A nurse is teaching the family of a child with ADHD about her diet and medications. The child is prescribed methylphenidate (Ritalin) every day. In teaching about the client's diet, it is most important that the nurse encourage the child to avoid which foods and/or drinks?

High-sodium foods

High-sugar foods and drinks

High-fat foods

Caffeinated foods and drinks

Answer and Explanation

The Correct Answer is D

A. High-sodium foods: Sodium intake is not specifically contraindicated with methylphenidate (Ritalin). However, maintaining a balanced and healthy diet is generally recommended for overall well-being.

B. High-sugar foods and drinks: While there is no strict contraindication with methylphenidate and sugar, a diet high in sugar may contribute to hyperactivity and may not be conducive to managing symptoms of ADHD. It's advisable to promote a balanced diet with reduced sugar intake.

C. High-fat foods: There is no direct contraindication between methylphenidate and high-fat foods. However, maintaining a balanced diet with a moderate intake of fats is generally recommended for overall health.

D. Caffeinated foods and drinks: This is the correct answer. Methylphenidate is a stimulant, and combining it with additional sources of caffeine can lead to an increase in stimulant effects, potentially causing adverse reactions.

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Correct Answer is ["A","B","E"]

Explanation

A. Avoiding hot, spicy foods

Spicy foods can increase the production of stomach acid and may irritate the esophagus, worsening GERD symptoms. Avoiding hot and spicy foods is a dietary measure to minimize the risk of symptom exacerbation.

B. Avoiding tobacco products

Tobacco use is a known risk factor for GERD. Smoking can relax the lower esophageal sphincter (LES), allowing stomach acid to flow back into the esophagus. Advising the patient to quit or avoid tobacco products can contribute to symptom management.

C. Drinking a glass of red wine with dinner

While red wine may have some potential benefits, alcohol, in general, can relax the LES, leading to increased reflux. Therefore, drinking red wine with dinner may not be recommended for someone experiencing GERD symptoms.

D. Eating a snack before bedtime

Eating close to bedtime can increase the likelihood of GERD symptoms, as lying down may allow stomach acid to flow back into the esophagus. The nurse may advise against eating a snack right before bedtime to minimize nighttime reflux.

E. Using a small pillow for sleeping

Elevating the head and upper body during sleep can help prevent stomach acid from flowing into the esophagus. Using a small pillow for sleeping is a measure to reduce nighttime reflux and alleviate GERD symptoms.

A. A respiratory rate of 14 B. A pulse of 102 C. Blood pressure of 88/60 mmHg D. A temperature of 100.2°F

Correct Answer is C

Explanation

A. A respiratory rate of 14

A respiratory rate of 14 is within the normal range and is not typically a reason to hold benztropine. Respiratory depression is not a common side effect of this medication.

B. A pulse of 102

A pulse rate of 102 is also within the normal range, and changes in heart rate are generally not a prominent side effect of benztropine. This finding alone is not a typical reason to hold the medication.

C. Blood pressure of 88/60 mmHg

This is the correct choice. Anticholinergic medications, like benztropine, can cause side effects such as a decrease in blood pressure. A blood pressure of 88/60 mmHg may be a concern, and the nurse should hold the dose and notify the physician.

D. A temperature of 100.2°F

An elevated temperature of 100.2°F is not a direct contraindication to benztropine administration. Fever is not a typical side effect of this medication, so an increased temperature alone is not a reason to hold the dose.

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A nurse is teaching the family of a child with ADHD about her diet and medications. The child is prescribed methylphenidate (Ritalin) every day. In teaching about the client's diet, it is most important that the nurse encourage the child to avoid which foods and/or drinks?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who recently began having mild symptoms of GERD is reluctant to take medication. What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

The nurse prepares to administer benztropine to the patient with Parkinson's Disease. The nurse holds the dose and notifies the physician based on which assessment finding?

Correct Answer is C

Explanation

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