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 B
Explanation
A. This is more commonly associated with phencyclidine (PCP) or alcohol intoxication, not cocaine.
B. Cocaine is a powerful stimulant that activates the sympathetic nervous system. This results in mydriasis (dilated pupils), increased heart rate, elevated blood pressure, hypervigilance, and euphoria.
C. Depression is more likely during cocaine withdrawal, not intoxication.
D. Like depression, hypersomnia is a withdrawal symptom. Intoxication typically causes insomnia and restlessness.
Correct Answer is C
Explanation
A. Magical thinking involves believing that one’s thoughts or actions can cause events to occur in a way that defies logic (e.g., thinking stepping on a crack will break someone’s leg), which is not evident here.
B. Associative looseness refers to fragmented, disorganized, or illogical thinking that affects speech, not the perception of others’ behavior.
C. Ideas of reference occur when a person believes that unrelated events or actions of others are directed at them personally. In this scenario, the client interprets the group’s laughter as being about them, which exemplifies this characteristic.
D. Delusions of grandeur involve exaggerated beliefs about one’s own importance, power, or identity, which does not apply in this situation.
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