A child is diagnosed with attention-deficit/hyperactivity disorder (ADHD). The prescriber orders a central nervous system stimulant. Which statement by the child's parent indicates a need for further teaching?
a. "I should report insomnia and poor appe-tite to his provider."
b. "I will make sure he takes his medication after breakfast every day."
c. "This drug will make him less impulsive while he's at school."
d. "This medication will help my child focus so he can learn new behaviors."
C
Stimulants do not suppress negative behaviors directly and do not directly cause a decrease in hyperactivity. They act by improving attention and focus so that positive behaviors can be learned to replace negative behaviors. Insomnia and poor appetite are common side effects and should be reported to the provider, because alternate dosing regimens often counteract these ef-fects. Taking the medication either during or after breakfast prevents morning appetite suppres-sion at breakfast time. Stimulants improve focus and allow new, more positive behaviors to be learned.
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An older adult client tells the nurse, "I tire easily." Which activities best assist the client to conserve energy? (Select all that apply.)
a. Perform all tasks in the morning. b. Take frequent rest periods. c. Gather all supplies needed for a chore. d. Use a cart, bag, or tray to carry items. e. Push objects rather than lifting them. f. Break large activities into smaller parts. g. Hire someone to assist with chores.
The nurse is providing care to a homebound patient. When should the nurse complete an assessment of this patient?
a. Upon the opening of the case b. At the conclusion of care c. Ongoing d. After care is provided by the home health aide
A child is diagnosed with hypothyroidism. The nurse should expect to assess which symptoms associated with hypothyroidism? Select all that apply
a. Weight loss b. Fatigue c. Diarrhea d. Dry, thick skin e. Cold intolerance
Which statement by the nurse shows understanding of the Rand Health Insurance Experiment?
a. "When consumers were required to pay 25% co-payment, there was a considerable decline in the use of health care services.". b. "There was an increase in the use of health care services when consumers were required to make a co-payment.". c. "If the health care cost is being paid by insurance companies, the consumer is not concerned about the cost.". d. "The implementation of the Oregon Health Policy for reimbursement of the cost of health care services led to the Rand Health Insurance Experiment.".