A pediatric client diagnosed with ADHD is being treated with ...

[Collmarie]

A pediatric client diagnosed with ADHD is being treated with dexmethylphenidate (Focalin XR). The client's mother reports that the child has started saying huh very loudly several times each day.
 
  What should the nurse tell the mother about this finding?
  Standard Text: Select all that apply.
  1. This sound may represent a vocal tic.
  2. Children with ADHD often make such sounds to call attention to themselves.
  3. The Focalin XR may need to be discontinued.
  4. Focalin XR causes an inhibition of growth in many children.
  5. Many illicit drugs cause this type of behavior.

Question 2

How is acute pain defined?
 
  1. Pain associated with chronic illness
  2. Pain associated with an injury or surgery
  3. Pain associated with malignant pain
  4. Pain associated with nerve injury

[tuwy]

Answer to Question 1

Correct Answer: 1,3
Rationale 1: Vocal tics are loud and sometimes inappropriate sounds made at inappropriate or unexpected times.
Rationale 2: This is not a true of children with ADHD.
Rationale 3: Vocal and motor tics are an adverse effect of Focalin XR and often result in the drug being discontinued.
Rationale 4: While this is a true statement, it does not address the mother's concern.
Rationale 5: There is no indication that this child is taking any illicit drugs.
Global Rationale: Vocal tics are loud and sometimes inappropriate sounds made at inappropriate or unexpected times. Vocal and motor tics are an adverse effect of Focalin XR and often result in the drug being discontinued. Children with ADHD do not make such sounds to call attention to themselves. Focalin XR does cause an inhibition of growth in many children, but it does not address the mother's concern. There is no indication that this child is taking any illicit drugs.

Answer to Question 2

Correct Answer: 2
Rationale 1: Pain associated with a chronic illness is chronic pain.
Rationale 2: Pain associated with an injury, surgery, or childbirth is acute pain.
Rationale 3: Pain associated with a malignant condition, such as cancer, is chronic pain.
Rationale 4: Pain associated with a nerve injury is neuropathic pain.
Global Rationale: Pain associated with an injury, surgery, or childbirth is acute pain. Pain associated with a chronic illness or a malignant condition, such as cancer, is chronic pain. Pain associated with a nerve injury is neuropathic pain.

[Collmarie]

Excellent

[Sarahjh]

TYSM