ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Questions Quizlet Questions
Question 1 of 5
It is important for the nurse teaching the patient regarding secobarbital to include which information about the drug?
Correct Answer: C
Rationale: Rationale for Correct Answer C: The nurse should include information about secobarbital causing a hangover effect because it is an important side effect to be aware of. This effect may lead to drowsiness, dizziness, and impaired cognitive function the morning after taking the drug, impacting the patient's ability to function normally. Educating the patient about this potential consequence is crucial for promoting safe and effective medication use. Summary of Incorrect Choices: A: Incorrect because secobarbital is an intermediate-acting drug, not short-acting. B: Incorrect because rapid eye movement rebound is not a common side effect of secobarbital. D: Incorrect because secobarbital is not a long-acting drug and is not typically associated with dependence.
Question 2 of 5
A patient received spinal anesthesia. Which is most important for the nurse to monitor?
Correct Answer: C
Rationale: The correct answer is C: Hypotension and headaches. When a patient receives spinal anesthesia, monitoring for hypotension is crucial due to the vasodilation effect of the anesthesia, which can lead to a drop in blood pressure. Headaches can also occur as a side effect of spinal anesthesia. Monitoring these two factors is essential in preventing complications such as inadequate perfusion or post-dural puncture headaches. A: Loss of consciousness is not a priority as spinal anesthesia does not typically affect consciousness. B: Hangover effects and dependence are not typical side effects of spinal anesthesia. D: Excitement or delirium are not common effects of spinal anesthesia.
Question 3 of 5
A nurse is teaching a patient about zolpidem. Which is important for the nurse to include in the teaching of this drug?
Correct Answer: B
Rationale: The correct answer is B because zolpidem is recommended for short-term treatment of insomnia, typically for less than 10 days. Prolonged use can lead to dependence and tolerance. Choice A is incorrect as the maximum dose is usually 10 mg/day for most patients. Choice C is incorrect as zolpidem can be used in older adults but caution is needed due to increased risk of side effects. Choice D is incorrect as the usual starting dose of zolpidem is 5 mg at bedtime, not 15 mg. It's crucial for the nurse to emphasize the short-term nature of zolpidem use to prevent potential adverse effects.
Question 4 of 5
Phenytoin has been prescribed for a patient with seizures. The nurse should include which appropriate nursing intervention in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Monitor complete blood count levels for early detection of blood dyscrasias. This is important because phenytoin can cause blood disorders, so monitoring CBC levels can help detect any abnormalities early. Choice A is incorrect because an phenytoin level of 18 mcg/mL is within therapeutic range. Choice C is incorrect as vigorous tooth brushing can irritate gums due to phenytoin's side effects. Choice D is incorrect as passing pinkish-red or reddish-brown urine is a common side effect of phenytoin and does not necessarily indicate a need to stop the drug immediately.
Question 5 of 5
When administering phenytoin, the nurse realizes more teaching is needed if the patient makes which statement?
Correct Answer: C
Rationale: The correct answer is C because phenytoin should be taken either with food or after meals to minimize gastrointestinal side effects. Taking it on an empty stomach may lead to increased side effects or decreased drug absorption. Choice A is correct as shaking the oral suspension ensures uniform distribution of the medication. Choice B is correct as alcohol can interact with phenytoin and increase side effects. Choice D is correct as phenytoin can cause gum overgrowth, necessitating regular dental checkups.