The nurse teaches a 16-year-old female patient about methylphenidate. Which statement by the patient indicates that more teaching is needed?
“can have an unlimited number of cola soft drinks."
"should avoid chocolate, coffee, and tea."
"Decaffeinated coffee has a small amount of caffeine."
"I will take my meds after breakfast to avoid weight loss."
The Correct Answer is A
Choice A rationale: Methylphenidate is a central nervous system stimulant, and excessive caffeine intake can exacerbate its stimulant effects. Consuming an unlimited number of cola soft drinks, which typically contain caffeine, is not advisable. The patient should be educated to moderate caffeine intake to avoid potential interactions and side effects.
Choice B rationale: Methylphenidate can interact with caffeine, so avoiding chocolate, coffee, and tea is a valid recommendation to prevent excessive stimulant effects.
Choice C rationale: Decaffeinated coffee still contains a small amount of caffeine, and patients taking methylphenidate should be aware of this to manage their overall caffeine intake.
Choice D rationale: Taking methylphenidate after breakfast is a common recommendation to minimize appetite suppression and potential weight loss associated with the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Disorientation and hallucinations are not common side effects of fluoxetine. These symptoms may indicate other issues and should be reported to the healthcare provider.
Choice B rationale: Sexual side effects, including a potential decrease in interest in sex, are known side effects of fluoxetine. The statement suggesting enhanced interest is not accurate.
Choice C rationale: Fluoxetine, like other selective serotonin reuptake inhibitors (SSRIs), may take 3 to 4 weeks or even longer for the full therapeutic effect to be achieved.
Choice D rationale: Abruptly stopping fluoxetine is not recommended and can lead to withdrawal symptoms. The medication should be tapered under the guidance of a healthcare provider.
Correct Answer is C
Explanation
Choice A rationale: Weight-bearing exercise is important for bone health and does not increase fracture risk. It is recommended to reduce the risk of osteoporosis.
Choice B rationale: Taking calcium supplements with a whole grain cereal is not a specific recommendation for reducing the risk of osteoporosis.
Choice C rationale: Ensuring adequate dietary vitamin D and having serum levels checked are important for calcium absorption and bone health. Vitamin D is crucial for calcium metabolism.
Choice D rationale: Taking the calcium supplement with other medications is not a specific recommendation for reducing the risk of osteoporosis.
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