Signs and symptoms
Signs and symptoms ( 9 Questions)
A nurse is caring for a client who has been taking amphetamine (Adderall) for attention-deficit/hyperactivity disorder (ADHD). The client reports insomnia, weight loss, and palpitations. Which of the following actions should the nurse take?
The nurse should not advise the client to stop taking a prescribed medication without consulting with the provider. Abrupt cessation of amphetamine can cause withdrawal symptoms such as fatigue, depression, and irritability.
While amphetamine has a high potential for abuse and dependence, these symptoms do not necessarily indicate that the client is abusing the medication. The nurse should assess the client for other signs of substance abuse such as increased tolerance, craving, loss of control, and impaired functioning.
While increasing fluid and food intake may help with dehydration and malnutrition caused by amphetamine use, this does not address the underlying problem of adverse effects from the medication.
Rationale: Insomnia, weight loss, and palpitations are common adverse effects of amphetamine and other stimulants. The nurse should notify the provider of these symptoms as they may indicate a need for dosage adjustment or discontinuation of the medication.
Correct answer: d) Notify the provider of the client's symptoms
Rationale: Insomnia, weight loss, and palpitations are common adverse effects of amphetamine and other stimulants. The nurse should notify the provider of these symptoms as they may indicate a need for dosage adjustment or discontinuation of the medication.
Incorrect choices:
a) Advise the client to stop taking the medication immediately: The nurse should not advise the client to stop taking a prescribed medication without consulting with the provider. Abrupt cessation of amphetamine can cause withdrawal symptoms such as fatigue, depression, and irritability.
b) Assess the client for signs of substance abuse: While amphetamine has a high potential for abuse and dependence, these symptoms do not necessarily indicate that the client is abusing the medication. The nurse should assess the client for other signs of substance abuse such as increased tolerance, craving, loss of control, and impaired functioning.
c) Encourage the client to increase fluid and food intake: While increasing fluid and food intake may help with dehydration and malnutrition caused by amphetamine use, this does not address the underlying problem of adverse effects from the medication.