When a child with ADHD is given a stimulant drug, which of the following side effects are MOST likely?
a. reduced appetite
b. increased appetite
c. no difference in appetite
d. fluctuating appetite
A
The neurotransmitter dopamine plays a key role in initiating purposive movement, increasing motivation and alertness, reducing appetite, and inducing insomnia. These effects are often seen when a child with ADHD is given stimulant drugs.
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The nurse is caring for a 63-year-old patient with ovarian cancer. The patient is to receive chemotherapy consisting of Taxol and Paraplatin. For what adverse effect of this treatment should the nurse monitor the patient?
A) Leukopenia B) Metabolic acidosis C) Hyperphosphatemia D) Respiratory alkalosis
A patient with moderate to severe chronic pain has been taking oxycodone [OxyContin] 60 mg every 6 hours PRN for several months and tells the nurse that the medication is not as effective as before
The patient asks if something stronger can be taken. The nurse will contact the provider to discuss: a. administering a combination opioid anal-gesic/acetaminophen preparation. b. changing the medication to a contin-ued-release preparation. c. confronting the patient about drug-seeking behaviors. d. withdrawing the medication, because physical dependence has occurred.
The nurse caring for pregnant patients is identifying interventions to support the 2020 National Health Goals regarding pain relief during labor. Which interventions support these goals? (Select all that apply.)
A) Encourage pregnant patients to prepare for childbirth by attending classes. B) Discuss the advantages of using epidural or spinal anesthesia during labor. C) Review the various opioid analgesics that can be used to control the pain of labor. D) Review the different breathing techniques that help with pain control during labor. E) Explain the various complementary and alternative therapies to help with pain control.
A patient who has osteoarthritis with mild to moderate pain asks the nurse about taking over-the-counter ibuprofen (Motrin). What will the nurse tell this patient?
a. "It may take several weeks to achieve therapeutic effects." b. "Unlike aspirin, there is no increased risk of bleeding with ibuprofen." c. "Take ibuprofen twice daily for maximum analgesic benefit." d. "Combine ibuprofen with acetaminophen for best effect."