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Author Question: A child is diagnosed with attention-deficit/hyperactivity disorder (ADHD). The prescriber orders a ... (Read 116 times)

Caiter2013

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A child is diagnosed with attention-deficit/hyperactivity disorder (ADHD). The prescriber orders a central nervous system stimulant. Which statement by the child's parent indicates a need for further teaching?
 
  a. I should report insomnia and poor appe-tite to his provider.
  b. I will make sure he takes his medication after breakfast every day.
  c. This drug will make him less impulsive while he's at school.
  d. This medication will help my child focus so he can learn new behaviors.

Question 2

A nurse provides teaching for a woman who will begin taking supplemental calcium. Which statement by the woman indicates understanding of the teaching?
 
  a. Chewable calcium tablets are not ab-sorbed well and are not recommended.
  b. I should not take more than 600 mg of calcium at one time.
  c. I should take enough supplemental cal-cium to provide my total daily require-ments.
  d. If I take calcium with green, leafy vege-tables, it will increase absorption.



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ktidd

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Answer to Question 1

C
Stimulants do not suppress negative behaviors directly and do not directly cause a decrease in hyperactivity. They act by improving attention and focus so that positive behaviors can be learned to replace negative behaviors. Insomnia and poor appetite are common side effects and should be reported to the provider, because alternate dosing regimens often counteract these ef-fects. Taking the medication either during or after breakfast prevents morning appetite suppres-sion at breakfast time. Stimulants improve focus and allow new, more positive behaviors to be learned.

Answer to Question 2

B
To help ensure adequate absorption of calcium, no more than 600 mg should be consumed at one time. Chewable calcium tablets are recommended because of their more consistent bioavailability. The amount of supplemental calcium should be enough to compensate for what is not consumed in the diet and should not constitute the total amount needed per day. Green, leafy vegetables reduce the absorption of calcium.





 

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Common abbreviations that cause medication errors include U (unit), mg (milligram), QD (every day), SC (subcutaneous), TIW (three times per week), D/C (discharge or discontinue), HS (at bedtime or "hours of sleep"), cc (cubic centimeters), and AU (each ear).

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