The nurse is presenting an in-service at a children's unit on hyperactivity. The nurse is told that a 6-year-old on the unit is being treated with methylphenidate (Ritalin)
The presenting nurse talks about discharge teaching for this patient and the importance of monitoring what? A) Long bone growth
B) Visual acuity
C) Weight and complete blood count
D) Urea and nitrogen levels
C
Feedback:
Methylphenidate is associated with weight loss, bone marrow suppression, and cardiac arrhythmias. Weight, blood count, and cardiac function should be monitored regularly. The drug is not associated with renal dysfunction, visual changes, or growth retardation, so those values would not need to be regularly evaluated as part of drug therapy.
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A patient in the ICU is recovering from open-heart surgery. The nurse enters his room and observes that his daughter is performing effleurage on his arms and talking in a low voice about an upcoming family vacation that is planned
The room is dimly lit, and she hears the constant beeping of his heart monitor. From the hall she hears the cries of a patient in pain. Which of the following are likely stressors for the patient? Select all that apply. A) His daughter's conversation B) His daughter's effleurage C) The beeping of the heart monitor D) The dim lighting of the room E) The cries of the other patient from the hall
A woman is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height is 13 cm. Which potential problem should be investigated?
a. Placenta previa b. Disseminated intravascular coagulation (DIC) c. Hydatidiform mole d. Abruptio placentae
The nurse at an acute care facility is being trained as a case manager. In which ways does the electronic medical record assist the case managers in their job duties? Select all that apply
A) Allow for trending of client progress B) Allow for easier collection of payment C) Allow for documentation of client education D) Allow for observation of client metrics E) Allow for easier access to client payment history
An older Asian American patient tells the nurse that she has lived in the United States for 50 years. The patient speaks English and lives in a predominantly Asian neighborhood. Which action by the nurse is most appropriate?
a. Include a shaman when planning the patient's care. b. Avoid direct eye contact with the patient during care. c. Ask the patient about any special cultural beliefs or practices. d. Involve the patient's oldest son to assist with health care decisions.