A mother questions the decreased effectiveness of methylphenidate (Ritalin), prescribed for her child's ADHD. Which nursing response best addresses the mother's concern?
1. "The physician will probably switch from Ritalin to a central nervous system stimulant."
2. "The physician may prescribe an antihistamine with the Ritalin to improve effectiveness."
3. "Your child has probably developed a tolerance to Ritalin and may need a higher dosage."
4. "Your child has developed sensitivity to Ritalin and may be exhibiting an allergy."
3
Rationale: The nurse should explain to the mother that the child has probably developed a tolerance to Ritalin and may need a higher dosage. Methylphenidate is a central nervous system stimulant, and tolerance can develop rapidly. Physical and psychological dependence can also occur.
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A step in maternal role attainment that relates to the woman giving up certain aspects of her previous life is termed:
a. looking for a fit. b. role-playing. c. fantasy. d. grief work.
The nurse is caring for a patient with mental illness who expresses a desire to learn more about complementary and alternative medicine (CAM). What will the nurse tell the patient about the difference between osteopathic and naturopathic medicine?
1. "Osteopathy is a hands-on therapy that focuses on the health and function of the spine and other body structures and their effect on health; naturopathy stimulates the body's ability to heal itself by giving very small doses of highly diluted substances that, in larger doses, would produce symptoms or illness." 2. "Osteopathy aims to support the body's inherent ability to maintain and restore health, and prefers to use treatment approaches considered to be the least invasive; naturopathy is a system of medicine that emphasizes the relationship between structure and function of the body." 3. "Osteopathy is a system of medicine that emphasizes the relationship between structure and function of the body; naturopathy aims to support the body's inherent ability to maintain and restore health, and prefers to use treatment approaches considered to be the least invasive." 4. "Osteopathy stimulates the body's ability to heal itself by giving very small doses of highly diluted substances that, in larger doses, would produce symptoms or illness; naturopathy is a hands-on therapy that focuses on the health and function of the spine and other body structures and their effect on health."
A nurse is caring for a patient with left-sided hemiparesis who has developed bronchitis and has a heart rate of 105 beats/min, blood pressure of 156/90 mm Hg, and respiration rate of 30 breaths/min. Which nursing diagnosis is a priority?
a. Risk for skin breakdown b. Impaired gas exchange c. Activity intolerance d. Risk for infection
If a patient says an area is "sore," it is safe to assume that she is not having pain.
Answer the following statement true (T) or false (F)