Nokea
Oral medications are often used as an early treatment for generalized spasticity. Which of the following works at the level of skeletal muscle to block calcium release from the sarcoplasmic reticulum?
- A. dantrolene sodium
- B. clonidine
- C. tizanidine
- D. baclofen
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The caregiver is teaching a parent of a young child with a newly diagnosed seizure disorder. The child is prescribed valproic acid (Depakote) for control of seizures. Which parental statement indicates the need for further education?
- A. I will not use carbonated beverages to dilute his medication.
- B. I will give his medication with food to minimize gastrointestinal upset.
- C. I will not let him chew his tablet.
- D. I will bring him to the physician's office for regular blood work to check his blood levels.
Correct Answer: B
Rationale: The correct answer is B. Valproic acid should be administered with food to reduce the risk of gastrointestinal upset. Giving it on an empty stomach may increase the likelihood of adverse effects. The other statements are correct: A - Carbonated beverages should not be used to dilute the medication, C - The tablet should not be chewed, and D - Regular blood work is necessary to monitor valproic acid levels and potential side effects.
During a well-child visit, a nurse is assessing a three-year-old toddler. Which of the following manifestations should the nurse report to the provider?
- A. Blood pressure 90/50
- B. Respiratory rate 45/min
- C. Weight 14.5 kg or 32 lb
- D. Heart rate 110/min
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of a child with attention deficit hyperactivity disorder (ADHD) is being taught by a nurse. Which instruction should the nurse include in the teaching?
- A. Administer methylphenidate at bedtime.
- B. Increase stimuli in the child's environment.
- C. Administer an extra dose of medication if the child is overactive.
- D. Maintain a consistent bedtime routine.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare provider is assessing the pain level of a three-year-old toddler. Which of the following pain assessment scales should the healthcare provider use?
- A. FACES Pain rating scale
- B. Numeric pain rating scale
- C. CRIES pain assessment scale
- D. Non-communicating children's pain checklist
Correct Answer: A
Rationale: The healthcare provider should use the FACES pain rating scale for pediatric clients who are 3 years old and older. This scale allows the toddler to point to the face that depicts the current level of pain, making it a suitable choice for non-verbal or young children who may have difficulty expressing their pain verbally.
A patient is taking a first-generation H1 blocker for the treatment of allergic rhinitis. It is most important for the nurse to assess for which adverse effect?
- A. Skin flushing
- B. Wheezing
- C. Insomnia
- D. Dry mouth
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.