The mother of an 8-year-old client who is receiving methylphenidate (Ritalin) tells the nurse the child has not slept well since being started on this drug. Which assessment question is a priority for this client?
1. "Is your child having problems at school?"
2. "Do you give the medication with food?"
3. "Does your child have sleep apnea?"
4. "What time do you give your child the medication?"
4
Rationale 1:"Is your child having problems at school?" is incorrect because although school problems could be related to insomnia, the nurse should assess for side effects of the medication.
Rationale 2:There is no relationship between the side effect of insomnia and the intake of food.
Rationale 3:Sleep apnea is uncommon in children.
Rationale 4: Stimulants such as methylphenidate cause insomnia. It is important for the nurse to know when the drug is taken. Methylphenidate should be taken early in the day to prevent insomnia.
Global Rationale: Stimulants such as methylphenidate cause insomnia. It is important for the nurse to know when the drug is taken. Methylphenidate should be taken early in the day or at least six hours before bedtime to prevent insomnia.
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A nurse delegates the ambulation of an older adult client to an unlicensed nursing assistant (UAP). Which statement should the nurse include when delegating this task?
a. "The client has skid-proof socks, so there is no need to use your gait belt." b. "Teach the client how to use the walker while you are ambulating up the hall." c. "Sit the client on the edge of the bed with legs dangling before ambulating." d. "Ask the client if pain medication is needed before you walk the client in the hall."
The nurse is observing as the client demonstrates the use of his metered-dose inhaler. The nurse identifies that further instructions are needed when the client does which of the following?
1. The client holds the inhaler upright and shakes for 3-5 seconds to mix the medication. 2. The client inhales slowly and deeply through the mouth while pressing down on the medication canister. 3. The client holds his breath for 7 seconds after he inhales the drug. 4. The client waits 30 seconds before the next inhalation.
A 71-year-old male has been recently diagnosed with a stage III tumor of colorectal cancer and is attempting to increase his knowledge base of his diagnosis
Which of the following statements about colorectal cancer demonstrates a sound understanding of the disease? A) "If accurate screening test for this type of cancer existed, it could likely have been caught earlier." B) "The NSAIDs and aspirin that I've been taking for many years probably contributing to me getting cancer." C) "While diet is thought to play a role in the development of colorectal cancer, the ultimate causes are largely unknown." D) "A large majority of patients who have my type of colon cancer survive to live many more years."
Which ethnic groups should the nurse screen specifically for hypocalcemia? (Select all that apply.)
a. Whites b. Blacks c. Asians d. Hispanics e. American Indians