A 9-year-old patient with atention deficit hyperactivity disorder (ADHD) has been prescribed a stimulant. The nurse knows that the teaching has been effective when the patient's parents make which statement?
"Our child will sleep longer and could oversleep in the morning."
"Our child may have some side effects, like insomnia, loss of appetite, or weight loss."
"Our child needs to take this medication once every 12 hours."
"We'll bring our child in every week to get blood levels drawn."
The Correct Answer is B
Choice A reason: This choice is incorrect because stimulant medications used to treat ADHD are known to potentially cause insomnia rather than increased sleep duration.
Choice B reason: This is the correct choice. Common side effects of stimulant medications for ADHD include insomnia, loss of appetite, and weight loss. These side effects are well-documented and are important for parents to be aware of.
Choice C reason: This choice is incorrect. While the frequency of medication administration is important, the statement is too vague and does not reflect the common dosing schedule for ADHD stimulant medications, which can vary based on the specific medication and the individual's needs.
Choice D reason: This choice is incorrect. Routine blood level monitoring is not a standard requirement for ADHD stimulant medication therapy. Monitoring typically focuses on growth, blood pressure, heart rate, and the presence of any side effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Other complaints are important but do not directly address the issue of sleep disturbance due to ADHD medication.
Choice B reason: Crushing a sustained-release tablet can release the medication too quickly, but it is not related to the timing of the medication affecting sleep.
Choice C reason: This is the correct choice. The timing of ADHD medication is crucial as stimulants can cause sleep issues if taken too late in the day.
Choice D reason: While over-the-counter medications can affect sleep, the timing of ADHD medication is more likely to be the cause of sleep problems.
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect. Non-compliance with blood testing does not typically indicate a need for ECT.
Choice B reason: This choice is incorrect. A recent onset of a manic episode is usually managed with medication adjustments, not ECT.
Choice C reason: This choice is incorrect. Cyclothymic disorder is a milder form of bipolar disorder and is not typically treated with ECT.
Choice D reason: This is the correct choice. ECT is often considered for clients with severe depression that is resistant to medication.
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