The 8-year-old patient is receiving methylphenidate (Ritalin). The patient's mother tells the nurse that he won't eat while on his medication. What is the best response by the nurse?
1. "It sounds like he is becoming depressed. I will speak to the doctor about starting an antidepressant medication."
2. "Give the medication after meals and encourage him to have supplements between meals."
3. "You are right to be concerned. I will speak to the doctor about starting an appetite stimulant medication."
4. "This is a very serious concern; it would be best for him to see a nutritionist for counseling."
Correct Answer: 2
Rationale: Methylphenidate (Ritalin) is an appetite suppressant. The best approach is to have the patient take the medication after meals and consume nutritious supplements between meals. Seeing a nutritionist is premature at this time. There isn't any evidence to support that the patient is becoming depressed. It is premature to start an appetite stimulant medication without trying other strategies first.
You might also like to view...
The nurse explains to the children of an 82-year-old client that the leading cause of injury among older adults is:
1. Accidental poisonings. 2. Burns. 3. Falls. 4. Fires.
The nurse makes a medication error. Which action will the nurse take first?
a. Prepare an incident report so that the facility can determine the cause of the error. b. Explain to the patient that a medication error has occurred, and notify the nurse manager. c. Assess the patient for any adverse reactions and notify the prescriber. d. Document the medication given, how the patient responded, and the corrective actions taken.
The staff development nurse is developing a form for program participants to complete after a program. Which of the following elements are important to include in this evaluation tool? Select all that apply
1. The participant?s reaction to the program 2. Acquired learning 3. Preferred tools to utilize in future programs 4. The impact of the program to the organization
The intraoperative nurse observes the anesthesiologist administer general anesthesia, insert the endotracheal tube, and take control of the airway. The nurse understands that the next important nursing intervention for this patient is to:
a. Prepare the surgical site b. Shave the surgical site c. Position the patient d. Pad bony prominences