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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Donepezil cures Alzheimer's disease: There is currently no cure for Alzheimer's disease. Donepezil does not halt or reverse the disease process; it only manages symptoms for a limited period in some patients.
B. Donepezil prevents the progression of Alzheimer’s disease: Donepezil does not prevent the neurodegenerative progression of Alzheimer’s. The disease will continue to advance despite treatment, although symptoms may be temporarily improved.
C. Donepezil reverses Alzheimer’s disease: Alzheimer's-related brain damage is irreversible, and Donepezil cannot regenerate lost neurons or restore lost function. It may slightly improve cognitive function but cannot reverse the disease process.
D. Donepezil provides symptom relief for Alzheimer’s disease: Donepezil is a cholinesterase inhibitor that increases acetylcholine levels in the brain, temporarily improving cognitive symptoms like memory and awareness. It is approved for symptom management, especially in mild to moderate stages.

A. The client takes a quick inhalation while releasing the medication from the inhaler. B. The client waits 10 min between inhalations. C. The client exhales as the medication is released from the inhaler. D. The client holds his breath for 10 seconds after inhaling the medication.

Correct Answer is D

Explanation

A. The client takes a quick inhalation while releasing the medication from the inhaler: Inhalation should be slow and deep to ensure the medication reaches the lower airways. A quick breath may cause the medication to deposit in the mouth or throat, reducing its effectiveness.
B. The client waits 10 min between inhalations: When two puffs are prescribed, the recommended wait time between puffs is typically 1 minute, not 10. A long delay does not improve efficacy and may reduce patient adherence due to confusion or inconvenience.
C. The client exhales as the medication is released from the inhaler: Exhaling during actuation causes the medication to be blown out of the airway, drastically reducing its therapeutic effect. Patients should exhale before actuation and then inhale the medication deeply.
D. The client holds his breath for 10 seconds after inhaling the medication: Holding the breath after inhalation allows the medication to settle into the lungs and enhances its absorption and efficacy. This is a key step in effective inhaler use and indicates proper technique.

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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?

Nursing Test Bank

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Which of the following statements best describes the effect of Donepezil on Alzheimer’s disease?

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