Author Question: The nurse working in the ambulatory care center is providing medication instructions about ... (Read 73 times)

nramada · **on:** Jul 22, 2018

The nurse working in the ambulatory care center is providing medication instructions about methylphenidate (Ritalin) to the mother of a child with attention-deficit/hyperactivity disorder (ADHD).

The nurse recommends that the mother give the medication to the child: 1. At bedtime
2. With the evening meal
3. Just before the noontime meal
4. In the morning, 2 hours before breakfast

Question 2

A nursing student is assigned to care for a child with sickle cell disease (SCD). The nursing instructor asks the student to describe the causative factors related to this disease.

Which of the following statements, if made by the student, indicates a need for further research? 1. SCD is an autosomal recessive disease.
2. If each parent carries the trait, the children will inherit the trait.
3. Children with the HbS (sickle cell hemoglobin) trait are not symptomatic.
4. If one parent has the HbS trait and the other parent is normal, there is a 50 chance that each offspring will inherit the trait.

cam1229 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: Methylphenidate is best taken shortly before a meal. It should not be taken after 12 noon or 1 PM for children or after 6 PM for adults, because the stimulating effect may keep the client awake. The other options are incorrect.

Answer to Question 2

2

Rationale: SCD is an autosomal recessive disease. Children with the HbS trait are not sympto-matic. If one parent has the HbS trait and the other parent is normal, there is a 50 chance that each offspring will inherit the trait. If each parent carries the trait, there is a 25 chance that their child will be normal, a 50 chance that the child will carry the trait, and a 25 chance that each child will have the disease.