The nurse is teaching a child and a parent about taking methylphenidate (Ritalin) to treat attention deficit/hyperactivity disorder (ADHD). Which statement by the parent indicates understanding of the teaching?

a. "I should give this drug to my child at bedtime."
b. "My child should avoid products containing caffeine."
c. "The drug should be stopped immediately if my child develops aggression."
d. "We should monitor my child's weight since weight gain is common."


ANS: B
Methylphenidate is a stimulant, so other stimulants such as caffeine should be avoided because a high plasma caffeine level can be fatal. The medication should be taken in the morning. Patients should be taught not to stop the drug abruptly to avoid withdrawal symptoms. Weight loss is common.

Nursing

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A pregnant client is in the clinic for a routine monthly check and asks the nurse whether there is a blood test that can be drawn to check for genital warts. The best response by the nurse is:

1. "Yes, I will ask the doctor to draw the blood." 2. "No, but we can culture your vagina." 3. "There are several types of laboratory tests, but you need to speak to the physician." 4. "Genital warts are detected by inspection or by culturing the cervix for HPV."

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The intensive care nurse is educating the spouse of a client who is being treated for shock. The spouse states, "The doctor said she has shock. What is that?" What is the nurse's best response?

a. "Shock occurs when oxygen to the body's tissues and organs is impaired." b. "Shock is a serious condition, but it is not a life-threatening emergency." c. "Shock progresses slowly and can be stopped by the body's normal compensa-tion." d. "Shock is a condition that affects only specific body organs like the kidneys."

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Pulses can be felt in locations where large veins come close to the skin

Indicate whether the statement is true or false

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The birth doula is a member of the childbirth team.

Answer the following statement true (T) or false (F)

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