A school-age client is prescribed Adderall (amphetamine mixed salts) for attention deficit hyperactivity disorder (ADHD). At which time is it most appropriate for the nurse to teach the parents to administer this medication?
1. At bedtime
2. Before lunch
3. With the evening meal
4. Early in the morning
Correct Answer: 4
Rationale: A side effect of Adderall can be insomnia. Administering the medication early in the day can help alleviate the effect of insomnia.
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The nurse is teaching parents interventions appropriate to the emotional development of their toddlers. Which of the following is a recommended intervention for this age group?
A) Remove children's security blankets at this stage to help them assert their autonomy. B) Distract toddlers from exploring their own body parts, particularly their genitals. C) Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior. D) Offer toddlers many choices to foster control over their environment.
A patient with a major chest injury was originally alert and oriented after recovery from surgery but is now becoming apprehensive and dizzy. What action should be taken by the nurse imme-diately?
a. Notify the healthcare provider. b. Perform a cardiopulmonary assessment. c. Elevate the head of the bed to 60 degrees. d. Provide the patient with pain medication.
Clients receiving long-term corticosteroid therapy may require dietary modifications. All of the following statements are true about special diets for long-term corticosteroid therapy except:
a. A sodium restricted diet may be needed due to sodium and water retention. b. A high-protein, high-carbohydrate diet may be needed to correct negative nitrogen balance. c. A potassium-restricted diet may be needed due to potassium retention. d. Increased calcium is encouraged to help prevent osteoporosis.
A patient is admitted with a diagnosis of bipolar disorder, manic phase, and displays extreme hyperactivity, agitation, talkativeness, and emotional lability. Which is the highest priority nursing diagnosis?
a. Risk for injury related to extreme hyperactivity b. Disturbed thought processes related to manic state c. Impaired social interaction related to excessive verbalization d. Impaired sensory perception related to biochemical alterations