A primary care NP sees a child for an annual well-child check-up. The child has been taking methylphenidate for AD/HD for 3 months. The NP should discontinue the medication if which symptom is present?
a. Motor tics
b. Decreased appetite
c. Occasional headaches
d. Decreased blood pressure
A
Methylphenidate is contraindicated in patients who have motor tics or a diagnosis of Tourette's syndrome. Decreased appetite, occasional headaches, and changes in blood pressure are not concerning.
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A comprehensive assessment process is needed for clients with gender disorders. The nurse would include which of the following?
A) Cognition assessment, interpersonal assessment, but not behavioral assessment B) Behavioral assessment, affect assessment, interpersonal assessment C) Affect assessment, intrapersonal assessment, sexual history D) Sexual history, affect assessment, but not cognition assessment
The nurse is providing discharge teaching to the parents of a newborn
The nurse should instruct the parents to notify the healthcare provider in case of which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. More than one episode of forceful vomiting. 2. More than 6 to 10 wet diapers per day. 3. A bluish discoloration of the skin with or without a feeding. 4. Refusal of two feedings in a row. 5. Development of eye drainage.
A nurse is preparing to examine a client's skin using a Wood light. What should the nurse do to facilitate this procedure?
A. Darken the examining room B. Administer a local anesthetic C. Obtain a signed informed consent D. Shave the skin and scrub it with povidone-iodine (Betadine)
The nurse is ready to begin a tube feeding via an NG feeding tube for a patient who is comatose. What action should the nurse take before starting the feeding?
a. Listen to bowel sounds. b. Check the pH of gastric aspirate. c. Secure the NG tube with additional tape. d. Irrigate the tube with 10 mL of sterile water.