A nurse is teaching the parents of a school-age child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?
Expect hyperactivity as a common adverse effect.
Give the dose in the morning to help prevent insomnia.
Avoid crowds due to the increased risk for infection.
Limit caloric intake to prevent excessive weight gain.
The Correct Answer is B
The correct answer is b.
Choice A Reason:
Expect hyperactivity as a common adverse effect. This statement is incorrect. Atomoxetine is a non-stimulant medication used to treat ADHD and does not typically cause hyperactivity. Instead, it helps improve attention and reduce hyperactivity and impulsiveness. Common side effects of atomoxetine include nausea, vomiting, upset stomach, constipation, dry mouth, loss of appetite, mood changes, feeling tired, dizziness, urination problems, or impotence.
Choice B Reason:
Give the dose in the morning to help prevent insomnia. This statement is correct. Atomoxetine should be taken in the morning to help prevent insomnia, as taking it later in the day can interfere with sleep. The medication can be taken with or without food, and if a second dose is prescribed, it is typically taken in the late afternoon or early evening.
Choice C Reason:
Avoid crowds due to the increased risk for infection. This statement is incorrect. Atomoxetine does not increase the risk of infection, and there is no need to avoid crowds while taking this medication3. Common side effects do not include an increased risk of infection.
Choice D Reason:
Limit caloric intake to prevent excessive weight gain. This statement is incorrect. Atomoxetine is more likely to cause weight loss rather than weight gain. It can decrease appetite, which may lead to weight loss in some patients. Therefore, limiting caloric intake is not necessary while taking atomoxetine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
a. Assist the client to develop more effective coping mechanisms
c. Identify community resources for the client to use in a crisis
d. Educate the family about providing a safe and structured environment for the client
Explanation of Choices
Choice A Reason: Assist the Client to Develop More Effective Coping Mechanisms
Developing effective coping mechanisms is crucial for clients with a history of suicide attempts. Coping strategies help individuals manage stress, anxiety, and other emotional challenges that may trigger suicidal thoughts. Effective coping mechanisms can include mindfulness practices, cognitive-behavioral techniques, and stress management skills. By assisting the client in developing these skills, nurses can help reduce the risk of future suicide attempts and improve the client’s overall mental health.
Choice B Reason: Have a One-to-One Sitter for Outpatient Use
While having a one-to-one sitter can be beneficial in an inpatient setting to provide constant supervision and ensure safety, it is not typically feasible or necessary for outpatient care. Outpatient settings focus more on empowering the client with skills and resources to manage their condition independently. Continuous supervision in an outpatient setting may not be practical and could hinder the client’s sense of autonomy and self-efficacy.
Choice C Reason: Identify Community Resources for the Client to Use in a Crisis
Identifying community resources is a vital intervention for clients with a history of suicide attempts. Community resources can include crisis hotlines, support groups, mental health clinics, and emergency services. Providing the client with information about these resources ensures they have access to immediate help during a crisis. This support network can be crucial in preventing future suicide attempts and providing ongoing emotional and practical support.
Choice D Reason: Educate the Family About Providing a Safe and Structured Environment for the Client
Family education is essential in the care of clients with a history of suicide attempts. Educating the family about creating a safe and structured environment can help reduce triggers and stressors that may lead to suicidal thoughts. This education can include removing potential means of self-harm, establishing routines, and promoting open communication. A supportive family environment can significantly enhance the client’s recovery and reduce the risk of future suicide attempts.
Choice E Reason: Isolate the Client from All Stressful Situations That May Precipitate a Suicide Attempt
Isolating the client from all stressful situations is not a practical or effective intervention. While it is important to minimize exposure to significant stressors, complete isolation is neither feasible nor beneficial. Instead, the focus should be on helping the client develop resilience and coping strategies to manage stress. Learning to navigate and cope with stress is a critical part of recovery and long-term mental health management.
Correct Answer is ["A","D","E"]
Explanation
Choice A Reason:
Have cut vegetables prepared for a snack instead of chips or cookies. This choice is correct because it encourages healthier eating habits, which can help manage weight gain associated with mood stabilizers. Vegetables are low in calories and high in nutrients, making them a better alternative to high-calorie snacks like chips and cookies. This can help the client maintain a healthy weight while adhering to their medication regimen.
Choice B Reason:
Extended-release forms of medications have fewer side effects when dissolved in water. This choice is incorrect. Extended-release medications are designed to be released slowly over time and should not be dissolved in water. Dissolving them can alter their release mechanism, leading to potential side effects and reduced efficacy.
Choice C Reason:
Weigh yourself once in the morning and once in the evening using the same scale. This choice is incorrect. Weighing oneself multiple times a day can lead to unnecessary anxiety and obsession over weight fluctuations, which are normal throughout the day. It is generally recommended to weigh oneself once a week at the same time of day for a more accurate measure of weight trends.
Choice D Reason:
Drink flavored water instead of soft drinks. This choice is correct because it promotes healthier beverage choices. Soft drinks are high in sugar and calories, which can contribute to weight gain. Flavored water, on the other hand, can be a refreshing and low-calorie alternative, helping the client manage their weight while staying hydrated.
Choice E Reason:
Walk 30 minutes per day, 5 days per week. This choice is correct because regular physical activity is essential for maintaining a healthy weight and overall well-being. Walking is a low-impact exercise that can help burn calories, improve mood, and enhance adherence to a medication regimen by reducing the side effects of weight gain.
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