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Pharm Neuro Test Bank questions & answers.
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Pharm Neuro Test Bank questions &answers.
The nurse is performing a medication history on a patient who reports using phentermine HCl
(Suprenza) 15 mg/day for the past 3 months as an appetite suppressant. The nurse will contact the
patient's provider to discuss
a. changing the medication to phentermine-topiramate (Qsymia).
b. increasing the dose to 37.5 mg/day since tolerance has likely occurred.
c. initiating a slow taper of the phentermine.
d. stopping the drug immediately since long-term use is not recommended. ANS -c. initiating a slow
taper of the phentermine.
The nurse should discuss a gradual taper of the medication with the provider. Patients using anorexiants
should not stop taking them abruptly because depression and withdrawal symptoms may occur.
Phentermine-topiramate is recommended for short-term use only. Patients should not use these
medications longer than 12 weeks, so increasing the dose is not indicated
A patient reports having recurring headaches described as 1 to 2 headaches per day for several weeks.
The nurse understands that these headaches are most likely descriptive of which type of headache?
a. Cluster headache
b. Migraine headache
c. Simple headache
d. Tension headache ANS -a. Cluster headache
Cluster headaches reoccur 1 to 3 times daily in a period lasting from approximately 2 weeks to 3
months. Migraine headaches are severe and characterized by an aura prior to the headache. Tension
headaches are related to stress.
The nurse is caring for a patient who has migraine headaches. The patient reports having these
headaches more frequently. Which is an appropriate recommendation for this patient?
a. "Avoid chocolate and caffeine."
b. "Engage in strenuous exercise."
,c. "Have a glass of red wine with dinner."
d. "Take ibuprofen prophylactically." ANS -a. "Avoid chocolate and caffeine."
Triggering factors for migraine headache include foods such as chocolate, caffeine, and red wine.
Intense physical exertion can trigger migraines. Prophylactic ibuprofen is not indicated.
The nurse is caring for a 7-year-old child who has difficulty concentrating and completing tasks and who
cannot seem to sit still. Which diagnostic test may be ordered to assist with a diagnosis of attention
deficit/hyperactivity disorder (ADHD) in this child?
a. Computerized tomography (CT) of the head
b. Electrocardiogram (ECG)
c. Electroencephalogram (EEG)
d. Magnetic resonance imaging (MRI) of the brain ANS -c. Electroencephalogram (EEG)
A child with ADHD may have abnormal EEG findings. CT, MRI, and ECG tests are not diagnostic for ADHD.
A patient has been using an amphetamine drug as an anorexiant for several weeks and asks the nurse
about long-term adverse effects of this type of medication. The nurse will explain to the patient that
these drugs
a. can cause cardiac dysrhythmias.
b. contribute to the development of narcolepsy.
c. do not have severe effects when used properly.
d. will cause orthostatic hypotension. ANS -a. can cause cardiac dysrhythmias.
Amphetamines can cause adverse effects in the central nervous, endocrine, gastrointestinal, and
cardiovascular systems even when used as directed. Cardiac dysrhythmias can occur with continued use.
Amphetamines do not cause narcolepsy or hypotension.
The nurse is teaching a child and a parent about taking methylphenidate (Ritalin) to treat attention
deficit/hyperactivity disorder (ADHD). Which statement by the parent indicates understanding of the
teaching?
a. "I should give this drug to my child at bedtime."
, b. "My child should avoid products containing caffeine."
c. "The drug should be stopped immediately if my child develops aggression."
d. "We should monitor my child's weight since weight gain is common." ANS -b. "My child should avoid
products containing caffeine."
Methylphenidate is a stimulant, so other stimulants such as caffeine should be avoided because a high
plasma caffeine level can be fatal. The medication should be taken in the morning. Patients should be
taught not to stop the drug abruptly to avoid withdrawal symptoms. Weight loss is common.
The parent of a child who is taking amphetamine (Adderall) to treat attention deficit/hyperactivity
disorder (ADHD) asks the provider to recommend an over-the-counter medication to treat a cold. What
will the nurse tell the parent?
a. "Avoid any products containing pseudoephedrine or caffeine."
b. "Never give over-the-counter medications with Adderall."
c. "Sudafed is a safe and effective decongestant."
d. "Use any over-the-counter medication from the local pharmacy." ANS -a. "Avoid any products
containing pseudoephedrine or caffeine."
Adderall is a stimulant, so other stimulants, such as caffeine and pseudoephedrine, should be avoided
because a high plasma caffeine level can be fatal.
The nurse is checking an 8-year-old child who has attention deficit/hyperactivity disorder (ADHD) into a
clinic for an annual well-child visit. The child takes methylphenidate HCl (Ritalin). Which assessments are
especially important for this child?
a. Heart rate, respiratory rate, and oxygen saturation
b. Height, weight, and blood pressure
c. Measures of fine- and gross-motor development
d. Nausea, vomiting, and gastrointestinal upset ANS -b. Height, weight, and blood pressure
Methylphenidate may cause growth suppression, so the child's height and weight should be assessed.
Methylphenidate may also increase blood pressure, so the nurse should pay careful attention to blood
pressure.
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