Chapter 17: Stimulants Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition Questions and Answers with complete solutions

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. - ANSWER-c 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 - ANSWER-c 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 with continued use. b. contribute to the development of narcolepsy. c. do not have severe effects when used properly. d. will cause orthostatic hypotension. - ANSWER-a