A nurse is teaching the parents of a child who has attention-deficit/hyperactivity disorder about methylphenidate [Concerta]. Which statement by the child's parents indicates understanding of the teaching?
a. "The effects of this drug will wear off in 4 to 6 hours."
b. "The tablet needs to be swallowed whole, not crushed or chewed."
c. "This medication has fewer side effects than amphetamines."
d. "We should call the provider if we see parts of the medicine in our child's stools."
B
Concerta tablets must be swallowed whole and should not be crushed, chewed, or dissolved in liquids. This is a long-duration preparation with effects that last 10 to 12 hours. Methylphenidate has the same actions and adverse effects as amphetamines. The tablet shell may not fully dissolve in the gastrointestinal (GI) tract; therefore, tablet "ghosts" in the stool are normal.
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The nurse in a community clinic is identifying ways to achieve the 2020 National Health Goals to support prenatal care. Which nursing actions would support the achievement of these goals? (Select all that apply.)
A) Urge female patients to ingest an adequate intake of folic acid. B) Recommend pregnant patients attend developmental childbirth classes. C) Discuss strategies to avoid intimate partner violence with every pregnant patient. D) Provide a play area in the waiting room for the children of patients waiting to be seen. E) Support pregnant patients to achieve the recommended weight gain during pregnancy.
A patient has a glomerular filtration rate of 55%. What should this value indicate to the nurse?
a. This is a normal value. b. The patient is in renal failure. c. The patient needs to be on a fluid restriction. d. The patient's other tests will be in the normal range.
The nurse is caring for a patient who has a chronic illness. Which of the following should the nurse encourage the patient to use as a coping resource?
a. Be hopeful for a disease cure. b. Develop a realistic, hopeful attitude. c. Empower caregivers. d. Develop a power base.
The layer of the artery wall that helps maintain diastolic blood pressure is composed of which of these tissues?
a. Fibrous connective tissue and simple squamous epithelium b. Elastic connective tissue and fibrous connective tissue c. Smooth muscle and elastic connective tissue d. Smooth muscle and simple squamous epithelium