A child with attention deficit hyperactivity disorder is taking methylphenidate (Ritalin) in divided doses. If the child takes the first dose at 8 AM, the school nurse might expect to see which of the following behaviors at noon?
A) Increased impulsivity or hyperactive behavior
B) Lack of appetite for lunch
C) Sleepiness or drowsiness
D) Social isolation from peers
A
Feedback: Ritalin has a short half-life, so doses are needed about every 4 hours during the day to maintain symptom control. Giving stimulants during daytime hours usually effectively combats insomnia.
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Supportive family members should never force people out of denial
Indicate whether the statement is true or false
A nurse frequently has to work late and has no time to do required training while at work. She has to do them on her days off. Choose the work-related time waster that commonly puts nurses in this position
1. Unscheduled tasks delaying those scheduled 2. Frequent phone calls from family members 3. Taking longer than scheduled breaks 4. Volunteering for extra responsibilities
The family member of a 73-year-old patient with chronic obstructive pulmonary disease (COPD) is concerned about the patient's recent weight loss
When questioned by the nurse, the patient denies any change in diet or activity, but admits to losing 10 lb in the past 6 weeks. What is the nurse's best response to the family member's concern? a. "Maybe the patient has a higher metabolic rate than you." b. "It doesn't seem fair that some people can lose weight so easily." c. "This disease affects the respiratory sys-tem and causes the body to burn more calories to supply the energy to breathe." d. "You need to discuss this with the health care provider so testing can be ordered for tuberculosis."
The school nurse is helping to teach a high school science class about the anatomy of the eye. A student asks what the biggest part of the eye is. What would the school nurse reply?
A) "The posterior chamber." B) "The hyaloid membrane." C) "The ocular fundus." D) "The anterior chamber."