A school-aged child is recently diagnosed with attention deficit hyperactive disorder (ADHD). What information about the newly prescribed stimulant medication should a nurse plan to give the family?
Take the medication each night at bedtime.
The medication should be taken every 12 hours.
Take the medication 30 minutes before breakfast.
The medication should be taken with every meal.
The Correct Answer is C
Choice A rationale:
Taking the medication each night at bedtime is not recommended, as stimulant medications can interfere with sleep. Administering them before bedtime can lead to insomnia.
Choice B rationale:
The medication's dosing frequency every 12 hours is not accurate for ADHD stimulant medications. They are typically taken in the morning and may have shorter-acting formulations for later in the day if needed.
Choice C rationale:
Taking the medication 30 minutes before breakfast is a common instruction for stimulant medications used to treat ADHD. This timing aligns with the child's daily routine and helps manage potential appetite suppression.
Choice D rationale:
Taking the medication with every meal is not recommended, as it might interfere with absorption and effectiveness. Stimulant medications are typically taken in the morning and, if necessary, at lunchtime.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Waiting to discuss the surgery until the child asks specific questions might lead to increased anxiety as the child may be apprehensive about the surgery but unable to express their concerns.
Choice B rationale:
Setting aside an hour a day to talk about the child's feelings concerning the surgery can be overwhelming for a 5-year-old, potentially increasing anxiety and making the procedure seem more daunting.
Choice C rationale:
Reading the child a story about children of similar age who go to the hospital for surgery provides a developmentally appropriate approach. It helps the child understand the process through relatable characters, reducing fear and uncertainty about the upcoming experience.
Choice D rationale:
Having the child visit a family whose preschool child has just been discharged from the hospital might expose the child to unfamiliar situations, possibly leading to more confusion and anxiety.

Correct Answer is D
Explanation
Choice D rationale:
Monitoring the cardiac catheterization site for bleeding is the priority nursing intervention when a child feels nauseous and vomits after a cardiac catheterization. Bleeding from the catheterization site could lead to serious complications and requires immediate attention.
Choice A rationale:
Applying a cool cloth to the child's forehead can provide comfort, but it doesn't address the potential complication of bleeding from the catheterization site.
Choice B rationale:
Offering the child sips of orange juice is not appropriate if the child is nauseous and vomiting. Fluid intake should be monitored, but bleeding assessment takes priority.
Choice C rationale:
Applying pressure to the cardiac catheterization site is not the priority intervention. Monitoring for bleeding and assessing the site are more important.
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