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 A
Explanation
A. Headache, dizziness, and fatigue
Ondansetron (Zofran) is commonly used to control nausea and vomiting associated with chemotherapy. While it is generally well-tolerated, some common side effects may include headache, dizziness, and fatigue.
B. Anorexia and hair loss
Anorexia (loss of appetite) and hair loss are not commonly associated with ondansetron. These symptoms may be side effects of chemotherapy itself, but they are not typically attributed to ondansetron.
C. Abdominal cramping and irritability
Abdominal cramping and irritability are not common side effects of ondansetron. These symptoms may be related to other factors, but they are not typically associated with this antiemetic medication.
D. Psychosis and middle ear disturbances
Psychosis and middle ear disturbances are not common side effects of ondansetron. These symptoms may be associated with other medications or conditions, but they are not typically attributed to ondansetron.
Correct Answer is C
Explanation
A. Blood cultures will need to be drawn.
Blood cultures are not typically used for diagnosing H. pylori infection. Instead, specific blood tests, such as serology or antibody tests, may be employed to detect antibodies against H. pylori.
B. A biopsy of the stomach will be done.
While a biopsy may be taken during an upper endoscopy to examine the stomach lining for ulcers and H. pylori infection, it is not the primary method for detecting the presence of H. pylori. The biopsy may be used for confirming the infection and assessing the severity of damage.
C. A breath test will be performed.
This is the correct choice. The breath test is a common and non-invasive method used to detect the presence of H. pylori. The patient drinks a solution containing a substance that H. pylori can break down, and the detection of carbon dioxide in the patient's breath indicates the presence of the bacteria.
D. Computerized scanning will identify if H. pylori is present.
Computerized scanning, such as computed tomography (CT) scans, is not a primary method for detecting H. pylori. Imaging studies are not typically used for H. pylori diagnosis, and the methods mentioned earlier, like breath tests and endoscopy, are more commonly employed.
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