A 6-year-old boy has been started on an extended-release form of methylphenidate hydrochloride for the treatment of attention deficit hyperactivity disorder (ADHD). During a follow-up visit, his mother tells the nurse that she has been giving the medication at bedtime so that it will be "in his system" when he goes to school the next morning. What is the nurse's appropriate evaluation of the mother's actions?

The last dose of medication should be given 4 to 6 hours before bedtime to diminish insomnia.

The medication should be taken with meals for optimal absorption.

The medication should not be taken until he is at school.

She is giving him the medication dosage appropriately.

Answer and Explanation

The Correct Answer is A

A. The last dose of medication should be given 4 to 6 hours before bedtime to diminish insomnia: Methylphenidate is a stimulant medication commonly used to treat ADHD.
Administering it at bedtime may interfere with sleep onset and lead to insomnia. It's important to follow the prescribed dosing schedule to optimize symptom control during waking hours while minimizing adverse effects on sleep.
B. The medication should be taken with meals for optimal absorption: While taking

methylphenidate with meals may help reduce gastrointestinal side effects, the timing of administration relative to bedtime is more relevant to address in this scenario.
C. The medication should not be taken until he is at school: Delaying medication until the child is at school may result in inadequate symptom control during the morning when ADHD
symptoms are often most problematic.

D. She is giving him the medication dosage appropriately: Administering methylphenidate at bedtime is not appropriate and may lead to insomnia rather than optimizing symptom control during the day.

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Free Nursing Study Resources

Correct Answer is ["A","C"]

Explanation

A. Increased heart rate: Sympathetic nervous system stimulation typically leads to increased heart rate as part of the "fight or flight" response.
B. Decrease in urinary bladder muscle tone: Sympathetic stimulation would typically cause relaxation of the urinary bladder, leading to increased muscle tone.
C. Increased blood pressure: Sympathetic nervous system activation results in vasoconstriction and increased cardiac output, leading to elevated blood pressure.
D. Decreased salivation: Sympathetic stimulation can lead to decreased salivation as part of the "fight or flight" response, but it's not a consistent finding.
E. Decreased bowel sounds: Sympathetic activation can inhibit gastrointestinal motility, leading to decreased bowel sounds, but it's not a universal finding in sympathetic stimulation.

A. Minimize the amount of fluid taken while on this drug. B. Discontinue the medication if adverse effects occur. C. Take the medication on an empty stomach to enhance absorption. D. Use artificial saliva, sugarless gum, or hard candy to counteract dry mouth.

Correct Answer is D

Explanation

A. Minimize the amount of fluid taken while on this drug: Increasing fluid intake is actually recommended to manage potential constipation, another common side effect of anticholinergic medications.
B. Discontinue the medication if adverse effects occur: Discontinuing medication without consulting a healthcare provider is not advisable. Patients should be educated to report any adverse effects to their healthcare provider for appropriate management.
C. Take the medication on an empty stomach to enhance absorption: Benztropine is typically taken with food to minimize gastrointestinal side effects. Taking it on an empty stomach may increase the risk of nausea or stomach upset.
D. Use artificial saliva, sugarless gum, or hard candy to counteract dry mouth: Anticholinergic medications such as benztropine commonly cause dry mouth as a side effect. Stimulating saliva production with these measures can help alleviate dry mouth symptoms.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply. (Select All that Apply.)

Correct Answer is ["A","C"]

Explanation

When a patient is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?

Correct Answer is D

Explanation

A patient had abdominal surgery this morning. The patient is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient?

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client?

Before administering a client's prescribed nonselective adrenergic blocker, what should the nurse assess?

The U.S. Food and Drug Administration has issued a warning for users of antiepileptic drugs. Based on this report, the nurse will monitor for which potential problems with this class of drugs?

The teaching for a patient who is taking tamsulosin to reduce urinary obstruction due to benign prostatic hyperplasia will include which of these?

The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?