A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

Is the child having any other complaints?

Are you crushing the sustained-release tablet?

When does the child take the last dose of medication?

Is the child taking any over-the-counter medications?

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is B

Explanation

Choice A reason: This choice is incorrect. While postpartum depression can increase suicide risk, it does not have the highest correlation with completed suicide.

Choice B reason: This is the correct choice. Older male clients, especially those living in rural areas, have a higher risk of completing suicide due to factors like isolation and access to lethal means.

Choice C reason: This choice is incorrect. Being married and having a new baby can be protective factors against suicide.

Choice D reason: This choice is incorrect. While stress from school can contribute to suicide risk, it does not typically pose the highest risk compared to other factors.

A. "Our child will sleep longer and could oversleep in the morning." B. "Our child may have some side eﬀects, like insomnia, loss of appetite, or weight loss." C. "Our child needs to take this medication once every 12 hours." D. "We'll be bringing our child in every week to get blood levels drawn."

Correct Answer is B

Explanation

Choice A reason: This statement is incorrect because stimulants used to treat ADHD can actually cause insomnia and might reduce the amount of sleep a child gets.

Choice B reason: This is the correct statement. Parents acknowledging the potential side eﬀects of stimulant medications, such as insomnia, loss of appetite, or weight loss, indicates an understanding of the medication's eﬀects.

Choice C reason: This statement could be correct depending on the specific medication prescribed, but it does not reﬂect an understanding of the potential side eﬀects, which is crucial for managing the child's care.

Choice D reason: Regular blood level checks are not typically required for ADHD stimulant medications, so this statement does not indicate eﬀective teaching about the medication.

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A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When conducting a risk assessment for suicide, the nurse most likely identifies which client as having the greatest risk for completing suicide?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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