A nurse is reinforcing teaching about methylphenidate (Ritalin) with the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?
"You should give your child's last daily dose of the medication before 6 o'clock in the evening."
"You will need to give your child the medication after meals."
"You will need to have your child's blood glucose level checked monthly."
"You should not give your child the medication on weekends."
The Correct Answer is A
A. "You should give your child's last daily dose of the medication before 6 o'clock in the evening." Methylphenidate is a stimulant, and giving it too late in the day can cause insomnia. Administering the last dose before 6 PM helps minimize sleep disturbances.
B. "You will need to give your child the medication after meals." Methylphenidate is typically given before meals to enhance its absorption and effectiveness. Taking it after meals is not recommended as it can delay absorption.
C. "You will need to have your child's blood glucose level checked monthly." There is no need for regular blood glucose monitoring unless the child has other conditions like diabetes. Methylphenidate does not typically affect blood glucose levels.
D. "You should not give your child the medication on weekends." Continuous use of methylphenidate is generally recommended to provide consistent symptom control, including on weekends. “Drug holidays” may be considered in specific cases but should be discussed with a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Brisk pupillary reaction to light: A brisk pupillary reaction to light is a normal neurological finding and does not indicate increased ICP. Increased ICP might present with a sluggish or unequal pupil response.
B. Irritability: Irritability is a common early sign of increased ICP in infants. Changes in behaviour, such as increased irritability or lethargy, can indicate a neurological problem, including increased pressure within the skull.
C. Tachycardia: Tachycardia (increased heart rate) is not a typical indicator of increased ICP. Bradycardia (decreased heart rate) is more commonly associated with increased ICP due to the pressure on the brainstem affecting autonomic functions.
D. Increased sensory response to painful stimuli: Increased sensory response is not typically indicative of increased ICP. In fact, as ICP worsens, a decrease in sensory response or altered level of consciousness is more likely.
Correct Answer is B
Explanation
Answer: B. "I'll take this medication with a full glass of milk."
A. "I'll take this medication at least an hour before I eat a meal."
This statement indicates correct understanding. Tetracycline should ideally be taken on an empty stomach, which means taking it at least one hour before or two hours after meals to maximize absorption and effectiveness.
B. "I'll take this medication with a full glass of milk."
This statement indicates a need for further education. Tetracycline should not be taken with dairy products, including milk, because calcium in dairy can bind to the antibiotic and significantly reduce its absorption, making the medication less effective.
C. "I'll take this medication with a full glass of water on an empty stomach."
This statement demonstrates proper understanding. Tetracycline should be taken with a full glass of water and on an empty stomach to ensure optimal absorption and reduce the risk of gastrointestinal irritation.
D. "I'll stay out of direct sunlight while taking this medication."
This statement reflects correct knowledge about the medication. Tetracycline can increase sensitivity to sunlight (photosensitivity), so it is advisable for the client to avoid prolonged exposure to direct sunlight and use sunscreen to protect their skin.
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