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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Gentamicin is a nephrotoxic and ototoxic antibiotic. It I important to have its serum levels should be closely monitored to ensure they are within the therapeutic window
A- Gentamicin is an intravenous formulation and its administration is not related to meals
C- Limiting fluid intake increases the risk of renal injury
D- Agitation is not a common side effect with gentamicin use
Correct Answer is B
Explanation
Allopurinol is a uric lowering agent that reduces the conversion on hypoxanthine to uric acid lowering its levels in blood. This prevents formation of uric acid crystals which are deposited in joints and tissues in gouty arthritis.
A. Spironolactone is a potassium sparing diuretic used in management of ascites, hypertension and heart failure
C. Zolpidem is a sedative-hypnotic agent used in management of sleep wake disorders
D. Alprazolam is a benzodiazepine used in management of anxiety disorders
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