A school-age client comes to the clinic for routine follow-up after being placed on amphetamine sulfate (Adderall) 2 weeks ago for a diagnosis of ADHD. The client weighed 15 pounds over normal for height prior to the start of the Adderall
The mother states concern that the client is no longer snacking, barely finishes meals, and "will lose too much weight." What is the nurse's best response to this concern?
1. "Make an appointment each week for us to monitor against too much weight loss."
2. "It is normal for clients to lose weight when taking Adderall."
3. "Over time, the diminished appetite might be reduced. Begin by offering small, frequent meals, and monitor for excessive weight loss."
4. "The Adderall will help the client to return to normal weight for his height."
Correct Answer: 3
Rationale 1: There is no reason to bring the client in for weighing each week. The mother can monitor for weight loss and call the health care provider for concerns.
Rationale 2: Weight loss is a side effect of amphetamines, but this does not directly address the concern.
Rationale 3: Offering small, frequent meals and monitoring for weight loss are the most appropriate actions.
Rationale 4: Stating that the Adderall will help the client return to normal weight is not an appropriate comment. Clients who are school-age typically go through a stage of excess fat stores just prior to a growth spurt.
Global Rationale: Offering small, frequent meals and monitoring for weight loss are the most appropriate actions. There is no reason to bring the client in for weighing each week. The mother can monitor for weight loss and call the health care provider for concerns. Weight loss is a side effect of amphetamines, but this does not directly address the concern. Stating that the Adderall will help the client return to normal weight is not an appropriate comment. Clients who are school-age typically go through a stage of excess fat stores just prior to a growth spurt.
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