A 7-year-old child is to begin taking methylphenidate (Ritalin SR) twice daily. The nurse should teach the parents to monitor the child closely for which of the following side effects of methyl-phenidate?
a. Insomnia
b. Lethargy
c. Increased appetite
d. Urticaria
A
Side effects of methylphenidate include insomnia, reduced appetite, and emotional lability.
Lethargy, increased appetite, and urticaria are not side effects of methylphenidate.
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The nurse is caring for an elderly client with a nursing diagnosis of Fluid Volume Deficit. Which of the following actions would yield the best indicator of the effectiveness of the nursing plan of care?
1. Pinch the skin on the back of the hand, and time how long it takes to return to normal. 2. Pinch the skin on the sternum, and time how long it takes to return to normal 3. Monitor the client's white blood cell count. 4. Monitor the client's intake and output.
A patient reports excruciating headache pain on one side of his head, especially around his eye, forehead, and cheek that has lasted approximately to 2 hours, occurring once or twice each day. The nurse should suspect:
a. Hypertension. b. Cluster headaches. c. Tension headaches. d. Migraine headaches.
The nurse who is beginning oral feedings on a client who is returning to consciousness will
a. begin feedings with water. b. place about 1 teaspoon of liquid in the front of the mouth. c. position the client upright. d. stroke the posterior neck to promote swallowing.
Which of the following interventions would be the best choice to monitor fluid and electrolyte balance?
1. Assess whether client is voiding. 2. Assess daily weight. 3. Evaluate daily urine specimens. 4. Check daily magnesium levels.