A client who has attention-deficit/hyperactivity disorder (ADHD) is prescribed methylphenidate, a controlled substance, by their psychiatrist. The client tells the nurse that they sometimes share their medication with their friends who also have ADHD but do not have a prescription. Which of the following statements should the nurse make?
"Sharing your medication with others is illegal and can result in serious consequences for you and your friends."
"Your medication is specifically tailored to your needs and may not be appropriate or safe for others."
"Your friends should see a psychiatrist if they have ADHD and need medication treatment."
All of the above.
The Correct Answer is D
Correct answer: d) All of the above.
Rationale: The nurse should make all of these statements to discourage
the client from sharing their medication with others. Sharing controlled substances with others is illegal and can result in criminal charges, fines, or imprisonment for both parties. It can also cause harm to others who may have different medical conditions, allergies, or interactions with other medications. Methylphenidate is a stimulant that can cause adverse effects such as increased blood pressure, heart rate, anxiety, insomnia, and appetite suppression. It can also be addictive and abused by some people. Therefore, it should only be taken by a person who has a valid prescription and under the supervision of a psychiatrist who can monitor the dosage, effectiveness, and side effects.
Incorrect choices:
a) "Sharing your medication with others is illegal and can result in serious consequences for you and your friends.": This is correct but not comprehensive as it does not include other statements that are important for the client.
b) "Your medication is specifically tailored to your needs and may not be appropriate or safe for others.": This is correct but not comprehensive as it does not include other statements that are important for the client.
c) "Your friends should see a psychiatrist if they have ADHD and need medication treatment.": This is correct but not comprehensive as it does not include other statements that are important for the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct answer: a) Constipation
Rationale: Oxycodone is an opioid analgesic that acts on the central nervous system to relieve pain. It also has peripheral effects, such as decreasing gastrointestinal motility and secretion, which can cause constipation. The nurse should advise the client to increase fluid and fiber intake, exercise regularly, and use stool softeners or laxatives as needed to prevent or treat constipation.
Incorrect choices:
b) Hypertension: Oxycodone can cause hypotension, not hypertension, due to its vasodilatory effect.
c) Tachycardia: Oxycodone can cause bradycardia, not tachycardia, due to its vagal stimulation effect.
d) Diarrhea: Oxycodone can cause constipation, not diarrhea, due to its decreased gastrointestinal motility and secretion effect.
Correct Answer is A
Explanation
Correct answer: a) Naloxone
Rationale: Naloxone is an opioid antagonist that binds to opioid receptors and displaces opioids from them, thereby reversing their effects. It is used as an antidote for opioid overdose and can rapidly restore respiration and consciousness.
Incorrect choices:
b) Flumazenil: This is a benzodiazepine antagonist that reverses the effects of benzodiazepines, not opioids.
c) Acetylcysteine: This is an antidote for acetaminophen overdose, not opioid overdose.
d) Physostigmine: This is an antidote for anticholinergic overdose, not opioid overdose.
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