The nurse knows that the mother of a 6-year-old needs has a need for further teaching about her son's diagnosis of ADHD when she states:
"I will give him his ADHD medication with his meals”
"I will take my child to the physician every three months for a weight and height check."
"I will let him do his homework while he is watching his favorite television show."
"I will stick to the same routine each day after school."
The Correct Answer is C
Rationale:
A. "I will give him his ADHD medication with his meals": Stimulant medications for ADHD can sometimes cause gastrointestinal upset, and giving them with food may help minimize this side effect.
B. "I will take my child to the physician every three months for a weight and height check.": Regular monitoring of growth is essential because stimulant medications can decrease appetite and potentially slow growth. A three-month interval is an appropriate follow-up.
C. "I will let him do his homework while he is watching his favorite television show.": Children with ADHD are easily distracted, and doing homework while watching television can make it harder to focus and complete tasks. A quiet, structured environment without competing stimuli supports better concentration and academic performance.
D. "I will stick to the same routine each day after school.": Consistent daily routines help children with ADHD feel secure and maintain focus. Predictable schedules reduce anxiety and behavioral outbursts, while also helping the child manage transitions more effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E","F"]
Explanation
Rationale:
A. Right leg pain: Right leg pain is not typically related to bacterial meningitis. It is more commonly associated with musculoskeletal or neurological issues localized to the limb and does not contribute to the diagnosis of meningitis.
B. RLQ abdominal pain 7/10: Right lower quadrant abdominal pain is usually linked to gastrointestinal conditions such as appendicitis or other abdominal pathologies. This symptom does not correlate with the systemic or neurological symptoms seen in meningitis.
C. Negative Brudzinski's: A negative Brudzinski’s sign indicates the absence of meningeal irritation. Since meningeal inflammation is a key feature of bacterial meningitis, a negative sign makes the diagnosis less likely.
D. Severe Headache: Severe headache is a classic symptom of bacterial meningitis caused by inflammation of the meninges and increased intracranial pressure. This symptom often accompanies fever and neck stiffness, signaling central nervous system involvement.
E. Vomiting: Vomiting occurs in meningitis due to increased intracranial pressure and systemic illness. It is a common nonspecific symptom reflecting the severity of the infection and the body’s response to it.
F. Photophobia: Photophobia, or sensitivity to light, results from meningeal irritation in meningitis. It is a hallmark sign and frequently accompanies headache and neck stiffness in affected patients.
Correct Answer is C
Explanation
Rationale:
A. Growth of pubic hair: Pubic hair growth, or pubarche, typically occurs after the initial signs of puberty and is a secondary sexual characteristic, not the first sign.
B. Growth spurt: The rapid increase in height follows the onset of puberty but usually comes after breast development has started.
C. Breast bud development: Thelarche, or breast bud development, is the earliest visible sign of puberty in girls, marking the start of hormonal changes and sexual maturation.
D. Menarche: Menarche, the onset of menstruation, occurs later in puberty after several other physical changes, including breast development and growth spurt.
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