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Exhibits

The nurse should identify which of the following findings as an Improvement in the child's condition?

Sleep patterns

Food intake

Parental report of behavior improvements

Teacher report of academic improvement

Answer and Explanation

The Correct Answer is D

A. Sleep patterns:

While improved sleep is beneficial, it is not the primary marker for improvement in ADHD treatment.

B. Food intake:

Methylphenidate can reduce appetite, so although improved food intake is good, it is not the primary indicator of therapeutic response for ADHD.

C. Parental report of behavior improvements:

While valuable, parental reports can be subjective. Objective evidence like teacher reports of academic improvement are more reliable.

D. Teacher report of academic improvement:

Improvement in academic performance reflects better attention, impulse control, and focus, indicating effective management of ADHD symptoms.

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Correct Answer is C

Explanation

A. "Monitor your child for excessive sleepiness."

Methylphenidate is a stimulant, so it more commonly causes insomnia or restlessness, not sleepiness.

B. "Administer the medication with a caffeinated beverage."

Caffeine is also a stimulant and can increase side effects such as jitteriness and increased heart rate.

C. "Administer the second dose of the medication at lunch time."

The second dose is typically given at lunch to avoid late-day administration, which could cause insomnia.

D. "Monitor your child for weight gain."

Methylphenidate can cause weight loss due to appetite suppression, so weight gain is not expected.

A. Asking the toddler's parents to go to the waiting room B. Palpating the child's abdomen C. Discontinuing clear liquids 1 hr prior to surgery D. Monitoring the child's blood pressure continuously

Correct Answer is D

Explanation

A. Asking the toddler's parents to go to the waiting room:

Parents should stay with the child to reduce anxiety and support cooperation.

B. Palpating the child's abdomen:

Abdominal palpation is contraindicated in Wilms tumor because it can cause tumor rupture and spread cancer cells.

C. Discontinuing clear liquids 1 hr prior to surgery:

Clear liquids are usually stopped at least 2-6 hours before surgery depending on hospital protocols-not just 1 hour prior.

D. Monitoring the child's blood pressure continuously

Wilms tumor often affects kidney function, and blood pressure monitoring is crucial because of the risk of hypertension due to renal involvement.

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Exhibits The nurse should identify which of the following findings as an Improvement in the child's condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parent of a child who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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Exhibits

The nurse should identify which of the following findings as an Improvement in the child's condition?