What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin) for ADHD?
Neuroleptic malignant syndrome
Dystonia, akinesia, and extrapyramidal symptoms
Bradycardia and hypotensive episodes
Sleep disturbances and weight loss
The Correct Answer is D
A. Neuroleptic malignant syndrome is a rare, life-threatening reaction associated with antipsychotic medications, not stimulants like methylphenidate.
B. Dystonia, akinesia, and extrapyramidal symptoms are primarily seen with antipsychotic use, not with ADHD stimulant medications.
C. Bradycardia and hypotensive episodes – Stimulants more commonly cause tachycardia and hypertension, not bradycardia or hypotension.
D. Sleep disturbances and weight loss are common side effects of methylphenidate due to its stimulant properties. Monitoring sleep patterns, appetite, and growth is a priority in children taking this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Repeated vomiting in bulimia nervosa can cause swelling of the parotid glands, which is a common physical sign of the disorder.
B. Unlike anorexia nervosa, patients with bulimia are often normal weight or slightly overweight, not severely underweight.
C. Edema is not a typical finding in bulimia unless there is severe electrolyte imbalance, which is less common.
D. Lanugo (fine hair covering the body) is usually associated with anorexia nervosa, not bulimia nervosa.
Correct Answer is B
Explanation
A. A dimly lit room can increase misperceptions and hallucinations, worsening fear.
B. The client is experiencing alcohol withdrawal delirium with hallucinations, agitation, and high risk for injury. Continuous monitoring ensures safety and allows immediate intervention.
C. Hydration is important, but it is not the priority compared to preventing injury during hallucinations.
D. Intermittent checks are not enough; the client requires continuous supervision for safety.
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