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 B

Explanation

A. "will confirm a diagnosis of G6PD anemia": This statement is incorrect. The Schilling test is specifically used to evaluate vitamin B12 absorption and diagnose conditions like pernicious anemia, not G6PD deficiency.

B. "is a 24-hour urine specimen collection test": This statement is accurate. The Schilling test typically involves collecting a 24-hour urine specimen to measure the amount of radioactively labeled vitamin B12 excreted in the urine, which helps determine if the body is absorbing vitamin B12 properly.

C. "involves limiting intake of animal proteins": This statement is misleading. While dietary restrictions may be necessary for certain tests, the Schilling test primarily focuses on the absorption of vitamin B12 and does not require limiting animal protein intake.

D. "entails administration of methylcellulose prior to the test": This statement is incorrect. Methylcellulose is not involved in the Schilling test. The test typically includes administration of oral vitamin B12 with or without intrinsic factor to evaluate absorption.

A. Pedal pulses are +1 bilaterally B. Client has multiple food allergies C. Admission blood pressure is 110/70 D. Client is slightly anxious

Correct Answer is B

Explanation

A) Pedal pulses are +1 bilaterally: While this may indicate decreased perfusion, it is not an immediate concern that typically requires reporting before a cardiac angiogram. This finding should be monitored but does not usually contraindicate the procedure.

B) Client has multiple food allergies: This information is critical to report prior to the procedure, especially if any of the allergies pertain to medications or contrast agents used during the angiogram. Knowing about allergies can help prevent potential allergic reactions during the procedure.

C) Admission blood pressure is 110/70: This blood pressure reading is within an acceptable range for most patients. While the healthcare provider should be aware of baseline vitals, this alone does not necessitate immediate reporting.

D) Client is slightly anxious: While anxiety is important to acknowledge and may require intervention, it is common for clients undergoing procedures. This does not typically need to be reported urgently to the healthcare provider prior to the angiogram.

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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)

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Naxlex Comprehensive Predictor Exams

In preparation for a client having a Schilling test the nurse should explain that the test:

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

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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)

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