A community health nurse is teaching a group of parents about attention deficit hyperactivity disorder. Which statement by the parents would indicate the need for additional teaching?
A) "We probably will need to give him medication to help him in school."
B) "We need to keep him away from foods that have additives in them."
C) "This condition is most likely due to problems with genes and nerve receptors."
D) "We'll be alert to the possibility of more injuries and accidents."
Ans: B
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The therapeutic level of theophylline is directly related to the blood levels achieved from the administration of the medication on a regular schedule. Factors affecting the therapeutic level include: (Select all that apply.)
1. variance in rates of absorption. 2. fluid intake. 3. metabolism and elimination. 4. age of the patient.
An older adult client says, "I need to get a shot so that I'll never get pneumonia again." The most helpful response by the nurse would be
a. "Immunization for pneumonia must be repeated every year." b. "Most older people get flu shots, but they don't protect you from pneumonia." c. "Pneumovax vaccine can protect you against one type of pneumonia." d. "You cannot get a shot, or immunization, for pneumonia."
When assessing a patient on PCA therapy, the nurse finds the patient to be somnolent, with minimal or no response to physical stimulation, scoring a 4 on the sedation scale. What is the recommended intervention in this situation?
A) Stop the medication infusion immediately and notify the primary care provider; prepare to administer oxygen and a narcotic antagonist, such as naloxone (Narcan). B) Stop the PCA infusion, check the medication level, and restart the infusion at a lower dose. C) Stop the PCA infusion, increase the frequency of sedation and respiratory rate monitoring to every 15 minutes, arouse the patient, and encourage deep breathing. D) Stop the infusion and report the incident to the nurse manager in charge; follow the protocol of oxygen and naloxone administration.
Sources of data in qualitative research include
a. artifacts such as documents, photographs, and physical objects. b. in-depth interviews. c. direct observations. d. all of the above.