A nurse is caring for a client who has systemic lupus erythematosus. Which of the following client findings should the nurse expect?

A) Direct statements to the interpreter: The nurse should address the client directly, not the interpreter. This approach helps establish rapport and ensures the client feels involved in the conversation.

B) Pause in the middle of sentences: Pausing mid-sentence can lead to confusion and may disrupt the flow of communication. It's important to complete thoughts before allowing the interpreter to translate.

C) Speak in a normal voice at a natural pace: This is the best practice when working with an interpreter. Speaking normally helps ensure that the interpreter can accurately convey the message without missing important nuances or details.

D) Use gestures when speaking with the client: While gestures can sometimes aid communication, they may not always be effective or culturally appropriate. Relying on gestures can lead to misunderstandings, so verbal communication should remain the primary focus.

A) Administering the medication at bedtime is not advisable because methylphenidate is a stimulant that can cause insomnia. It's typically recommended to give it in the morning or after breakfast to help manage symptoms during the day while minimizing sleep disturbances.

B) Administering the medication after breakfast is the best practice. Taking methylphenidate with food can help reduce gastrointestinal side effects and improve the medication's effectiveness throughout the school day. This timing also aligns with the medication's action profile to support focus and attention during daytime activities.

C) While monitoring sodium intake can be important for overall health, there is no specific requirement for children taking methylphenidate to avoid excess sodium. Instead, a balanced diet is generally encouraged, and any dietary changes should be discussed with a healthcare provider.

D) Foods containing tyramine are typically associated with monoamine oxidase inhibitors (MAOIs) and are not specifically a concern with methylphenidate. Therefore, advising avoidance of tyramine-rich foods is not relevant in this context, and the focus should be on proper medication management and monitoring for side effects.