The nurse is caring for a child who takes dextroamphetamine for treatment of ADHD. Which comments by the patient or family would concern the nurse? Select all that apply
A) "I take my sustained released capsule at night before I go to bed."
B) "We have noticed that our child shows very little emotion over the last few weeks."
C) "I haven't noticed any difference in my appetite."
D) "Sometimes my head hurts a little for a short time after I take my medicine."
E) "We notice our child gets a little irritable occasionally."
Ans: A, B
Psychostimulants, such as dextroamphetamine, should be taken in the morning in order to avoid difficulty sleeping. A flat affect is a sign of dosages that are too high. Decreased appetite, headache, and irritability are common side effects.
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