly document the client’s reported mood.

D. The client rates their mood 4 out of 10: This entry reflects the client’s subjective report using a measurable scale, making it the most accurate documentation.

A. "Check your oxygen equipment once each week." B. "Use wool blankets on your bed." C. "Store unused oxygen tanks horizontally." D. "Do not adjust the oxygen flow rate."

Correct Answer is D

Explanation

A. "Check your oxygen equipment once each week.": Oxygen equipment should be checked daily for proper function and leaks, not just weekly.

B. "Use wool blankets on your bed.": Wool and synthetic fabrics generate static electricity, which can ignite oxygen. Cotton blankets should be used instead.

C. "Store unused oxygen tanks horizontally.": Oxygen tanks should always be stored upright and secured to prevent tipping over.

D. "Do not adjust the oxygen flow rate.": Clients should not change the oxygen flow rate unless instructed by the provider, as improper adjustments can cause oxygen toxicity or hypoxia.

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When assessing a patient taking stimulant medications, the nurse should monitor for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which entry made my nurse most accurately documents a client's mood?

Correct Answer is D

Explanation

A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?

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