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A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

"Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use."

There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you."

"Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature."

"It's a common misconception that there is a medication available to treat every health problem."

Answer and Explanation

The Correct Answer is A

A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." Behavioral interventions are the mainstay of treatment for ODD. Medications are not typically recommended unless there are comorbid conditions like ADHD or aggression that do not respond to behavioral interventions alone.

B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you: This statement is misleading as medications are not first-line for ODD.

C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature.": This is an oversimplification; while primarily behavioral, medications might be considered in certain cases.

D. "It's a common misconception that there is a medication available to treat every health problem.": This statement dismisses the possibility of appropriate medication when needed.

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Correct Answer is C

Explanation

A. Xerostomia: Dry mouth, not typically associated with DIC.

B. Bradycardia: Not typically seen in DIC; usually, there is tachycardia due to the underlying condition.

C. Epistaxis. Epistaxis is a common physical finding in DIC due to bleeding tendencies. DIC leads to consumption of clotting factors and platelets, resulting in bleeding manifestations like epistaxis.

D. Hypertension: Hypotension is more common due to widespread clotting and bleeding.

A. Hyperextend the client's neck. B. Instruct the client to deep breathe every 4 hr. C. Place the head of the client's bed in the flat position. D. Check the client's voice every 2 hr.

Correct Answer is B

Explanation

A. Hyperextend the client's neck: Incorrect; this can strain the surgical site. Neck should be supported in a neutral position.

B. Instruct the client to deep breathe every 4 hr: Deep breathing exercises prevent respiratory complications and promote lung expansion postoperatively. Helps prevent atelectasis and pneumonia.

C. Place the head of the client's bed in the flat position: Incorrect; semi-Fowler's position is preferred to reduce risk of airway compromise and edema.

D. Check the client's voice every 2 hr: Monitoring voice changes helps detect recurrent laryngeal nerve injury, a complication of thyroidectomy. Changes in voice quality can indicate vocal cord paralysis or injury.

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A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client and suspects the client is experiencing DIC. Which of the following physical findings should the nurse anticipate?

Correct Answer is C

Explanation

A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

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