A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?
This medication will help control my child's aggressive behavior.
This medication can cause my child to have low blood sugar.
This medication won't require my child to have routine lab tests.
This medication might need to be increased if my child has muscle spasms.
The Correct Answer is A
A reason: This medication will help control my child's aggressive behavior. Risperidone is often prescribed to manage irritability and aggressive behaviors in children with autism spectrum disorder. This statement accurately reflects one of the medication's intended effects.
B reason: This medication can cause my child to have low blood sugar. Risperidone is not known to cause low blood sugar. It can, however, cause other metabolic side effects like weight gain and increased cholesterol levels.
C reason: This medication won't require my child to have routine lab tests. Routine lab tests are often necessary when taking risperidone to monitor for potential side effects, such as metabolic changes and blood glucose levels.
D reason: This medication might need to be increased if my child has muscle spasms. Muscle spasms or extrapyramidal symptoms may occur with risperidone, but they typically require management with adjunct medications rather than increasing the dosage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A reason: Dissociation. Dissociation involves a disconnection between thoughts, identity, consciousness, and memory. The inability to recall details of a traumatic event is a common dissociative response in PTSD, where the mind separates from the distressing experience.
B reason: Rationalization. Rationalization involves creating a logical explanation to justify unacceptable feelings or behaviors. It does not involve memory loss or detachment from the event, making it an incorrect choice in this context.
C reason: Undoing. Undoing is a defense mechanism where a person tries to reverse or undo feelings by doing something that indicates the opposite feeling. It does not involve forgetting or dissociating from traumatic events.
D reason: Reaction formation. Reaction formation involves expressing the opposite behavior or emotion of what one truly feels. It does not involve memory loss or dissociation from the traumatic event, making it an incorrect choice in this context.
Correct Answer is C
Explanation
A reason: Voice alteration. Voice alteration is not a common adverse effect of ECT. The procedure typically does not impact vocal cords or speech directly.
B reason: Neck pain. While discomfort and muscle soreness can occur, neck pain is not a primary or common adverse effect specifically associated with ECT.
C reason: Memory deficit. Memory deficits, particularly short-term memory loss, are a well-documented adverse effect of ECT. Clients may experience difficulty recalling recent events before and after treatment.
D reason: Headache. Headache can occur after ECT but is less concerning compared to cognitive side effects like memory deficits. Monitoring for memory changes is crucial.
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