A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?
Increase caffeine intake.
Reduce calorie intake.
Take this medication before bedtime.
Avoid activities that require alertness such as driving.
The Correct Answer is D
Methylphenidate is a CNS agent used in the management of ADHD. It has the potential to cause dizziness or drowsiness and clients should be advised to avoid driving or operation of any machinery as it may lead to accidents.
A- Methylphenidate is a CNS agent used in the management of ADHD. It has no potential interaction with caffeine.
B- Methylphenidate caused significant decrease in appetite with subsequent weight loss. The parents should be advised to increase the client’s caloric intake to promote healthy weight gain.
C- Methylphenidate causes insomnia and taking the medication right before bedtime leads to poor sleep pattern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
- Administration of subcutaneous heparin follows the following steps
- Wipe the chosen area with alcohol and avoid rubbing
- Remove the cap from needle
- Gently pinch a fold of skin
- Insert the needle at 45 to 90 degrees
- Push down the drug into the tissue
- Draw the needle out slowly at the same angle
- Apply a cotton ball light for 1-2 minutes
- Monitor for bleeding
Correct Answer is B
Explanation
Theophylline has a narrow therapeutic window which increase the risk of overdose and toxicity. It is also given at very small doses which could be difficult for the nursing staff to accurately titrate the drops and hence requires an infusion pump
A. Infusion of theophylline loading dose should not exceed 25mg/min due to risk of seizures and cardiac arrhythmias
C. Use of a test dose is not necessary as the risk of hypersensitivity with theophylline is very low.
D. Covering the IV container with dark paper is not necessary for the administration of theophylline.
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