The nurse is checking an 8-year-old child who has attention deficit/hyperactivity disorder (ADHD) into a clinic for an annual well-child visit. The child takes methylphenidate HCl (Ritalin). Which assessments are especially important for this child?

a. Heart rate, respiratory rate, and oxygen saturation
b. Height, weight, and blood pressure
c. Measures of fine- and gross-motor development
d. Nausea, vomiting, and gastrointestinal upset


ANS: B
Methylphenidate may cause growth suppression, so the child's height and weight should be assessed. Methylphenidate may also increase blood pressure, so the nurse should pay careful attention to blood pressure.

Nursing

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Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where provided

Erythromycin ethylsuccinate 62.5 mg p.o. q6h is ordered for an infant weighing 10 lb 4 oz. The recommended safe dosage is 30 to 50 mg/kg/24 hr divided q6h. a. What is the infant's weight in kilograms? _____ b. What is the safe 24-hour dosage range for this infant? _____ c. What is the divided dosage range? _____ d. Is the dosage ordered safe? (Prove mathematically.) _______________ Explain your action: ______________________________

Nursing

When planning patient education for a woman diagnosed with breast cancer, the nurse recognizes that the patient has an increased risk for developing:

A) Breast cancer B) Cervical cancer C) Ovarian cancer D) Lung cancer

Nursing

The nurse is caring for a client with a diagnosis of end-stage renal disease. The client has expressed the desire to be kept comfortable and to not continue further treatment

The daughter arrives from out of town and is demanding to have further testing done to determine the best treatment option for the client. What is the best action for the nurse to take at this time? A) Explain to the daughter the wishes of the client. B) Arrange a meeting between the physician and daughter. C) Contact the imaging center to schedule the testing. D) Persuade the client to agree to the daughter's request.

Nursing

When accessing the Board of Registered Nursing websites for information about impaired nursing practice, what information would a nurse expect to find?

A) A wide range of information about the reentry process B) Forms to fill out for reporting an impaired colleague to an employer C) Specified length of time for random drug-testing during recovery D) Methods for reporting an impaired colleague

Nursing