A nurse is teaching the family of a child with ADHD about her diet and medications. The child is prescribed methylphenidate (Ritalin) every day. In teaching about the client's diet, it is most important that the nurse encourage the child to avoid which foods and/or drinks?
High-sodium foods
High-sugar foods and drinks
High-fat foods
Caffeinated foods and drinks
The Correct Answer is D
A. High-sodium foods: Sodium intake is not specifically contraindicated with methylphenidate (Ritalin). However, maintaining a balanced and healthy diet is generally recommended for overall well-being.
B. High-sugar foods and drinks: While there is no strict contraindication with methylphenidate and sugar, a diet high in sugar may contribute to hyperactivity and may not be conducive to managing symptoms of ADHD. It's advisable to promote a balanced diet with reduced sugar intake.
C. High-fat foods: There is no direct contraindication between methylphenidate and high-fat foods. However, maintaining a balanced diet with a moderate intake of fats is generally recommended for overall health.
D. Caffeinated foods and drinks: This is the correct answer. Methylphenidate is a stimulant, and combining it with additional sources of caffeine can lead to an increase in stimulant effects, potentially causing adverse reactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Avoid caffeine-containing beverages before sleep
The highest priority teaching point to help relieve sleeplessness would be to advise the client to avoid caffeine-containing beverages before sleep. Caffeine is a stimulant that can interfere with the ability to fall asleep and maintain a restful sleep.
B. Perform strenuous exercise before bedtime
Strenuous exercise close to bedtime can actually stimulate the body and make it more difficult for the individual to relax and fall asleep. It is generally recommended to engage in exercise earlier in the day.
C. Drink lots of fluids before bedtime
Drinking excessive fluids before bedtime may lead to disrupted sleep as it can increase the need to wake up for bathroom trips during the night. It's advisable to limit fluid intake close to bedtime.
D. Eat a heavy meal before bedtime
Consuming a heavy meal before bedtime can cause discomfort and indigestion, potentially disrupting sleep. It is recommended to have a light, easily digestible meal if eating close to bedtime.
Correct Answer is D
Explanation
A. Aspirin has the potential to cause gastrointestinal (GI) bleeding in children.
While it is true that aspirin can cause GI bleeding, this is not the primary concern in this scenario. Reye's syndrome, a severe and potentially fatal condition, is the more significant worry when aspirin is given to children with viral infections.
B. Aspirin has the potential to cause hyperglycemia.
Hyperglycemia (high blood sugar) is not a known effect of aspirin in children. Aspirin is not typically associated with glucose metabolism issues.
C. Aspirin has the potential to cause ringing in the ears (tinnitus) in children.
Tinnitus can occur with aspirin use, but it is not the primary concern in this situation. Reye's syndrome is a more serious and immediate risk associated with aspirin use in children with viral infections.
D. Aspirin has the potential to cause Reye's syndrome in children.
This is the correct and most significant concern. Reye's syndrome is a rare but severe condition associated with aspirin use in children during or after viral infections. It affects the liver and brain and can be life-threatening.
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