A school aged child with ADHD was recently switched from a methylphenidate to atomoxetine. The nurse recognizes a need for further teaching when the parents make which of the following statements?

"We can open the capsule and sprinkle it on food."

"We will be able to stop the medication on weekends and holidays."

This medication may cause drowsiness, fatigue and dry mouth."

"It will take 2 to 3 weeks to see the positive effects of this medication."

Answer and Explanation

The Correct Answer is B

A. Atomoxetine capsules should not be opened and sprinkled on food; they must be swallowed whole. This statement does not indicate a need for further teaching.
B. Atomoxetine is a non-stimulant medication for ADHD that must be taken consistently every day, not just on school days. This statement indicates a misunderstanding and a need for further teaching.
C. Drowsiness, fatigue, and dry mouth are common side effects of atomoxetine. This statement does not indicate a need for further teaching.
D. It is correct that it may take 2 to 3 weeks to see the positive effects of atomoxetine. This statement does not indicate a need for further teaching.

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Correct Answer is A

Explanation

A. Applying direct pressure at the site and one inch above the catheterization site is the immediate priority to control the bleeding and prevent further blood loss.
B. Notifying the interventional cardiologist and the catheterization lab is important but should be done after initial bleeding control measures are taken.
C. Placing the bed in the Trendelenburg position is not appropriate for managing active bleeding from a catheterization site.
D. Reinforcing the bandage is not sufficient to control active bleeding; direct pressure is necessary.

A. "I understand, the studies have shown a link between Autism and immunizations." B. "OK, but you must sign an Against Medical Advise Form releasing us from responsibility." C. "It is your right to choose to immunize or not to immunize your child." D. "Current studies support that there is no link between immunizations and Autism."

Correct Answer is D

Explanation

A. This statement is incorrect as current research shows no credible evidence linking immunizations to autism.
B. While it might be necessary to have documentation if a parent refuses immunizations, this is not the most effective first response to the mother's concerns.
C. While it is true that parents have the right to make decisions regarding immunizations, this response does not address the mother's specific concern about autism.
D. Providing accurate, evidence-based information is the best first response. It addresses the mother's concerns directly and helps correct misinformation.

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A school aged child with ADHD was recently switched from a methylphenidate to atomoxetine. The nurse recognizes a need for further teaching when the parents make which of the following statements?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a school-age girl who had an arterial cardiac catheterization. The child tells the nurse that the bandage is "wet." On assessment, the bandage and bed are soaked with blood. The nurse must do which of the following FIRST?

Correct Answer is A

Explanation

The mother of a newborn child does not wish for her child to receive immunizations because she has read that immunizations, especially MMR vaccine, cause autism. Which of the following statements by the nurse is the FIRST response?

Correct Answer is D

Explanation

The nurse understands that which of the following interventions is the MOST effective at relieving pain and discomfort during a bone marrow aspiration and biopsy for a school-aged child?

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