An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.
Hallucinations
Paranoia
Drowsiness
Increased Hunger
Tachycardia
Hypertension
Correct Answer : A,B,E,F
A. Hallucinations can occur as a result of methylphenidate overdose.
B. Paranoia is a possible psychological effect of a stimulant overdose.
C. Drowsiness is not typical; stimulant overdose usually causes increased alertness and agitation.
D. Increased hunger is not associated with stimulant overdose; appetite suppression is more common.
E. Tachycardia is a common cardiovascular effect of stimulant overdose.
F. Hypertension can occur due to the increased stimulant effect on the cardiovascular system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.4"]
Explanation
To calculate the daily maintenance dose of digoxin for the infant, we first convert the ordered amount from micrograms to milligrams: 4 mcg/kg/day is equivalent to 0.004 mg/kg/day. For an infant weighing 5 kg, the daily dose would be 0.004 mg/kg/day * 5 kg = 0.02 mg/day. Now, using the concentration provided on the label, which is 0.25 mg/5 mL, we can find out how many milliliters would equate to the required daily dose. This is done by setting up a proportion: (0.25 mg / 5 mL) = (0.02 mg / X mL). Solving for X gives us X = (0.02 mg * 5 mL) / 0.25 mg, which equals 0.4 mL.
Correct Answer is B
Explanation
A. Decreased urine output and dark brown urine are concerning but not immediately life-threatening.
B. Lethargy, confusion, headache, and double vision are signs of severe hypertension and possibly hypertensive encephalopathy, which require immediate attention.
C. Elevated BUN, creatinine, and ESR are indicative of kidney dysfunction but are not as immediately concerning as neurological symptoms.
D. While elevated BP and irritability are concerning, they are not as immediately critical as the neurological symptoms in option B.
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