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A 22-year-old nursing student has been taking NoDoz (caffeine) tablets for the past few weeks to “make it through” the end of the semester and exam week. She is in the university clinic today because she is “exhausted.” What nursing diagnosis may be appropriate for her?a.Noncomplianceb.Impaired physical mobilityc.Sleep deprivationd.Imbalanced nutrition: less than body requirementsANS: CThe main ingredient in NoDoz, caffeine, is a central nervous system stimulant that canbe used to increase mental alertness. Restlessness, anxiety, and insomnia are common adverse effects. Thus, sleep deprivation is the most appropriate nursing diagnosis of those listed.DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 214TOP: NURSING PROCESS: Nursing Diagnosis
MSC: NCLEX: Physiological Integrity: Physiological Adaptation5. An ergot alkaloid is prescribed for a patient who is having frequent migraine headaches. The nurse provides information to the patient about the medication and tells the patient to contact the prescriber if which problem occurs?DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 215TOP: NURSING PROCESS: ImplementationMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies6. A 10-year-old patient will be started on methylphenidate hydrochloride (Ritalin) therapy. The nurse will perform which essential baseline assessment before this drug is started?
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 213TOP: NURSING PROCESS: AssessmentMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies7. Before a patient receives triptans for the treatment of migraines, the nurse will assess for the presence of which condition, which is a contraindication if present?
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 210TOP: NURSING PROCESS: AssessmentMSC: NCLEX: Physiological Integrity: Reduction of Risk Potential8. When evaluating a patient who is taking orlistat (Xenical), which is an intended therapeutic effect?