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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Seal non-washable items in a plastic bag for 2 days."
Items should be sealed for 14 days, not 2 days, to ensure lice and nits die due to lack of air.
B. "Soak hairbrushes in boiling water for 10 minutes."
This is an effective way to kill lice and nits on combs and brushes.
C. "Apply permethrin 1 percent cream rinse every day for 5 days."
Permethrin should be applied once, and reapplication is recommended in 7 to 10 days if needed—not daily.
D. "After washing bed linens, place them in a dryer on a cool setting for 30 minutes."
Items should be dried on a high heat setting to kill lice and nits.
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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