A nurse is teaching the family of a child with ADHD about her diet and medications. The child is prescribed methylphenidate (Ritalin) every day. In teaching about the client's diet, it is most important that the nurse encourage the child to avoid which foods and/or drinks?
High-sodium foods
High-sugar foods and drinks
High-fat foods
Caffeinated foods and drinks
The Correct Answer is D
A. High-sodium foods: Sodium intake is not specifically contraindicated with methylphenidate (Ritalin). However, maintaining a balanced and healthy diet is generally recommended for overall well-being.
B. High-sugar foods and drinks: While there is no strict contraindication with methylphenidate and sugar, a diet high in sugar may contribute to hyperactivity and may not be conducive to managing symptoms of ADHD. It's advisable to promote a balanced diet with reduced sugar intake.
C. High-fat foods: There is no direct contraindication between methylphenidate and high-fat foods. However, maintaining a balanced diet with a moderate intake of fats is generally recommended for overall health.
D. Caffeinated foods and drinks: This is the correct answer. Methylphenidate is a stimulant, and combining it with additional sources of caffeine can lead to an increase in stimulant effects, potentially causing adverse reactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Calm the patient to reduce acid production.
This description is not accurate for sucralfate. Calming the patient to reduce acid production is typically associated with medications like proton pump inhibitors (PPIs) or H2 receptor blockers.
B. Block the H2 receptors.
Blocking H2 receptors is the mechanism of action for H2 receptor blockers, such as ranitidine. It is not the mechanism of action for sucralfate.
C. Neutralize the gastric acids.
Neutralizing gastric acids is the mechanism of action for antacids, such as aluminum hydroxide or calcium carbonate. Sucralfate works differently; it forms a protective coating on the gastric lining rather than directly neutralizing acids.
D. Coat the gastric lining.
This is the correct mechanism of action for sucralfate. It forms a protective coating on the gastric lining, adhering to the ulcer site and providing a barrier against gastric acid.
Correct Answer is ["2"]
Explanation
To calculate the dose of fluconazole for a child who weighs 44 pounds, you need to convert the weight to kilograms and the dose to milligrams.
One kilogram is equal to 2.2 pounds, so 44 pounds is 44 / 2.2 = 20 kilograms.
The dose of fluconazole is 5 mg/kg, so 5 mg x 20 kg = 100 mg.
The label on the bottle says that each tablet contains 50 mg of fluconazole, so you need to divide the dose by the tablet strength to get the number of tablets. 100 mg / 50 mg = 2 tablets.
Therefore, you should administer two tablets of fluconazole once a day for this child.
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