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 B
Explanation
Vasopressin (ADH) is used to treat diabetes insipidus by increasing water reabsorption in the kidneys, thereby decreasing urine output. Therefore, a decrease in urine output would indicate that the medication is effective in managing the condition. Options
A- Water retention increases blood pressure and not vice versa
C- Water retention leads to increased specific gravity of urine
D- Vasopressin has no effect on blood glucose
Correct Answer is D
Explanation
The Z-track technique is an intramuscular injection technique used to prevent leakage to medication into the subcutaneous site after injection. It involves;
- pulling the skin and subculture tissue about one inch away from the muscle
- Insert the needle at 90 degrees
- Needle inserted quickly and deeply
- Remove the needle then release the skin
- Do not massage or aspirate
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