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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Thyroid function tests are not routinely required for valproate therapy; this applies more to lithium therapy.

B. A pretreatment EEG is not necessary before starting valproate; it is used primarily for seizure evaluation.

C. Valproate can cause hepatotoxicity, so monitoring liver function tests (LFTs) before and during therapy is essential for safety.

D. High serum sodium levels are not related to valproate toxicity; this concern is associated with lithium therapy, not valproate.

A. Amnesiac Syndrome B. Alzheimer's Disease C. Delirium D. Dementia

Correct Answer is C

Explanation

A. This involves memory loss due to brain injury or alcohol abuse, not acute fluctuating confusion.

B. Alzheimer’s causes progressive, irreversible memory decline that develops gradually, not suddenly over 2 days.

C. Delirium is characterized by acute onset, fluctuating levels of orientation, confusion, speech changes, and impaired gait, often triggered by medications, infections, or metabolic issues.

D. Dementia develops slowly and progressively, not suddenly like delirium.

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What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin) for ADHD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client al t about the use of this medication?

Correct Answer is C

Explanation

An older adult patient takes multiple medications daily. Over 2 days, the patient developed confusion, slurred speech, an unsteady galt, and fluctuating levels of orientation. These findings are most characteristics of

Correct Answer is C

Explanation

A patient experiences a sudden episode of severe anxiety. Which medication would be the expected drug to be given to help with the sudden episode of severe anxiety?

A hospitalized client diagnosed with alcohol use disorder believes spiders are spinning webs in the room to entrap him. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?

A patient diagnosed with schizophrenia has received fluphenazine decanoate twice a month for 3 years. The clinic nurse's notes that the patient grimaces and is constantly smacking his lips. The patient's neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect?

A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated as needed for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

Which assessment finding would the nurse expect to see in a patient experiencing delirium? (Select all that apply)

A patient in alcohol rehabilitation reveals to the nurse. "I feel terrible guilt for sexually abusing my 6-year-old before I was admitted." Select the nurse's most important action.

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state. "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?