The nurse is caring for a 7-year-old child who has difficulty ...

[jparksx]

The nurse is caring for a 7-year-old child who has difficulty concentrating and completing tasks and who cannot seem to sit still.
 
  Which diagnostic test may be ordered to assist with a diagnosis of attention deficit/hyperactivity disorder (ADHD) in this child?
  a. Computerized tomography (CT) of the head
  b. Electrocardiogram (ECG)
  c. Electroencephalogra m (EEG)
  d. Magnetic resonance imaging (MRI) of the brain

Question 2

The nurse is performing a medication history on a patient who reports using phentermine HCl (Suprenza) 15 mg/day for the past 3 months as an appetite suppressant. The nurse will contact the patient's provider to discuss
 
  a. changing the medication to phentermine-topiramate (Qsymia).
  b. increasing the dose to 37.5 mg/day since tolerance has likely occurred.
  c. initiating a slow taper of the phentermine.
  d. stopping the drug immediately since long-term use is not recommended.

[mcabuhat]

Answer to Question 1

ANS: C
A child with ADHD may have abnormal EEG findings. CT, MRI, and ECG tests are not diagnostic for ADHD.

Answer to Question 2

ANS: C
The nurse should discuss a gradual taper of the medication with the provider. Patients using anorexiants should not stop taking them abruptly because depression and withdrawal symptoms may occur. Phentermine-topiramate is recommended for short-term use only. Patients should not use these medications longer than 12 weeks, so increasing the dose is not indicated.

[jparksx]

Thank you!

[mcabuhat]

Always glad to help...