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 266 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?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

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.

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Products of the Root's Primary Meristems Products of the Root's Primary Meristems
Sterility check strips. Sterility check strips.
After the death of a loved one, family members report concerns about last place of care. After the death of a loved one, family members report concerns about last place of care.
What “race” are these two Brazilians? Is the child’s “race” different from her mother’s ... What “race” are these two Brazilians? Is the child’s “race” different from her mother’s ...
Human of the planet's net primary production and appropriation of NPP Human of the planet's net primary production and appropriation of NPP
Graphs of Primary Trigonometric Ratios Graphs of Primary Trigonometric Ratios
Video: Interview with Person having Obsessive Compulsive Disorder

For a complete list of videos, visit our video library