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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

hydroxychloroquine is a quinoline that is used to suppress the immune system in autoimmune conditions. Among its side effects, it can cause retinal toxicity that warrants stopping the medications. Blurring of vision should, therefore, be reported immediately.
A, B, and D - these are potential adverse effects of hydroxychloroquine but do not require immediate attention

A. Tap the top of the ampule, place a sterile gauze pad around the ampule neck. and break off the top by bending it toward the body. B. Tap the bottom of the ampule, place gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body. C. Wear sterile gloves and break Off the neck of the glass ampule with a single snap to the right side. D. Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion.

Correct Answer is A

Explanation

A Tapping at the top ansure all the medication is settled down to prevent inadequate dosing. Breaking off should be done towards the bodyto prevent injury due to the splashing glass particles

B Tapping the ampule should be done at the top, not bottom, to ensure that any medication at the neck or top is displaced to the bottom. Breaking off the top with a forward motion towardsthe body reduces the risk of injury from glass shards.

C, D- It is not a sterile procedure hence no need for sterile gloves

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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?

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