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 A

Explanation

Morphine is an opioid analgesic that can cause respiratory depression especially when given in higher doses or to opioid-naive individuals. It's crucial to assess the client's respiratory rate before administering morphine to ensure that the client's respiratory status is stable. Respiratory depression can manifest as a decreased respiratory rate, shallow breathing, or signs of respiratory distress.
B, C, D- They are important vital signs but respiration takes priority and specific to opioid administration

A. Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, aspirate, and observe for bleeding, B. Cleanse the skin with an alcohol swab, insert the needle, aspirate, and inject the heparin. C. Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, and observe for bleeding. D. Cleanse the skin with an alcohol swab, insert the needle, aspirate. inject the heparin. and massage the site.

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

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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