A child is taking Ritalin (methylphenidate hydrochloride) for attention deficit hyperactivity dis-order (ADHD). The parents should be instructed to administer the medication:
1. At bedtime.
2. After lunch.
3. With the evening meal.
4. Early in the morning.
4
Rationale:
1. Insomnia can be a side effect of Ritalin. Administering the medication early in the day can help alleviate the effect of insomnia.
2. Insomnia can be a side effect of Ritalin. Administering the medication early in the day can help alleviate the effect of insomnia.
3. Insomnia can be a side effect of Ritalin. Administering the medication early in the day can help alleviate the effect of insomnia.
4. Insomnia can be a side effect of Ritalin. Administering the medication early in the day can help alleviate the effect of insomnia.
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The nurse assesses a client during suctioning. Which finding indicates that the procedure should be stopped?
a. Heart rate increases from 86 to 102 beats/min. b. Respiratory rate increases from 16 to 20 breaths/min. c. Blood pressure increases from 110/70 to 120/80 mm Hg. d. Heart rate decreases from 78 to 40 beats/min.
Which of the following are specific safety measures the nurse should apply when making a home visit? Select all that apply
A) Plan to reschedule the visit if you find a large group of people assembled between you and the client's door. B) Immediately leave the home when family members begin to physically fight with one another. C) Enter the residence before you determine that the family you are intending to visit does live there and is home. D) Travel only in pairs for all home visits. E) If someone approaches you and indicates that they want your nursing bag, throw your bag away from where you are and run in the opposite direction. F) Leave an itinerary of your planned travels, the telephone numbers of families you will attempt to visit and your cellular phone number at your base of operation.
A 2 year old client, who has had multiple hospitalizations for treatment of a congenital disorder, is lying curled in bed holding a stuffed animal and will not interact with the parents. The nurse interprets this client's behavior as being caused by:
1. The parents may have been abusing this child. 2. The child is probably developmentally delayed secondary to multiple hospitalizations. 3. The child is reacting as a normal 2-year-old. 4. The child could be suffering from a clinical depression.
Which information should the nurse include in teaching parents how to care for a child's gastrostomy tube at home?
a. Never turn the gastrostomy button. b. Clean around the insertion site daily with soap and water. c. Expect some leakage around the button. d. Remove the tube for cleaning once a week.