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 C
Explanation
A history of gastric ulcers is a contraindication to the use of aspirin. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the stomach lining and increase the risk of gastrointestinal bleeding and ulcers. Therefore, in a client with a history of gastric ulcers, aspirin should be avoided to prevent exacerbation of the condition and potential complications.
A, B, D - Migraine headaches, glaucoma and amenorrhea are not contraindications to aspirin use
Correct Answer is B
Explanation
Prolonged oral corticosteroid use reduces the body’s secretion of endogenous steroids- cortisol as the body relies on the oral steroids. If abruptly stopped the body experiences severe adrenocortical insufficiency with symptoms such as fatigue, weakness, weight loss, nausea, vomiting, and low blood pressure. Tapering the dose allows the body to readjust and produce cortisol.
A, C, D- Are not effects of abrupt discontinuation of steroids
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