A nurse is providing education to the guardian of a child who has ADHD and a prescription for methylphenidate. Which of the following statements should the nurse make?

"This medication can cause a slowed growth rate."

"Administer this medication at bedtime."

"Expect this medication to cause weight gain."

"This medication might cause drowsiness."

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Methylphenidate has been associated with potential growth suppression in children, which is why this statement is important.

Choice B rationale:

Administering the medication at bedtime might interfere with the child's sleep.

Choice C rationale:

Methylphenidate is more likely to cause decreased appetite and weight loss, not weight gain.

Choice D rationale:

Methylphenidate is a stimulant and is more likely to cause increased alertness rather than drowsiness.

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Correct Answer is B

Explanation

Choice A rationale:

A 7-month-old infant with Down syndrome is less likely to use a spoon.

Choice B rationale:

Crawling short distances is a developmental milestone that can be expected at this age.

Choice C rationale:

Speaking five to eight words is not an appropriate milestone for a 7-month-old infant.

Choice D rationale:

Standing with assistance usually occurs around 9-12 months, which might be delayed in infants with Down syndrome.

A. Observe the client for 1 hr following meals. B. Encourage the client to gain 2.27 kg (5 lb) per week. C. Allow the client to exercise for less than 1 hr per day. D. weigh the client in the morning every other day. E. weigh the client in the morning every other day.

Correct Answer is A

Explanation

Choice A rationale:

Monitoring the client for a period of time after meals helps prevent behaviors such as purging or excessive exercise, which individuals with anorexia nervosa might engage in to compensate for food intake.

Choice B rationale:

Encouraging a specific weight gain is not the initial priority. Weight restoration should be approached carefully and gradually to avoid refeeding syndrome.

Choice C rationale:

Allowing the client to exercise for less than 1 hr per day is a potential intervention, but the priority is to observe the client after meals to prevent harmful behaviors.

Choice D rationale:

Weighing the client in the morning every other day is an important monitoring step, but it is not the initial intervention during admission.

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A nurse is providing education to the guardian of a child who has ADHD and a prescription for methylphenidate. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 7-month-old infant who has Down syndrome. Which of the following developmental milestones should the nurse expect?

Correct Answer is B

Explanation

A nurse is developing a plan of care while admitting a client who has anorexia nervosa. Which of the following interventions should the nurse include?

Correct Answer is A

Explanation

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