A patient is prescribed methylphenidate (Ritalin). The patient asks the nurse how this drug will help treat narcolepsy. What is the nurse's best response?

a. "This drug reduces the input to your central nervous system sleep centers."
b. "This drug sedates you so that you can get a good night's sleep and be less drowsy during the day."
c. "This drug stimulates your brain to keep you awake and decrease daytime epi-sodes of sudden sleep."
d. "This drug continuously stimulates the brain stem areas ensuring that you breathe more deeply at night."


C
Drugs in the same category as Ritalin increase general central nervous system (CNS) stimulation in adults. The increased stimulation promotes wakefulness and reduces the sudden sleepiness of narcolepsy.

Nursing

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Health care facilities often request a copy of the patient's advanced directive at the time of admission. An advanced directive

A) describes how the person wants to dispose of his or her personal property after their death. B) is a statement of intent to use personal assets to pay for health care. C) describes their preferences for care should they become incapacitated. D) includes the persons choice of rehabilitation facilities should the need arise.

Nursing

The nurse is completing a health history with a client who is 10 weeks pregnant. Which factor should the nurse identify as increasing this client's risk for a spontaneous abortion?

1. Having taken a medication that is a known teratogen 2. Smoking 3. Having low levels of folic acid 4. Genetic history

Nursing

A nurse is caring for four clients. Which client is most likely to have continuous amnesia?

A) A client who has no memory of his entire lifetime, including his personal identity. B) A client who knows that her mother beat her as a child but cannot remember the details of any of the beatings. C) A client who was driving the car in which her best friend was killed but cannot recall the accident or events since the accident. D) A client whose home was destroyed in a tornado but only remembers hearing the tornado hit, the ambulance siren, and waking up in the hospital.

Nursing

A homeless client is brought into the emergency department with indications of extremely poor nutrition. Arterial blood gas levels are assessed, and the nurse anticipates that this client will demonstrate which of the following results?

1. pH 7.3, PaCO2 38 mm Hg, HCO3 19 mEq/L 2. pH 7.5, PaCO2 34 mm Hg, HCO3 20 mEq/L 3. pH 7.35, PaCO2 35 mm Hg, HCO3 24 mEq/L 4. pH 7.52, PaCO2 48 mm Hg, HCO3 28 mEq/L

Nursing