A nurse working the night shift begins taking modafinil [Alertec]. The nurse is telling a coworker about the medication. Which statement is correct?

a. "I can take it during pregnancy."
b. "It doesn't have cardiovascular side ef-fects."
c. "It is safe and has no serious adverse ef-fects."
d. "It will not interfere with my normal sleep."


D
Modafinil is used to increase wakefulness in patients with excessive sleepiness, including those with shift-work sleep disorder (SWSD). It acts without disrupting nighttime sleep. It is embryo-toxic in laboratory animals and therefore is contraindicated during pregnancy. It can increase the heart rate and blood pressure. In rare cases it has been linked to serious skin reactions, including Stevens-Johnson syndrome, erythema multiforme, and toxic epidermal necrolysis.

Nursing

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Hypoventilation, aspiration of foreign bodies, and sleep apnea may cause:

A) Metabolic acidosis. B) Metabolic alkalosis. C) Respiratory alkalosis. D) Respiratory acidosis.

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Over the counter drugs are often simply referred to as ____ drugs.

Fill in the blank(s) with the appropriate word(s).

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The nurse is reviewing the medication list and appropriate dose adjustments made for a patient with CKD. The nurse would question the use and/or dosage adjustment of which type of medication?

a. Antibiotics b. Magnesium antacids c. Oral antidiabetics d. Opioids

Nursing