A patient with narcolepsy is placed on a central nervous system stimulant. What is the central nervous system stimulant of choice to treat narcolepsy?
A) Atomoxetine (Strattera)
B) Guarana
C) Caffeine
D) Modafinil (Provigil)
D
Feedback:
Modafinil (Provigil) is used to treat narcolepsy. Atomoxetine is administered for ADHD. Guarana is the main ingredient in caffeine and is not administered for narcolepsy. Caffeine is not administered for narcolepsy.
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A critically ill patient has a living will in his chart. His condition has deteriorated. His wife says she wants "everything done," regardless of the patient's wishes. Which ethical principle is the wife violating?
a. Autonomy b. Beneficence c. Justice d. Nonmaleficence
The nurse explains that with the continued rise in ammonia levels in the cirrhotic patient, the diet will be modified to restrict:
1. protein. 2. carbohydrates. 3. fats. 4. water-soluble vitamins.
After a Seventh Day Adventist clergyman performed anointing of oil, a nurse bathed the patient. Upon entering the room, the family immediately became upset. When questioned by the nurse, the family states:
1. "Bathing is painful and we don't wish anyone to cause him further discomfort." 2. "He should not have been bathed for several hours following anointment with oils." 3. "The Church forbids anyone but family to bathe loved ones." 4. "His bath should be done by a nurse of the same sex."
With regard to the turns and other adjustments of the fetus during the birth process, known as the mechanism of labor, nurses should be aware that:
a. The seven critical movements must progress in a more or less orderly sequence. b. Asynclitism sometimes is achieved by means of the Leopold maneuver. c. The effects of the forces determining descent are modified by the shape of the woman's pelvis and the size of the fetal head. d. At birth the baby is said to achieve "restitution" (i.e., a return to the C-shape of the womb).