The parents of a child with ADHD bring the child for a follow-up visit. During the visit, they tell the nurse that the child receives his first dose of methylphenidate (Ritalin) at about 7:30 AM every morning before leaving for school
The teacher and school nurse have noticed a return in the child's overactivity and distractibility just before lunch. The child's second dose is scheduled for about 12 noon. Which of the following might the nurse suggest as a possible solution to control the child's symptoms a bit more effectively?
A) Giving the second dose at 1 PM or later.
B) Switching to a longer acting preparation.
C) Splitting the early morning dose in half.
D) Switching to another class of medication.
B
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A patient is admitted for psychiatric observation after being arrested for breaking windows in the home of his former girlfriend, who had refused to see him
His history reveals abuse as a child by a punitive father, torturing family pets, and one arrest for disorderly conduct. The priority nursing diagnosis that should be considered is: a. Stress overload. b. Ineffective coping. c. Risk for self-directed violence. d. Risk for other-directed violence.
A client who complains of recurring headaches, accompanied by increased irritability, photophobia, and fatigue is asked to track the headache symptoms and occurrence on a calendar log. Which is the best nursing rationale for this action?
A) Cluster headaches can cause severe debilitating pain. B) Migraines often coincide with menstrual cycle. C) Tension headaches are easier to treat. D) Headaches are the most common type of reported pain.
The nurse is concerned about domestic violence as being an ever-increasing social problem. Currently which percentage of children in the United States live in homes with reported violence?
a. 5% c. 20% b. 10% d. 30%
A nurse asks the nurse manager how accountability in health care-related professions can be evaluated. The nurse manager explains that staff accountability can be evaluated by:
a. their actions and the ability to state when they have been wrong. b. the ability to support their actions and justify the results. c. the ability to report, justify, or explain actions. d. processes and experiences.