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 133 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?

Blastomycosis is often misdiagnosed, resulting in tragic outcomes. It is caused by a fungus living in moist soil, in wooded areas of the United States and Canada. If inhaled, the fungus can cause mild breathing problems that may worsen and cause serious illness and even death.

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

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?

An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

A pet dog taking part in Christmas traditions A pet dog taking part in Christmas traditions
Touch the test light to the negative (–) terminal of the battery or a good engine ground to check ... Touch the test light to the negative (–) terminal of the battery or a good engine ground to check ...
General location of the primary auditory cortex and areas of secondary auditory cortex. Most ... General location of the primary auditory cortex and areas of secondary auditory cortex. Most ...
Standard Precautions for the Care of all Patients in All Health Care Settings Standard Precautions for the Care of all Patients in All Health Care Settings
The Growing Child The Growing Child
Video: Carbohydrate digestion - mouth and stomach & pancreas and small intestine

For a complete list of videos, visit our video library