A patient who is morbidly obese is admitted for treatment. The prescriber orders lisdexamfetamine (Vyvanse). The nurse will be concerned if this patient shows signs of:
a. anorexia.
b. dyspnea.
c. insomnia.
d. loquaciousness.
ANS: 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 affect at therapeutic doses. Loquaciousness is an expected effect at therapeutic doses.
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