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A nurse is caring for a child who has ADHD and a prescription for methylphenidate oral solution 40 mg per day, divided into two doses. Available is methylphenidate oral solution 10 mg/5 mL. How many mL of methylphenidate should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["10"]

First, we need to determine how many milligrams (mg) are in each milliliter (mL) of the solution.

The available methylphenidate oral solution has a concentration of 10 mg per 5 mL.

To find out how many milligrams are in 1 mL of the solution, we divide 10 mg by 5 mL: 10 mg / 5 mL = 2 mg/mL

The child's prescription is for 40 mg per day, divided into two doses. So, each dose should contain:

40 mg / 2 doses = 20 mg per dose 2mg=1ml

20mg= 20*1/2= 10ml

Therefore, the nurse should administer 10 mL of methylphenidate oral solution per dose

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Correct Answer is D

Explanation

A. Speaking in rhyming sentences can be a manifestation of mania but may not necessarily require immediate reporting unless it escalates to disruptive or harmful behavior.
B. Making inappropriate sexual comments can indicate impulsivity and lack of social boundaries. It does not however precede managing the risk of hypoglycemia.
C. Poor hygiene, such as not bathing, is common in mania due to increased energy and decreased need for sleep, but it may not require immediate reporting unless it poses a significant risk to the client's health.
D. Decreased appetite and irregular eating patterns are common during mania due to increased activity levels. Eating twice in teh past is not sufficient to meet energy requirements and the client might be at risk of hypoglycemia.

A. "Ask a family member to check the locks for you at night." B. "Keep a journal of how often you check the locks each night." C. "Focus on abdominal breathing whenever you go to check the locks." D. "Snap a rubber band on your wrist when you think about checking the locks."

Correct Answer is D

Explanation

A. Asking a family member to check the locks for the client may alleviate immediate anxiety but does not address the underlying obsessive-compulsive behavior or provide coping mechanisms for the client to manage their symptoms independently.
B. Keeping a journal of checking behaviors may be part of exposure and response prevention therapy but does not directly address the intrusive thoughts associated with obsessive- compulsive disorder in the moment.
C. Focusing on abdominal breathing is a relaxation technique that may help reduce overall anxiety but does not specifically target the intrusive thoughts associated with obsessive- compulsive disorder.
D. Using a rubber band to snap on the wrist when the client thinks about checking the locks is a form of aversion therapy, which is a component of thought stopping technique. This technique helps interrupt and redirect the obsessive thoughts, promoting awareness and control over compulsive behaviors.

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Naxlex Comprehensive Predictor Exams

A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?

Correct Answer is D

Explanation

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