The nurse is deciding on a dosage schedule for methylphenidate (Ritalin). The nurse recognizes that which time is the most appropriate to administer this drug for maximum effectiveness?
Before breakfast or lunch
With meals
After dinner
At bedtime
The Correct Answer is A
A. Before breakfast or lunch
Methylphenidate (Ritalin), a stimulant medication commonly used to treat attention deficit hyperactivity disorder (ADHD), is usually administered before breakfast or lunch for maximum effectiveness. This schedule helps align the peak concentration of the medication with the times when increased focus and attention are often needed, such as during school hours.
B. With meals
While it can be administered with meals, the goal is often to have the medication take effect before meals to help with focus and attention during activities like school or work.
C. After dinner
Administering methylphenidate after dinner may interfere with the patient's ability to fall asleep, as the medication can cause insomnia. It is generally recommended to avoid administering it in the late afternoon or evening.
D. At bedtime
Administering methylphenidate at bedtime is not appropriate due to the potential for insomnia. The stimulant effect of the medication is not aligned with the patient's sleep-wake cycle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "It will help your baby gain weight faster."
This statement is not accurate. Caffeine citrate is not given to help with weight gain; its primary use is to stimulate the respiratory center in preterm infants and improve breathing.
B. "Caffeine can help your baby breathe better."
This is the correct response. Caffeine citrate is commonly used in premature infants to stimulate the respiratory center, leading to improved breathing. It is a standard treatment to reduce the risk of apnea of prematurity.
C. "This isn't the same substance that is in coffee."
While caffeine citrate is derived from caffeine, this statement might be confusing and does not directly address the specific benefits of caffeine citrate for preterm infants.
D. "The baby's temperature will be warmer with caffeine."
This statement is not accurate. Caffeine citrate is not used to affect the baby's temperature; its primary effect is on the respiratory system.
Correct Answer is ["100"]
Explanation
To calculate the infusion rate for gentamicin, the nurse needs to use the following formula:
infusion rate (mL/h) = volume (mL) x 60 / time (min).
Plugging in the given values, we get: infusion rate (mL/h) = 50 x 60 / 30 = 100.
Therefore, the nurse would program the electronic infusion pump at 100 mL/h.
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