A school aged child with ADHD was recently switched from a methylphenidate to atomoxetine. The nurse recognizes a need for further teaching when the parents make which of the following statements?

"We can open the capsule and sprinkle it on food."

"We will be able to stop the medication on weekends and holidays."

This medication may cause drowsiness, fatigue and dry mouth."

"It will take 2 to 3 weeks to see the positive effects of this medication."

Answer and Explanation

The Correct Answer is B

A. Atomoxetine capsules should not be opened and sprinkled on food; they must be swallowed whole. This statement does not indicate a need for further teaching.
B. Atomoxetine is a non-stimulant medication for ADHD that must be taken consistently every day, not just on school days. This statement indicates a misunderstanding and a need for further teaching.
C. Drowsiness, fatigue, and dry mouth are common side effects of atomoxetine. This statement does not indicate a need for further teaching.
D. It is correct that it may take 2 to 3 weeks to see the positive effects of atomoxetine. This statement does not indicate a need for further teaching.

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Correct Answer is B

Explanation

A. It is inappropriate to dismiss suspicions of abuse based on the assumption that toddlers frequently fall and have multiple injuries.
B. The nurse has a legal and ethical obligation to report suspicions of child abuse to the proper authorities, regardless of the physician's opinion. Reporting ensures that the child’s safety is prioritized and that an investigation can be conducted.
C. While discussing findings with the physician can be part of the process, it does not take precedence over the mandatory reporting of suspected abuse.
D. Confronting the caregivers directly is not appropriate and may put the child at further risk.

A. Use of consistent caregivers B. Overstimulation C. Illness and pain D. Changes in the child's routine E. Providing short simple instructions

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

Explanation

A. Use of consistent caregivers is beneficial for children with Autism Spectrum Disorder as it provides stability and predictability.
B. Overstimulation from the environment (e.g., noise, lights, activity) can lead to anxiety and frustration in children with Autism Spectrum Disorder.
C. Illness and pain are distressing and can increase anxiety and frustration, especially if the child has difficulty communicating their discomfort.
D. Changes in the child's routine can be particularly unsettling and may lead to anxiety and frustration.
E. Providing short, simple instructions helps in clear communication and reduces confusion, which can minimize anxiety.

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A school aged child with ADHD was recently switched from a methylphenidate to atomoxetine. The nurse recognizes a need for further teaching when the parents make which of the following statements?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?

Correct Answer is B

Explanation

The nurse is caring for a child with Autism Spectrum Disorder. The nurse recognizes that which of the following may trigger anxiety and frustration during the hospitalization? SELECT ALL THAT APPLY

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

Explanation

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