A child will begin taking methylphenidate [Ritalin] for attention-deficit/hyperactivity disorder. Important baseline information about this patient will include:
a. results of an electrocardiogram (ECG).
b. family history of psychosis.
c. height and weight.
d. renal function.
C
Side effects of methylphenidate include a reduced appetite, and children taking these drugs should be monitored for growth suppression. Baseline height and weight measurements help with this ongoing assessment. The value of an ECG for children has not been proven, except when known heart disease is a factor. Excessive use of stimulants can produce a state of psychosis but is not related to the family history. Renal function tests are not indicated.
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Select the desirable outcome for the initial stage of a nurse-patient relationship. The patient will demonstrate behaviors that indicate:
a. a greater sense of independence. b. rapport and trust with the nurse. c. resolved transference. d. self-responsibility.
Which neonate requires a close nursing assessment for the development of retinopathy of prematurity (ROP)?
1. 28-weeks'-gestation infant who has been on long-term oxygen and weighed 1400 g 2. 32-weeks'-gestation infant of African heritage with a congenital heart defect who needed no oxygen and weighed 1850 g 3. 28-weeks'-gestation female infant who was on short-term oxygen, weighed 1420 g, and was treated with phototherapy 4. 36-weeks'-gestation, small-for-gestational-age infant who was in an oxyhood for 12 hours and weighed 1800 g
The nursing assistant is responsible for monitoring patients for pain.
Answer the following statement true (T) or false (F)
Identify a difference between butyrophenones and phenothiazines.
A. Butyrophenones block 5HT2A receptors more than they block D2 receptors, whereas phenothiazines block D2 receptors more than they block 5HT2A receptors. B. Butyrophenones are less potent than phenothiazines on a milligram basis. C. Butyrophenones produce a higher incidence of extrapyramidal symptoms than phenothiazines. D. Butyrophenones produce a higher incidence of peripheral effects than phenothiazines.