An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.

Hallucinations

Paranoia

Drowsiness

Increased Hunger

Tachycardia

Hypertension

Answer and Explanation

Correct Answer : A,B,E,F

A. Hallucinations can occur as a result of methylphenidate overdose.
B. Paranoia is a possible psychological effect of a stimulant overdose.
C. Drowsiness is not typical; stimulant overdose usually causes increased alertness and agitation.
D. Increased hunger is not associated with stimulant overdose; appetite suppression is more common.
E. Tachycardia is a common cardiovascular effect of stimulant overdose.
F. Hypertension can occur due to the increased stimulant effect on the cardiovascular system.

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

Explanation

A. Vomiting can be a sign of increased intracranial pressure (ICP).
B. Poor feeding is a concerning symptom of increased ICP.
C. A weak cry may indicate general illness but is not specifically indicative of increased ICP.
D. Sunken fontanels suggest dehydration, not increased ICP. Bulging fontanels would be concerning for increased ICP.
E. Irritability can be a sign of increased ICP in infants.

A. Apply direct pressure at the site and one inch above the catheterization site B. Notify the interventional cardiologist and the catheterization lab C. Place the bed in the Trendelenburg position D. Reinforce the bandage by applying a new bandage, over the present dressing

Correct Answer is A

Explanation

A. Applying direct pressure at the site and one inch above the catheterization site is the immediate priority to control the bleeding and prevent further blood loss.
B. Notifying the interventional cardiologist and the catheterization lab is important but should be done after initial bleeding control measures are taken.
C. Placing the bed in the Trendelenburg position is not appropriate for managing active bleeding from a catheterization site.
D. Reinforcing the bandage is not sufficient to control active bleeding; direct pressure is necessary.

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An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY

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

Explanation

The nurse is caring for a school-age girl who had an arterial cardiac catheterization. The child tells the nurse that the bandage is "wet." On assessment, the bandage and bed are soaked with blood. The nurse must do which of the following FIRST?

Correct Answer is A

Explanation

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