A 10-year-old child with ADHD has been prescribed a stimulant medication. The parent reports that the child has been eating less since starting the medication. What is the most appropriate nursing intervention to address this side effect?
Advise the parent to discontinue the medication immediately.
Encourage the parent to eliminate all snacks between meals to promote hunger at mealtimes.
Encourage the parent to increase the child's physical activity to stimulate appetite.
Encourage the parent to make breakfast the most important meal of the day before administering the medication.
The Correct Answer is D
A. Advise the parent to discontinue the medication immediately: Discontinuing the medication without consulting the healthcare provider is unsafe. Stimulants are effective in managing ADHD symptoms, and any adjustments should be made under medical supervision. Abrupt cessation may lead to a return or worsening of symptoms.
B. Encourage the parent to eliminate all snacks between meals to promote hunger at mealtimes: While reducing snacks may improve appetite, it can also result in missed opportunities for nutrient intake, especially when the child already has a reduced appetite due to the medication. This intervention is not the most appropriate or immediate.
C. Encourage the parent to increase the child's physical activity to stimulate appetite: Physical activity can naturally increase appetite over time, but it is not the most direct or effective strategy for managing stimulant-induced appetite suppression. This approach is more of a long-term supportive strategy.
D. Encourage the parent to make breakfast the most important meal of the day before administering the medication: Stimulant medications commonly reduce appetite, especially later in the day. Ensuring the child eats a nutritious breakfast before taking the medication helps maximize calorie and nutrient intake when appetite is highest. This is the most appropriate initial nursing intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Limit your fluid intake to meal times.": Fluid restriction is not a standard recommendation for patients taking Verapamil unless they have another condition like heart failure. Adequate hydration is important, especially to counter constipation, a known side effect of the drug.
B. "You can expect swelling of the ankles while taking this medication.": While peripheral edema is a known side effect of Verapamil, it is not something patients should expect or accept without reporting. Significant swelling may require dose adjustment or switching medications.
C. "This medication will not affect your heart rate": Verapamil is a calcium channel blocker that slows AV node conduction and reduces heart rate. It is used for conditions like hypertension, angina, and arrhythmias, and can cause bradycardia, especially in high doses.
D. "Increase your daily intake of dietary fiber.": Verapamil frequently causes constipation by decreasing gastrointestinal motility. Increasing dietary fiber, fluid intake, and physical activity are recommended to minimize this side effect and promote regular bowel movements.
Correct Answer is ["480"]
Explanation
Given quantity = 16 ounces
Desired unit = mL (milliliters)
Convert from ounces to millilitres
1 ounce = 30 mL
16 ounces × 30 mL/ounce
= 480 mL
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