A nurse is providing education to the guardian of a child who has ADHD and a prescription for methylphenidate. Which of the following statements should the nurse make?

"This medication can cause a slowed growth rate."

"Administer this medication at bedtime."

"Expect this medication to cause weight gain."

"This medication might cause drowsiness."

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Methylphenidate has been associated with potential growth suppression in children, which is why this statement is important.

Choice B rationale:

Administering the medication at bedtime might interfere with the child's sleep.

Choice C rationale:

Methylphenidate is more likely to cause decreased appetite and weight loss, not weight gain.

Choice D rationale:

Methylphenidate is a stimulant and is more likely to cause increased alertness rather than drowsiness.

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Correct Answer is C

Explanation

Choice A rationale:

Placing the client on a low-protein diet is not appropriate based solely on the provided information.

Choice B rationale:

Restricting dietary sodium might be considered for specific conditions but is not directly related to the client's confusion.

Choice C rationale:

A high magnesium level can contribute to confusion in older adults. Requesting a reduction in the magnesium hydroxide dosage can help address this issue.

Choice D rationale:

Discontinuing diphenhydramine might be considered if it is contributing to the client's confusion, but there is no specific information provided to support this action.

A. Administer the phenytoin infusion over 5 min. B. Flush with 0.9% sodium chloride after administration. C. Flush with 100 units/mL of heparin after administration. D. Administer the phenytoin in 100 mL of D5W

Correct Answer is B

Explanation

Choice A rationale:

Phenytoin should be administered slowly to avoid adverse effects. Infusing 800 mg over 5 minutes is too rapid and can lead to cardiovascular complications.

Choice B rationale:

Rationale: After administering phenytoin via IV, it's important to flush the IV line with normal saline (0.9% sodium chloride) to ensure the medication is fully delivered to the client and to prevent any residual medication from precipitating in the IV line.

Choice C rationale:

Flushing with heparin is not standard practice for administering phenytoin.

Choice D rationale:

Phenytoin should be administered in normal saline, not in D5W (dextrose 5% in water), to avoid precipitation.

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A nurse is providing education to the guardian of a child who has ADHD and a prescription for methylphenidate. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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