A nurse is playing a board game with a client who suddenly becomes upset. The client throws the game on the floor and says, "I don't want to play anymore.”. What is the nurse's best response to this behavior?

Choice A rationale:

Taking the medication each night at bedtime is not recommended, as stimulant medications can interfere with sleep. Administering them before bedtime can lead to insomnia.

Choice B rationale:

The medication's dosing frequency every 12 hours is not accurate for ADHD stimulant medications. They are typically taken in the morning and may have shorter-acting formulations for later in the day if needed.

Choice C rationale:

Taking the medication 30 minutes before breakfast is a common instruction for stimulant medications used to treat ADHD. This timing aligns with the child's daily routine and helps manage potential appetite suppression.

Choice D rationale:

Taking the medication with every meal is not recommended, as it might interfere with absorption and effectiveness. Stimulant medications are typically taken in the morning and, if necessary, at lunchtime.

Choice A rationale:

Pancreatic enzymes are used to aid in digestion and are not known to interact significantly with serum creatinine levels. Therefore, they are unlikely to be contraindicated based solely on an elevated serum creatinine level.

Choice B rationale:

Gentamicin is an aminoglycoside antibiotic that is primarily eliminated by the kidneys. Elevated serum creatinine levels indicate potential renal impairment, which could lead to reduced drug clearance and an increased risk of gentamicin toxicity, including nephrotoxicity and ototoxicity. Consulting the health care provider before administering gentamicin is important to ensure the appropriateness of the medication dosage and regimen.

Choice C rationale:

Albuterol is a bronchodilator commonly used to treat respiratory conditions. Serum creatinine levels are not directly related to albuterol administration. It is unlikely that an elevated serum creatinine level would significantly affect the administration of albuterol.

Choice D rationale:

Carbenicillin is an antibiotic that is excreted through the kidneys. While renal function may impact the dosing of carbenicillin, an elevated serum creatinine level alone may not necessarily warrant consultation with the health care provider. Other factors such as the severity of renal impairment and the patient's overall condition would need to be considered.