A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?

Increase caffeine intake.

Reduce calorie intake.

Take this medication before bedtime.

Avoid activities that require alertness such as driving.

Answer and Explanation

The Correct Answer is D

Methylphenidate is a CNS agent used in the management of ADHD. It has the potential to cause dizziness or drowsiness and clients should be advised to avoid driving or operation of any machinery as it may lead to accidents.

A- Methylphenidate is a CNS agent used in the management of ADHD. It has no potential interaction with caffeine.

B- Methylphenidate caused significant decrease in appetite with subsequent weight loss. The parents should be advised to increase the client’s caloric intake to promote healthy weight gain.

C- Methylphenidate causes insomnia and taking the medication right before bedtime leads to poor sleep pattern.

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Correct Answer is D

Explanation

Rationale- Levothyroxine is a synthetic form of thyroxine that is used in the management of symptomatic hypothyroidism. It is used to provide the body with thyroxine to sustain basal metabolism in cases of hypothyroidism.

A-Levofloxacin is a fluoroquinolone antibiotic for treatment of infections

B- Ionizing radiation used in the destroying active thyroid tissue in the cases of hyperthyroidism

C- Sumatriptan is serotonin antagonist used in the treatment of migraines

A. Dilute the medication with sterile water before injecting. B. Administer the medication over 1 min. C. Follow the IV injection with sterile water. D. Slow the injection if the medication crystallizes.

Correct Answer is B

Explanation

A. Diluting phenytoin with sterile water before injecting is not recommended, as phenytoin is incompatible with most used diluents. Diluting it can lead to precipitation and potentially cause adverse effects such as tissue irritation and phlebitis.
B. Administering the medication over 1 min is recommended. Phenytoin should be administered at a rate of 50mg/min.
C. Following the IV injection with sterile water is unnecessary and not indicated for administering phenytoin.
D.Phenytoin precipitates out of solution when mixed with certain diluents or when administered too quickly. Crystallized phenytoin can cause local irritation, tissue damage, and potentially more serious adverse effects. Therefore, it should not be administered at all.

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A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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