A 10-year-old with Attention Deficit-Hyperactivity Disorder (ADHD) evaluated at the mental health clinic is exhibiting hyperactivity and distractibility. After 5 weeks of methylphenidate, the nurse should monitor for which desired outcome? (SELECT ALL THAT APPLY)

working on an arithmetic quiz for 20 minutes without getting out of their seat

family members report no episodes of pica

does not tell untrue information

completing a jigsaw puzzle with a friend

decreased manipulative behaviors

Answer and Explanation

Correct Answer : A,D,E

A) Working on an arithmetic quiz for 20 minutes without getting out of their seat: This outcome indicates improved focus and attention span, which are desired effects of methylphenidate in managing ADHD symptoms. The ability to stay seated and concentrate on a task for an extended period is a positive sign of the medication’s effectiveness.

B) Family members report no episodes of pica: Pica, the consumption of non-food items, is not typically associated with ADHD. Therefore, the absence of pica episodes is not a relevant outcome for evaluating the effectiveness of methylphenidate in this context.

C) Does not tell untrue information: While honesty is important, it is not a primary focus of ADHD treatment. Methylphenidate aims to improve attention, focus, and reduce hyperactivity, rather than directly addressing truthfulness.
D) Completing a jigsaw puzzle with a friend: Successfully completing a jigsaw puzzle with a friend demonstrates improved attention, focus, and social interaction skills. These are positive outcomes of methylphenidate treatment for ADHD, indicating better management of hyperactivity and distractibility.

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Correct Answer is ["A","D","E"]

Explanation

A. Bottle spoon-shaped fingernails: This is a classic sign associated with iron deficiency anemia, known as koilonychia. The nails may appear thin, brittle, and spoon-shaped, indicating a deficiency in iron.

B. Platelets 400,000/µL: This platelet count is within the normal range (typically 150,000 to 450,000/µL) and does not specifically indicate iron deficiency anemia. Thus, it is not an expected finding.

C. Red blood cell count 4.5 million/mm³: This value is within the normal range for females (approximately 4.2 to 5.4 million/mm³). In iron deficiency anemia, one would expect the RBC count to be low or at least on the lower end of normal.

D. Hemoglobin 8.0 g/dL: This low hemoglobin level is indicative of anemia. In iron deficiency anemia, hemoglobin levels are often significantly decreased, so this finding aligns with the client's condition.

E. Tachypnea: Increased respiratory rate can occur in response to anemia, as the body attempts to compensate for decreased oxygen-carrying capacity by increasing breathing rate. Therefore, tachypnea is a likely finding in this client.

A. Blood urea nitrogen (BUN) 20 mg/d B. Creatinine 2.6 mg/dl C. Hemoglobin 12.8 g/dl D. Potassium 3.8 mEq/L

Correct Answer is B

Explanation

A) Blood urea nitrogen (BUN) 20 mg/dL: While this BUN level is slightly elevated, it is not as concerning as the creatinine level. Elevated BUN can indicate dehydration or other issues but does not necessarily signal acute kidney injury.

B) Creatinine 2.6 mg/dL: This result is the most concerning because it indicates impaired kidney function. Normal creatinine levels are typically between 0.6 and 1.2 mg/dL. An elevated creatinine level suggests that the kidneys are not filtering waste effectively, which is a significant concern for a client with long-standing hypertension.

C) Hemoglobin 12.8 g/dL: This hemoglobin level is within the normal range for adults and does not present an immediate concern.

D) Potassium 3.8 mEq/L: This potassium level is also within the normal range (3.5 to 5.0 mEq/L) and does not raise any alarms in terms of electrolyte imbalances.

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A 10-year-old with Attention Deficit-Hyperactivity Disorder (ADHD) evaluated at the mental health clinic is exhibiting hyperactivity and distractibility. After 5 weeks of methylphenidate, the nurse should monitor for which desired outcome? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client with iron-deficiency anemia is experiencing increased fatigue and a shiny red tongue. The nurse would anticipate seeing which additional assessment finding(s) (SELECT ALL THAT APPLY)

Correct Answer is ["A","D","E"]

Explanation

The nurse is reviewing the laboratory test results of a client with long standing hypertension. Which result would be of most concern to the nurse?

Correct Answer is B

Explanation

The nurse understands that a client who has had a bone marrow aspiration to assist in the diagnosis of anaemia requires additional teaching when they state:

The client diagnosed with Vitamin B12 deficiency presents to the outpatient department for the follow up evaluation. Which nursing assessment finding indicates that the treatment has been effective? The client:

A patient who has hypertension has been prescribed a clonidine patch. Which discharge instruction should the nurse provide?

A 10-year-old with Attention Deficit-Hyperactivity Disorder (ADHD) evaluated at the mental health clinic is exhibiting hyperactivity and distractibility. After 5 weeks of methylphenidate, the nurse should monitor for which desired outcome? (SELECT ALL THAT APPLY)

The nurse is assisting a client diagnosed with hypertension with menu selection. Which items should the nurse suggest?

The nurse is caring for a client diagnosed with iron deficiency anemia as the result of a gastrointestinal (GI) bleed. What discharge instruction should the nurse provide if this client is also prescribed aspirin 81 mg daily?

The nurse has obtained assessment data for a client who is scheduled for a cardiac angiogram (catheterization). Which information must the nurse report to the health care provider prior to the procedure?

A client with borderline personality disorder reports to the nurse that they anxious & wants to cut their thigh. The nurse should first: