A 13-year-old boy has been taking dextroamphetamine for the treatment of ADHD since he was 10, achieving significant improvements in behavior and mood
When assessing the boy during a scheduled follow-up appointment, the nurse should prioritize what physical assessment? A) Abdominal girth and assessment for peripheral edema
B) Measurement of height and body weight
C) Visual acuity and hearing ability
D) Assessment of deep tendon reflexes and peripheral pulses
B
Feedback:
Suppression of weight and height may occur in children taking amphetamines, and the nurse ensures that growth is monitored during drug therapy. Assessments for edema, diminished reflexes, and sensory deficits are not normally warranted.
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A patient who takes aspirin for rheumatoid arthritis is admitted to the hospital complaining of headache and ringing in the ears. The plasma salicylate level is 300 mcg/mL, and the urine pH is 6.0 . What will the nurse do?
a. Increase the aspirin dose to treat the pa-tient's headache. b. Notify the provider of possible renal tox-icity. c. Prepare to provide respiratory support, because the patient shows signs of over-dose. d. Withhold the aspirin until the patient's symptoms have subsided.
The patient is admitted to the emergency department with possible smallpox exposure. The patient has never had a smallpox immunization. The nurse prepares to administer a smallpox vaccination, realizing that vaccination:
a. within 3 days of exposure will completely prevent the disease. b. is effective only if received before exposure. c. 4 to 7 days after exposure will completely prevent the disease. d. within 3 days will offer only some protection from disease.
When describing public health nursing to a group of community health nurses, which of the following would be identified as its foundation?
A) Social marketing B) Social justice C) Social disparities D) Advocacy
If a patient develops muscarinic antagonist toxicity from ingestion of a chemical, the nurse should be prepared to:
1. administer atropine IV. 2. administer physostigmine. 3. administer an acetylcholinesterase activator. 4. monitor the patient's toxicities but not to administer an antidote.