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    RN Comprehensive Predictor 2026 Proctored Exam
    Select All That Apply

    A nurse in a pediatric office is caring for a school-age child. The nurse is planning care for the child. Select the 2 interventions the nurse should include.

    Explanation & Rationale

    Rationale: A. The prescribed medication is atomoxetine, a selective norepinephrine reuptake inhibitor used for ADHD. It can increase blood pressure and heart rate, so monitoring cardiovascular status (BP and pulse) is essential during treatment, especially in children. B. Atomoxetine can be taken with or without food. There is no requirement to administer it on an empty stomach, and food does not significantly affect its absorption. C. Atomoxetine is more commonly associated with decreased appetite and possible weight loss, especially in children. Weight gain is not an expected effect and should not be anticipated as part of therapy. D. Atomoxetine carries a risk of rare but serious liver injury. Therefore, periodic monitoring of liver function tests (LFTs) is recommended, and caregivers should be instructed to report symptoms such as jaundice, dark urine, or abdominal pain. E. While gastrointestinal effects such as nausea, decreased appetite, or stomach upset may occur, diarrhea is not a characteristic or expected side effect that requires anticipatory teaching in this context.

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