Nokea
When the parents ask about the side effects of taking methylphenidate hydrochloride (Ritalin), the nurse correctly explains that the child may have which common cluster of signs and symptoms?
- A. Nausea, vomiting, and diarrhea
- B. Fatigue, drowsiness, and dry mouth
- C. Insomnia, tachycardia, and anorexia
- D. Hypotension, bradycardia, and constipation
Correct Answer: C
Rationale: Insomnia, tachycardia, and anorexia are common side effects of Ritalin.
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The nurse advises the parents to look for which change as evidence that methylphenidate hydrochloride (Ritalin) is achieving its desired effect?
- A. The child is less easily distracted.
- B. The child does not seem fatigued.
- C. The child's moods are more stable.
- D. None of the above
Correct Answer: A
Rationale: Reduced distractibility indicates improved focus, the primary goal of Ritalin.
Which additional nursing action is most beneficial for reducing the child's anxiety?
- A. Offer the child a reward for good behavior.
- B. Let the child handle some of the equipment.
- C. Show the child others who have infusing fluids.
- D. None of the above
Correct Answer: B
Rationale: Handling equipment familiarizes the child with the procedure, reducing fear.
Which withdrawal symptom is the nurse most likely to note while observing the newborn of a mother who used heroin during pregnancy?
- A. Tremors
- B. Lethargy
- C. Poor feeding
- D. High-pitched cry
Correct Answer: A,C,D
Rationale: Tremors, poor feeding, and high-pitched cry are common symptoms of neonatal opioid withdrawal.
Which behavior best indicates that an adolescent is at increased risk for suicide?
- A. Disobeying family rules
- B. Arguing with siblings
- C. Letting his grade average drop from a 92 to 88
- D. Becoming depressed over a recent breakup with a girlfriend
Correct Answer: D
Rationale: Depression following a breakup is a significant risk factor for suicide.
If this child is typical of others the same age with a serious illness, which concept is the most commonly held belief about being ill?
- A. Illness is not life-threatening; recovery is assured.
- B. Significant others can prevent serious consequences.
- C. Illness is a punishment for some wrong-doing.
- D. Failure to comply with treatment results in parental rejection.
Correct Answer: C
Rationale: School-age children often view illness as punishment due to magical thinking.