The mother of an 8-year-old client who is receiving methylphenidate (Ritalin) tells the nurse the child has not slept well since being started on this drug. Which assessment question is a priority for this client?
“Do you give the medication with food?"
"What time do you give your child the medication?"
"Does your child have sleep apnea?"
"Is your child having problems at school?
The Correct Answer is B
A. Giving methylphenidate with food may help alleviate gastrointestinal side effects but is not directly related to sleep disturbances.
B. The timing of medication administration, particularly if methylphenidate is being given too late in the day, can contribute to sleep disturbances.
C. Sleep apnea is a significant concern but is not directly related to the child's sleep disturbances since starting methylphenidate.
D. While school performance may be impacted by sleep disturbances, addressing the timing of medication administration is more directly relevant to the child's sleep issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Dizziness is a common side effect of nitroglycerin due to its vasodilatory effects.
B. Hyponatremia and hyperkalemia are not typically associated with nitroglycerin use.
C. Hyponatremia is not typically associated with nitroglycerin use.
D. Hypotension is a common side effect of nitroglycerin due to its vasodilatory effects.
E. Reflex tachycardia, or an increase in heart rate, can occur as a compensatory response to the drop in blood pressure caused by nitroglycerin.
Correct Answer is A
Explanation
A. Lithium toxicity can occur if the patient becomes dehydrated while taking lithium, as dehydration can lead to higher concentrations of lithium in the blood.
B. Increased effectiveness is not a consequence of dehydration while taking lithium.
C. Dehydration would not typically lead to the need to increase the lithium dosage but rather to the risk of toxicity.
D. Dehydration can lead to higher, not lower, serum lithium levels, increasing the risk of toxicity.
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