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 C
Explanation
Inject insulin in the deltoid muscle: Insulin is administered subcutaneously, not intramuscularly. Common sites for insulin injection include the abdomen, thighs, and upper arms.
B. Take glyburide with breakfast: Glyburide is an oral hypoglycemic agent used for type 2 diabetes, not type 1 diabetes. Adolescents with type 1 diabetes require insulin.
C. Obtain an influenza vaccine annually: People with diabetes are at higher risk for complications from influenza, so annual vaccination is recommended to prevent illness.
D. Administer glucagon for hyperglycemia: Glucagon is used to treat severe hypoglycaemia, not hyperglycaemia. For hyperglycemia, insulin administration and monitoring blood glucose levels are key.
Correct Answer is C
Explanation
A. Methylprednisolone: Methylprednisolone is a corticosteroid used to reduce inflammation in the airways. While effective in managing asthma, it has a slower onset of action and is used for longer-term management rather than immediate relief in acute situations.
B. Montelukast: Montelukast is a leukotriene receptor antagonist used for long-term control of asthma symptoms. It is not effective for immediate relief during an acute asthma attack because it takes time to exert its effects.
C. Albuterol: Albuterol is a short-acting beta-agonist that provides rapid bronchodilation. It is the first-line medication for immediate relief of bronchospasm during an acute asthma attack, making it the most appropriate choice for immediate administration.
D. Fluticasone: Fluticasone is an inhaled corticosteroid used for long-term asthma management and prevention of exacerbations. It is not suitable for immediate relief of an acute asthma attack as it does not act quickly enough to relieve bronchospasm.
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