Practice Question
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
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Correct Answer:
Hypertension.
Rationale:
💢 Methylphenidate is a central nervous system stimulant that can cause sympathetic nervous system activation, resulting in increased heart rate and blood pressure.
💢 In clients with pre-existing hypertension, this effect may worsen their condition and increase the risk of stroke, cardiac arrhythmia, or hypertensive crisis.
💢 Prior to administration, the nurse should always review the client’s vital signs and history, especially for cardiovascular disorders, to determine if it's safe to proceed.
💢 Monitoring blood pressure trends is crucial, especially when initiating or adjusting stimulant medication.
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This question is from HESI-RN Pharmacology~106A which contains 34 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Pharmacology
- Answer Choices: 4