The mother of an 8-year-old client who is receiving methylphenidate (Ritalin) tells the nurse the child has not slept well since being started on this drug. Which assessment question is a priority for this client?
“Do you give the medication with food?"
"What time do you give your child the medication?"
"Does your child have sleep apnea?"
"Is your child having problems at school?
The Correct Answer is B
A. Giving methylphenidate with food may help alleviate gastrointestinal side effects but is not directly related to sleep disturbances.
B. The timing of medication administration, particularly if methylphenidate is being given too late in the day, can contribute to sleep disturbances.
C. Sleep apnea is a significant concern but is not directly related to the child's sleep disturbances since starting methylphenidate.
D. While school performance may be impacted by sleep disturbances, addressing the timing of medication administration is more directly relevant to the child's sleep issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Orange juice does not interact with simvastatin and does not need to be avoided.
B. Coenzyme Q10 (CoQ10) supplements are sometimes taken by patients on statins to help alleviate the side effects like muscle pain, but they do not need to be avoided.
C. Grapefruit juice should be avoided while taking simvastatin because it contains compounds that interfere with the enzymes that metabolize statins, potentially leading to increased drug levels and greater risk of side effects such as muscle damage.
D. Not all fruit juices interact with simvastatin; the specific concern is with grapefruit juice.
Correct Answer is A
Explanation
Explanation:
A. This is because lithium levels can be affected by changes in sodium balance and hydration levels in the body. Excessive sweating can lead to dehydration, which can increase lithium levels and potentially lead to toxicity. Therefore, it is important for clients to be aware of the need to maintain hydration and to communicate with their healthcare provider if there are any significant changes in their fluid balance, such as those caused by excessive sweating.
B. Stopping lithium abruptly, especially when moods are stable, can lead to relapse of bipolar disorder symptoms and is not recommended.
C. Regular monitoring of blood levels of lithium is essential to ensure therapeutic levels and prevent toxicity; therefore, the statement indicating the client no longer needs blood checks is incorrect.
D. Restricting salt intake lowers the sodium levels which can decrease lithium elimination, hence increasing the risk of toxicity.
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