A nurse is reinforcing teaching about methylphenidate (Ritalin) with the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?
"You should give your child's last daily dose of the medication before 6 o'clock in the evening."
"You will need to give your child the medication after meals."
"You will need to have your child's blood glucose level checked monthly."
"You should not give your child the medication on weekends."
The Correct Answer is A
A. "You should give your child's last daily dose of the medication before 6 o'clock in the evening." Methylphenidate is a stimulant, and giving it too late in the day can cause insomnia. Administering the last dose before 6 PM helps minimize sleep disturbances.
B. "You will need to give your child the medication after meals." Methylphenidate is typically given before meals to enhance its absorption and effectiveness. Taking it after meals is not recommended as it can delay absorption.
C. "You will need to have your child's blood glucose level checked monthly." There is no need for regular blood glucose monitoring unless the child has other conditions like diabetes. Methylphenidate does not typically affect blood glucose levels.
D. "You should not give your child the medication on weekends." Continuous use of methylphenidate is generally recommended to provide consistent symptom control, including on weekends. “Drug holidays” may be considered in specific cases but should be discussed with a healthcare provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Lice can jump from one child to another." Lice do not jump or fly; they crawl from one person to another through direct contact or by sharing personal items like hats, combs, or bedding. This statement is incorrect.
B. "Washing your child's hair daily will prevent lice." Regular hair washing does not prevent lice infestations. Lice infest clean and dirty hair alike, and prevention involves avoiding direct head-to-head contact and sharing personal items.
C. "Lice do not survive away from the host." While lice need a human host to survive, they can live for up to 1-2 days away from the host on objects like bedding, hats, or brushes. This statement is not completely accurate.
D. "Encourage your child to avoid sharing hats with other children." This is correct advice to prevent the spread of lice. Sharing hats or other personal items can facilitate the transmission of lice from one child to another.
Correct Answer is C
Explanation
A. Supine: Lying on the back can limit lung expansion and is not the best position for a child with respiratory issues. It can contribute to atelectasis and does not facilitate effective breathing.
B. Prone: The prone position can improve oxygenation and ventilation, particularly in severe respiratory distress, but it may not be the most comfortable or practical for all patients, especially in a non-ICU setting.
C. Upright: Sitting upright or in a high Fowler's position is optimal for lung expansion. It facilitates easier breathing and helps the lungs expand more fully, allowing for better oxygenation.
D. Side-lying: Side-lying may be comfortable but does not provide as much benefit for lung expansion as the upright position. It is less effective in promoting maximal lung expansion compared to the upright position.
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