This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A primary care NP sees a child for an annual well-child check-up. The child has been taking ... (Read 134 times)

charchew

  • Hero Member
  • *****
  • Posts: 579
on: Jul 24, 2018
A primary care NP sees a child for an annual well-child check-up. The child has been taking methylphenidate for AD/HD for 3 months. The NP should discontinue the medication if which symptom is present?
 
  a. Motor tics
  b. Decreased appetite
  c. Occasional headaches
  d. Decreased blood pressure

Question 2

A child is taking methylphenidate (Ritalin) for AD/HD. The child's parent calls the primary care NP to report increased behavior problems and delusional thinking. The NP should:
 
  a. increase the drug dose.
  b. discontinue the medication.
  c. change to dextroamphetamine.
  d. order methylphenidate SR.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

amandanbreshears

  • Sr. Member
  • ****
  • Posts: 320
Reply #1 on: Jul 24, 2018
Answer to Question 1

A
Methylphenidate is contraindicated in patients who have motor tics or a diagnosis of Tourette's syndrome. Decreased appetite, occasional headaches, and changes in blood pressure are not concerning.

Answer to Question 2

B
Exacerbation of behavioral and processing symptoms can occur in patients with preexisting psychosis, and manic and behavioral symptoms may occur in patients who do not have an underlying psychiatric disorder. This is true with all stimulant medications, so increasing the dose, switching to another stimulant, or switching to a long-acting form are not indicated.


charchew

  • Hero Member
  • *****
  • Posts: 579
Reply #2 on: Jul 24, 2018
TY


amandanbreshears

  • Sr. Member
  • ****
  • Posts: 320
Reply #3 on: Jul 24, 2018
You're welcome


« previous next »
 

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

Patients should never assume they are being given the appropriate drugs. They should make sure they know which drugs are being prescribed, and always double-check that the drugs received match the prescription.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

Cross-sectional data showing that the amount of effort spent on personal health care increases with Cross-sectional data showing that the amount of effort spent on personal health care increases with
Annual Mean Number of Days with Thunder Annual Mean Number of Days with Thunder
Child's right hand and wrist displaying the characteristic spotted rash of Rocky Mountain ... Child's right hand and wrist displaying the characteristic spotted rash of Rocky Mountain ...
A space probe approaches a planet, taking measurements as it goes. If it detects a potential ... A space probe approaches a planet, taking measurements as it goes. If it detects a potential ...
Jawad makes semi-annual contributions of $2000 starting on his 27th birthday. How much will he ... Jawad makes semi-annual contributions of $2000 starting on his 27th birthday. How much will he ...
Satellite data on primary productivity in the equatorial Pacific Ocean Satellite data on primary productivity in the equatorial Pacific Ocean
Video: Non-specific disease resistance mechanisms & Skin's defense barriers

For a complete list of videos, visit our video library