When a central nervous system stimulant such as Adderall is prescribed for a client who has attention-deficit hyperactivity disorder (ADHD), the nurse must instruct the client's parents to assess the medication's immediate effectiveness by
looking for: a. a paradoxical reaction
b. improved grades at school
c. increased activity level
d. increased insomnia and decreased appetite
A
Adderall is a central nervous system stimulant that is prescribed for a client who has ADHD. Evaluation of the medication's immediate effectiveness includes a paradoxical reaction.
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A client who recently had surgery is medicated prior to return to the nursing unit. Which assessment finding warrants the need for a more in-depth assessment when determining the client's score on the sedation scale?
1. The client is sleeping but is easy to arouse. 2. The client is somnolent, with minimal or no response to physical stimulation. 3. The client is slightly drowsy, but arouses easily with minimal physical stimulation. 4. The client is awake and alert visiting with family at the bedside.
A patient with a sleep-wake disorder tells the nurse that she has been drinking a couple glasses of wine before bed to make herself sleepy. What is the best response by the nurse?
1. "That's a reasonable thing to do if it makes you sleepy at bedtime." 2. "If that works for you, try to drink red wine for the antioxidant benefit." 3. "If you drink wine to go to sleep, make sure you don't take it with medication." 4. "Alcohol might make you sleepy but it contributes to awakenings later in the night."
What are the American Nurses Association Code of Ethics and Interpretive Statements?
A) Outlines minimum levels of ethical behavior that nurses must maintain B) Functions as a guide to the highest standards of ethical practice for nurses C) Is a legally binding document D) Mandates the ethical behavior prerequisite for nursing licensure
A patient has been admitted with chest pain and generalized discomfort. Which of the following assessment data will assist the nurse in setting realistic goals for patient therapy and education?
1. demographic data including age, sex, race, and weight of patient 2. knowledge of the patient's functional status prior to illness 3. cardiovascular risk factors, such as history of smoking and stress level 4. family history of disease, diet history, and prior medical history