A patient who is morbidly obese is admitted for treatment. The prescriber orders lisdexamfeta-mine [Vyvanse]. The nurse will be concerned if this patient shows signs of:
a. anorexia.
b. dyspnea.
c. insomnia.
d. loquaciousness.
B
Stimulants can produce cardiovascular effects. Any patient reporting shortness of breath needs to be evaluated for cardiovascular problems. Anorexia, or poor appetite, is an expected effect of stimulants and is the desired effect when these drugs are used for obesity. Stimulants increase alertness and can cause insomnia, which is an expected effect at therapeutic doses. Loquacious-ness is an expected effect at therapeutic doses.
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