A school-age client who is taking amphetamine sulfate (Adderall) for treatment of ADHD is seen in the clinic for routine follow-up. The nurse will automatically perform which functions?

Question

Standard Text: Select all that apply.
1. Measure the client's height and weight.
2. Assess vital signs, especially heart rate and BP.
3. Obtain labs to assess cardiovascular status.
4. Obtain a fasting blood glucose.
5. Instruct the parent and child on how to obtain a 24-hour urine collection for proteinuria.

Answer 1

Correct Answer: 1,2
Rationale 1: Placing children on amphetamines for ADHD can stunt their growth. Height and weight should be checked regularly.
Rationale 2: Amphetamines can increase BP and heart rate. Both should be monitored.
Rationale 3: A cardiovascular workup is to be performed prior to starting amphetamines. There is nothing in the stem to indicate further workup is necessary at this time.
Rationale 4: There is no evidence that the client is having symptoms of blood glucose imbalance.
Rationale 5: There is no reason to perform a 24-hour urine, as there is no indication that the client is experiencing renal problems.
Global Rationale: Placing children on amphetamines for ADHD can stunt their growth. Height and weight should be checked regularly. Amphetamines can increase BP and heart rate. Both should be monitored. A cardiovascular workup is to be performed prior to starting amphetamines. There is nothing in the stem to indicate further workup is necessary at this time. There is no evidence that the client is having symptoms of blood glucose imbalance. There is no reason to perform a 24-hour urine, as there is no indication that the client is experiencing renal problems.