A child is taking methylphenidate (Ritalin) for AD/HD. The child's parent calls the primary care NP to report increased behavior problems and delusional thinking. The NP should:
a. increase the drug dose.
b. discontinue the medication.
c. change to dextroamphetamine.
d. order methylphenidate SR.
B
Exacerbation of behavioral and processing symptoms can occur in patients with preexisting psychosis, and manic and behavioral symptoms may occur in patients who do not have an underlying psychiatric disorder. This is true with all stimulant medications, so increasing the dose, switching to another stimulant, or switching to a long-acting form are not indicated.
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As part of her prenatal education, a 29-year-old woman who is pregnant with her first child is receiving teaching from her primary care provider
Which of the following statements by the woman reflects an accurate understanding of HIV transmission? A) "I know my baby is safe from HIV while in the womb, but the delivery will place him or her at real risk." B) "It's discouraging to know that my breast milk can pass on HIV to my baby." C) "I know it's possible, but it's comforting that the chances of my child contracting my HIV are actually very low." D) "I'm relieved to learn that a caesarean delivery will protect my baby from being born HIV positive."
The role of the professional nurse has evolved to emphasize:
1. providing care to patients directly at the bedside. 2. planning patient care to cover longer hospital stays. 3. leading the activities of a team of interdisciplinary health care providers. 4. managing care to cure health problems once they have occurred.
The nurse is conducting a head, face, and neck assessment for a toddler-age patient. Which finding is expected for a patient of this age?
1) Anterior fontanel 2 cm open 2) Posterior fontanel 2 cm open 3) Anterior fontanel open, posterior fontanel closed 4) Anterior and posterior fontanels closed
Each healthcare facility establishes individual standards of quality to guide the nursing staff in providing care. Based on the fact that individual standards of quality are present in an organization, what is meant by standards of performance?
A) Procedures used in the delivery of care, the hospital policy book, textbooks, and other references B) Focus on the caregiver, the nurse, and on the nursing process C) Activities determined by client expectations or by personal standards of care D) How well the nurse performs, as compared with a job description