A nurse in a pediatric office is caring for a school-age child.
The nurse is planning care for the child. Select the 2 interventions the nurse should include.
Monitor the child's blood pressure at each visit.
Inform the parent the medication must be taken on an empty stomach.
Tell the parent to expect the child to gain weight while taking the medication.
Instruct the parent that the child's liver function tests will be checked periodically.
Inform the parent that diarrhea is an expected side effect of the medication.
Correct Answer : A,D
Rationale:
A. The prescribed medication is atomoxetine, a selective norepinephrine reuptake inhibitor used for ADHD. It can increase blood pressure and heart rate, so monitoring cardiovascular status (BP and pulse) is essential during treatment, especially in children.
B. Atomoxetine can be taken with or without food. There is no requirement to administer it on an empty stomach, and food does not significantly affect its absorption.
C. Atomoxetine is more commonly associated with decreased appetite and possible weight loss, especially in children. Weight gain is not an expected effect and should not be anticipated as part of therapy.
D. Atomoxetine carries a risk of rare but serious liver injury. Therefore, periodic monitoring of liver function tests (LFTs) is recommended, and caregivers should be instructed to report symptoms such as jaundice, dark urine, or abdominal pain.
E. While gastrointestinal effects such as nausea, decreased appetite, or stomach upset may occur, diarrhea is not a characteristic or expected side effect that requires anticipatory teaching in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Condoms should be stored in a cool, dry place away from heat, moisture, and direct sunlight. A nightstand drawer is generally an appropriate storage location because it protects condoms from environmental damage that can weaken latex and increase the risk of breakage. This statement demonstrates correct understanding of condom care and storage.
B. Petroleum jelly and other oil-based products (such as lotion, baby oil, or cooking oils) should not be used with latex condoms because they weaken the latex material and increase the risk of condom breakage. Water-based or silicone-based lubricants are recommended instead.
C. Natural-skin (lambskin) condoms do not provide protection against sexually transmitted infections (STIs) because they contain small pores that can allow passage of viruses such as HIV. They may prevent pregnancy but are not reliable for STI prevention.
D. Condoms are single-use only. Reusing a condom significantly increases the risk of breakage, leakage, and transmission of infections. A new condom must be used for each act of intercourse.
Correct Answer is D
Explanation
Rationale:
A. Disulfiram is not administered as a monthly injection. It is an oral medication taken daily. Monthly injectable medications for alcohol use disorder include naltrexone (extended-release form), not disulfiram.
B. Disulfiram is started after the client has abstained from alcohol for at least 12 hours, and preferably when they are motivated to remain alcohol-free. It is not used as a preparatory medication to gradually stop drinking over a 2-week period.
C. The duration of disulfiram therapy is individualized based on treatment response and relapse risk. There is no standard requirement to take it for a fixed long-term period such as 5 years. Treatment is typically continued as long as it supports abstinence and the client remains at risk for relapse.
D. Disulfiram inhibits aldehyde dehydrogenase, causing an accumulation of acetaldehyde if alcohol is consumed. Even small amounts of alcohol found in over-the-counter medications (such as cough syrups, mouthwashes, or elixirs) can trigger a severe disulfiram reaction, which may include flushing, nausea, vomiting, hypotension, and tachycardia. Therefore, strict avoidance of all alcohol-containing products is essential.
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