Response feedback cns stimulants like cocaine

Response
Feedback:
CNS stimulants like cocaine initially increase heart rate and blood pressure.
Cocaine impairs the uptake of norepinephrine and epinephrine by presynaptic
nerve endings, thus activating the adrenergic systems and causing
hypertension, tachycardia, and vasoconstriction.
 Question 12
1 out of 1 points
A trauma patient has been receiving frequent doses of morphine in the 6 days since his
accident. This pattern of analgesic administration should prompt the nurse to carefully
monitor the patient's
Response
Feedback:
Morphine, like most opioid analgesics, creates a risk for constipation. The
drug is unlikely to influence the patient's temperature, skin integrity, or
urine specific gravity.
 Question 13
1 out of 1 points
A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle
accident. The physician has ordered propofol (Diprivan) to be used for maintenance of
sedation. Before administration of propofol, a priority assessment by the nurse would be to
check for a history of
Response
Feedback:
Propofol is relatively contraindicated in patients with a history of seizure
disorders because they are at risk of developing convulsions during the
recovery phase. This drug should be used with caution in patients with low
blood pressure because it can aggravate this condition. Also, it should be used
with caution in patients with increased intraocular pressure because it can
cause a substantial reduction in cerebral perfusion. Because disorders of lipid
metabolism can be aggravated by the emulsion vehicle in which propofol is
delivered, it should be used with caution in patients with diabetic
hyperlipidemia.
 Question 14
1 out of 1 points
A 30-year-old woman is taking phenelzine (Nardil) 30mg PO tid. The nurse knows that at that
dosage, the patient will need to be carefully monitored for

Response
Feedback:
The nurse will closely monitor for the adverse effects of phenelzine related to
the anticholinergic effect of the drug, such as dizziness that tends to be more
pronounced at dosages above 45 mg/day. Dizziness is also a sign of a
phenelzine drug overdose. Constipation and dry mouth are also adverse
effects, not diarrhea and increased secretions. Facial flushing is not an
identified adverse effect of phenelzine.
 Question 15
1 out of 1 points
A nurse is assigned to a patient who is taking lithium. Which of the following drug serum
levels would indicate that the patient is at risk for adverse effects of the drug?
Response
Feedback:
The therapeutic range for lithium is 0.6 to 1.2 mEq/L. A level of 0.3 mEq/L
would not be in the therapeutic range and would therefore not produce a
therapeutic response. Levels of 0.6 and 1.2 mEq/L would be within the
therapeutic range and would not be expected to produce adverse effects. A
level of 1.7 mEq/L would be a high level and place the patient at risk for
adverse effects or overdose.
 Question 16
1 out of 1 points
A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis
and been treated with haloperidol. Which of the following assessment findings should prompt
the care team to assess the patient for neuroleptic malignant syndrome?