The nurse is assessing a school aged child with ADHD. The child is prescribed dexamethylphenidate 10mg before breakfast and lunch. Which of the following findings is of MOST concern to the nurse?

Sleeping 8 to 10 hours a night

Heart rate 90 beats per minute at rest

Blood pressure reading of 140/90

Weight gain of 2 kgs since last visit

Answer and Explanation

The Correct Answer is C

A. Sleeping 8 to 10 hours a night is within the normal range for a school-aged child.
B. A resting heart rate of 90 beats per minute is within the normal range for a child.
C. A blood pressure reading of 140/90 is concerning as it indicates hypertension, which can be a side effect of stimulant medications like dexamethylphenidate.
D. A weight gain of 2 kgs is not immediately concerning in a growing child, though weight should be monitored.

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Correct Answer is B

Explanation

A. This statement is not accurate as many daycare policies allow children to return after a shorter period if symptoms improve.
B. It is generally accepted that children with bacterial conjunctivitis can return to daycare after 24 to 48 hours of antibiotic treatment, as the risk of contagion is significantly reduced. Parents should confirm the specific policy with their daycare.
C. While waiting for symptoms to completely resolve is ideal, it is not the most practical or common recommendation.
D. Completing the full course of antibiotics is important for the child's health, but it is not necessary for returning to school.

A. Provide all activities of daily living for the child B. Modify the home for safety C. Provide respite services for the parents D. Improve the client's communication skills

Correct Answer is B

Explanation

A. While providing assistance with activities of daily living is important, ensuring the child's environment is safe is a higher priority to prevent injuries.
B. Modifying the home for safety is the priority because children with hemiplegic cerebral palsy have motor impairments that increase their risk for accidents and injuries. A safe environment is essential for the child’s well-being.
C. Providing respite services for the parents is beneficial for the family’s overall stress management, but it is not as immediate a concern as ensuring the child’s safety.
D. Improving communication skills is important for the child's overall development, but ensuring a safe living environment takes precedence to prevent potential harm.

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The nurse is assessing a school aged child with ADHD. The child is prescribed dexamethylphenidate 10mg before breakfast and lunch. Which of the following findings is of MOST concern to the nurse?

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Naxlex Comprehensive Predictor Exams

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