ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Questions Quizlet Questions
Question 1 of 5
A patient is beginning to take cyclobenzaprine for treatment of acute back spasms. Which interventions will the nurse include in the care of this patient? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Inform the patient not to abruptly stop taking the muscle relaxant. Abruptly stopping cyclobenzaprine can lead to withdrawal symptoms. Gradual tapering is necessary to prevent adverse effects. Choice A is incorrect as cyclobenzaprine can be taken with or without food. Choice C is incorrect as alcohol should be avoided while taking muscle relaxants. Choice D is irrelevant to the question and not related to the care of a patient taking cyclobenzaprine.
Question 2 of 5
A 46-year-old woman complained of daytime sleepiness after starting an antihistamine for allergic rhinitis. The physician explained that drowsiness was most likely due to inhibition of the action of histaminergic neurons in the brain. Which of the following brain regions was most likely involved in the adverse effect of this drug?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Which of the following pairs of neurotransmitters are thought to be most involved in seizure disorders?
Correct Answer: B
Rationale: GABA is an inhibitory neurotransmitter that helps regulate neuronal excitability, while glutamate is an excitatory neurotransmitter that promotes neuronal activity. Imbalance between these two neurotransmitters can lead to seizure disorders. Therefore, the pair of neurotransmitters most involved in seizure disorders is GABA and glutamate.
Question 4 of 5
Which of the following adverse effects were most likely to occur during the first days of therapy with sertraline and diazepam?
Correct Answer: C
Rationale: Excessive sedation and drowsiness are common adverse effects of benzodiazepines like diazepam, especially when combined with other CNS depressants like sertraline. This can lead to impaired cognitive and motor function, making activities like driving dangerous. It is important for healthcare providers to monitor patients closely for these side effects to ensure their safety.
Question 5 of 5
Which of the following molecular actions most likely mediated the therapeutic effect of ramelteon in the 63-year-old woman with difficulty falling asleep?
Correct Answer: C
Rationale: Ramelteon is a melatonin receptor agonist, which means it binds to and activates melatonin receptors in the brain. By mimicking the effects of melatonin, a hormone involved in regulating the sleep-wake cycle, ramelteon can help improve sleep onset and maintenance. This mechanism of action makes it an effective treatment for insomnia characterized by difficulty falling asleep.