A nurse is providing education to the guardian of a child who has ADHD and a prescription for methylphenidate. Which of the following statements should the nurse make?
"This medication can cause a slowed growth rate."
"Administer this medication at bedtime."
"Expect this medication to cause weight gain."
"This medication might cause drowsiness."
The Correct Answer is A
Choice A rationale:
Methylphenidate has been associated with potential growth suppression in children, which is why this statement is important.
Choice B rationale:
Administering the medication at bedtime might interfere with the child's sleep.
Choice C rationale:
Methylphenidate is more likely to cause decreased appetite and weight loss, not weight gain.
Choice D rationale:
Methylphenidate is a stimulant and is more likely to cause increased alertness rather than drowsiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Developing influenza after receiving the vaccine the previous year is not a contraindication for receiving the vaccine this year. In fact, the vaccine is recommended annually.
Choice B rationale:
Hypertension is not a contraindication for receiving the influenza vaccine.
Choice C rationale:
Clients with a history of Guillain-Barré syndrome should generally avoid receiving the influenza vaccine due to a potential increased risk of recurrence of the syndrome.
Choice D rationale:
Allergies to dairy products are not a contraindication for receiving the influenza vaccine.
Correct Answer is C
Explanation
Choice A rationale:
Administering all the missed immunizations in one injection is not recommended and can lead to increased discomfort and potential adverse reactions.
Choice B rationale:
Starting the immunization series over is unnecessary and can delay the child's protection against vaccine-preventable diseases.
Choice C rationale:
The most appropriate action is to administer the immunizations the child missed at the earliest opportunity to catch up on the schedule.
Choice D rationale:
Waiting until 12 months of age is not necessary if the child has already missed scheduled immunizations. The catch-up schedule should be followed based on the child's current age.
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