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 A

Explanation

Lactulose is used to treat hepatic encephalopathy in clients with cirrhosis. It works by promoting the excretion of ammonia in the stool, thus reducing its absorption in the intestines and helping to manage hepatic encephalopathy. However, if lactulose is administered too quickly or in excessive amounts, it can cause gastrointestinal side effects such as vomiting.

Lactulose does not cause peripheral edema, headache, dry mouth

A. Freeze unopened insulin vials. B. Shake the insulin vigorously before loading the syringe. C. Discard the NPH solution if it appears cloudy. D. Expect the NPH insulin to peak in 6 to 14 hr.

Correct Answer is D

Explanation

NPH Insulin is an intermediate acting insulin with a peak at 6-14hrs
A. Freezing unopened insulin vials is not recommended, as freezing can denature the insulin and affect its potency. Insulin should be stored in the refrigerator but should not be frozen
B. The insulin should be rotated of rolled between palms to allow for proper mixing before drawing.
Shaking vigorously promotes bubble formation
C. NPH insulin has a normal turbid appearance at neutral pH

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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

A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?

Correct Answer is A

Explanation

A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. Which of the following information should the nurse include?

Correct Answer is D

Explanation

The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?

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