A school-aged child is recently diagnosed with attention deficit hyperactive disorder (ADHD). What information about the newly prescribed stimulant medication should a nurse plan to give the family?

Take the medication each night at bedtime.

The medication should be taken every 12 hours.

Take the medication 30 minutes before breakfast.

The medication should be taken with every meal.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Taking the medication each night at bedtime is not recommended, as stimulant medications can interfere with sleep. Administering them before bedtime can lead to insomnia.

Choice B rationale:

The medication's dosing frequency every 12 hours is not accurate for ADHD stimulant medications. They are typically taken in the morning and may have shorter-acting formulations for later in the day if needed.

Choice C rationale:

Taking the medication 30 minutes before breakfast is a common instruction for stimulant medications used to treat ADHD. This timing aligns with the child's daily routine and helps manage potential appetite suppression.

Choice D rationale:

Taking the medication with every meal is not recommended, as it might interfere with absorption and effectiveness. Stimulant medications are typically taken in the morning and, if necessary, at lunchtime.

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Correct Answer is A

Explanation

Choice A rationale:

An increasing pulse rate suggests that the patient's condition is worsening. Tachycardia can indicate increased work of breathing and decreased oxygenation, which are concerning signs in laryngotracheobronchitis.

Choice B rationale:

Mouth breathing is a common response to airway obstruction, such as in laryngotracheobronchitis. While it indicates respiratory distress, it doesn't specifically suggest a worsening of the condition.

Choice C rationale:

An increase in nasal discharge might be seen with the common cold or other upper respiratory infections but is not a specific indicator of worsening laryngotracheobronchitis.

Choice D rationale:

A hoarse cry is a characteristic symptom of laryngotracheobronchitis due to inflammation of the airway. However, it is a common initial symptom and may not directly correlate with worsening of the condition.

A. Strict isolation should begin immediately after exposure. B. Communicability begins prior to the eruption of lesions. C. Strict isolation should begin as soon as the skin lesions erupt. D. Communicability begins 14 days after exposure.

Correct Answer is B

Explanation

Choice A rationale:

Strict isolation should begin immediately after exposure. This choice is incorrect because chickenpox does not require strict isolation immediately after exposure. The incubation period of chickenpox is about 10-21 days, during which communicability has not yet begun.

Choice B rationale:

Communicability begins prior to the eruption of lesions. This choice is correct. Chickenpox is highly contagious, and individuals can transmit the virus to others even before the characteristic skin lesions appear. This understanding is crucial for appropriate room assignment to prevent the spread of the virus to other patients.

Choice C rationale:

Strict isolation should begin as soon as the skin lesions erupt. This choice is incorrect. While isolation precautions are necessary for patients with active chickenpox lesions, waiting until the lesions erupt is not sufficient to prevent transmission, as communicability starts before this stage.

Choice D rationale:

Communicability begins 14 days after exposure. This choice is incorrect. The correct timing for the onset of communicability is much earlier than 14 days after exposure. Waiting until this point for isolation would not effectively prevent transmission.

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A school-aged child is recently diagnosed with attention deficit hyperactive disorder (ADHD). What information about the newly prescribed stimulant medication should a nurse plan to give the family?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is admitted from the emergency room with laryngotracheobronchitis. The patient has a brassy cough, stridor, and substernal retractions. The child is receiving an intravenous infusion and is placed in a mist tent. Which observation would indicate a worsening of the patient's condition?

Correct Answer is A

Explanation

When admitting a 4-year-old patient to the hospital, the nurse learns that the child was exposed to chicken pox three days ago. Which understanding about chicken pox should the nurse consider during room assignment?

Correct Answer is B

Explanation

A 9-year-old patient is admitted to the pediatric unit with a diagnosis of status asthmaticus. Upon entering the hospital room, the nurse observes that the child is sitting and leaning forward on an overbed table. The patient's SpO2 is 93%. The nurse should take which action next?

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