A nurse has prepared teaching materials for the parents of a child newly diagnosed with ADHD. The information will focus on which medication likely to be prescribed?
Paroxetine (Paxil)
Imipramine (Trofanil)
Carbamazepine (Tegretol)
Methylphenidate (Ritalin)
The Correct Answer is D
A. Paroxetine (Paxil) is an SSRI antidepressant and is not a first-line treatment for ADHD.
B. Imipramine (Trofanil) – This tricyclic antidepressant is rarely used for ADHD and is not considered standard therapy.
C. Carbamazepine (Tegretol) – This is an anticonvulsant used for seizure disorders and mood stabilization, not ADHD.
D. Methylphenidate (Ritalin) is a central nervous system stimulant and is the most commonly prescribed medication for ADHD. It helps increase attention span, decrease impulsivity, and reduce hyperactivity, which is why teaching for parents would focus on this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Thyroid function tests are not routinely required for valproate therapy; this applies more to lithium therapy.
B. A pretreatment EEG is not necessary before starting valproate; it is used primarily for seizure evaluation.
C. Valproate can cause hepatotoxicity, so monitoring liver function tests (LFTs) before and during therapy is essential for safety.
D. High serum sodium levels are not related to valproate toxicity; this concern is associated with lithium therapy, not valproate.
Correct Answer is C
Explanation
A. Irritability involves anger, frustration, or easily annoyed behavior, which is not reflected in the patient’s joyful and playful actions.
B. Suspicious mood would include mistrust or paranoia, which is not evident in this patient’s behavior.
C. Euphoric mood is characterized by exaggerated feelings of well-being, elation, or joy, often with energetic and flamboyant behavior, as demonstrated by twirling, shadow boxing, and offering scarves as gifts.
D. Confidence refers to self-assurance and poise without the intense elation or overexcitement seen in euphoria.
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