A nurse is reinforcing teaching about disease management with the parent of a school-age child who has ADHD. Which of the following information should the nurse include? (Select all that apply.)

Encourage the child to take responsibility for his actions.

Maintain a consistent routine at home.

Provide frequent breaks during homework

Administer stimulant medication in the morning.

Limit the child's involvement in physical activities

Answer and Explanation

Correct Answer : A,B,C,D

A. Encourage the child to take responsibility for his actions: While ADHD affects attention and impulse control, it's crucial to teach children accountability for their behavior. This helps them develop self-awareness, learn from mistakes, and foster a sense of control over their actions
B. Maintain a consistent routine at home: Children with ADHD benefit from a structured and predictable environment. A consistent routine helps them feel secure, reduces anxiety, and supports better management of their symptoms, including focus and behavior.
C. Provide frequent breaks during homework: Frequent breaks during homework or tasks help children with ADHD stay focused and prevent frustration. This is an effective strategy to improve concentration and task completion.
D. Administer stimulant medication in the morning: Stimulant medications for ADHD, such as methylphenidate or amphetamines, are usually administered in the morning to help manage symptoms throughout the day. This helps avoid any interference with sleep at night.
E. Limit the child's involvement in physical activities: Physical activity can actually be beneficial for children with ADHD, as it helps them release excess energy and improve focus. Exercise can be a helpful outlet for managing symptoms.

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Correct Answer is A

Explanation

A. Implementing droplet precautions: Pertussis (whooping cough) is highly contagious and spreads through respiratory droplets. Implementing droplet precautions is essential to prevent the transmission of the infection to others, especially in a school-age child.
B. Obtaining a nasopharyngeal culture: While obtaining a culture is important for confirming the diagnosis of pertussis, the priority is to prevent the spread of the disease to others. Droplet precautions should be implemented immediately to reduce transmission.
C. Encouraging family members' compliance with antibiotic therapy: Antibiotic therapy is important for treating pertussis, but this is secondary to preventing the spread of infection. Once precautions are in place, encouraging adherence to the prescribed antibiotic regimen is necessary for the child's recovery.
D. Offering small amounts of oral fluids frequently: Maintaining hydration is important for a child with pertussis, especially as coughing can cause discomfort. However, the priority action is preventing the spread of the infection through droplet precautions.

A. "There is nothing we can do to minimize overgrowth of their gum tissue." B. "They will need to take 400 IU of vitamin E while on this medication." C. "We will need to periodically have their blood drawn to check phenytoin levels." D. "This medication may cause their eyes to, at times, move quickly back and forth."

Correct Answer is ["C","D"]

Explanation

A. "There is nothing we can do to minimize overgrowth of their gum tissue.": Incorrect. Gingival hyperplasia is a known side effect of phenytoin, but good oral hygiene and regular dental care can help minimize its severity.
B. "They will need to take 400 IU of vitamin E while on this medication.": Incorrect. Routine vitamin E supplementation is not standard or necessary with phenytoin unless specifically indicated by a provider.
C. "We will need to periodically have their blood drawn to check phenytoin levels.": Correct. Phenytoin has a narrow therapeutic index, so serum drug levels must be monitored regularly to avoid toxicity or subtherapeutic dosing.
D. "This medication may cause their eyes to, at times, move quickly back and forth.": Correct. Nystagmus is a known dose-related side effect of phenytoin, especially at higher levels.
E. "This drug won't decrease the effectiveness of their oral contraceptive medication.": Incorrect. Phenytoin is a hepatic enzyme inducer and can reduce the effectiveness of hormonal contraceptives, so alternate or additional contraceptive methods should be recommended.

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A nurse is reinforcing teaching about disease management with the parent of a school-age child who has ADHD. Which of the following information should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with planning care for a school-age child who has suspected pertussis. Which of the following interventions is the nurse's priority to include?

Correct Answer is A

Explanation

Exhibits The nurse has reviewed information regarding the adolescent's medication for home use with the guardian and adolescent. Select the 2 statements that demonstrate the guardian's understanding of their child's medication.

Correct Answer is ["C","D"]

Explanation

Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

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