An adult patient reports feeling unfocused all the time, loses things, and has difficulty completing tasks and says that this is interfering with family relations and work
The symptoms have been present as long as the patient can remember, although there is no previous documentation of attention-deficit/hyperactivity disorder (AD/HD) in this patient's medical history. The primary care nurse practitioner (NP) should: a. tell the patient that a diagnosis of AD/HD as a child is a prerequisite for diagnosing this in adults.
b. conduct a thorough evaluation to document behaviors associated with AD/HD and begin treatment if indicated.
c. suggest that the patient may have a major depressive disorder and refer the patient for psychiatric evaluation and treatment.
d. prescribe a methylphenidate trial, ask the patient to keep a diary of behaviors and feelings, and reevaluate in 1 to 2 months.
B
Although childhood AD/HD is a prerequisite for diagnosis in an adult, it is increasingly recognized that many adults have the disorder without having been diagnosed as children. The NP should evaluate the patient's symptoms and treat if indicated. The patient does not have symptoms of depression. Methylphenidate should not be given unless the patient meets the diagnostic criteria.
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The nurse in an urgent care center assesses an adult client who presents with a fever of 101.2 °F and complaints of painful urination. What should the nurse ask to elicit further data that indicates cystitis?
A) "Do you have any symptoms of menopause?" B) "How long have you had a fever, and have you had chills with this?" C) "Do you have any upper abdominal pain or cramping?" D) "What color is your urine?"
Match each term to the correct statement below.
A. metric measurement of weight B. used to weigh dependent, bedfast patients C. used to weigh ambulatory patients D. used to weigh patients who are unsteady and cannot stand E. area on the scale that measures the weight F. amount G. original measurement of height and weight H. used to weigh patients who cannot easily stand or transfer from the wheelchair to a chair I. common weight unit J. metric measurement of height
Pain associated with pericarditis is most often described as
A) painful breathing. B) crushing and substernal. C) to the left arm and jaw. D) ripping or tearing.
The nurse is preparing to administer 20 mEq of potassium chloride to a client who has been vomiting. What should the nurse explain to the client about the purpose of this medication?
A) It is vital in regulating muscle contraction and relaxation. B) It is needed to maintain skeletal, cardiac, and neuromuscular activity. C) It controls and regulates water balance in the body. D) It is used in the body to synthesize ingested protein.