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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Feelings of despair or hopelessness are common symptoms of depression, reflecting a persistent low mood.
B. Increased energy is not typically associated with depression; instead, individuals with depression often experience fatigue or loss of energy.
C. Sleep disturbances, such as insomnia or hypersomnia, are common symptoms of depression, affecting both the ability to fall asleep and stay asleep.
D. Euphoria, or a feeling of intense happiness or excitement, is not typically associated with depression and may indicate a different mood disorder, such as bipolar disorder.
Correct Answer is D
Explanation
A. Suspended release formulations typically have a slower onset of action compared to sublingual administration.
B. Transdermal patches provide a slow, continuous release of nitroglycerin and do not offer rapid onset.
C. Topical ointments have a slower onset of action compared to sublingual administration.
D. Sublingual administration of nitroglycerin provides the most rapid onset of action due to direct absorption through the oral mucosa.
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