The nurse is deciding on a dosage schedule for methylphenidate (Ritalin). The nurse recognizes that which time is the most appropriate to administer this drug for maximum effectiveness?

Before breakfast or lunch

With meals

After dinner

At bedtime

Answer and Explanation

The Correct Answer is A

A. Before breakfast or lunch

Methylphenidate (Ritalin), a stimulant medication commonly used to treat attention deficit hyperactivity disorder (ADHD), is usually administered before breakfast or lunch for maximum effectiveness. This schedule helps align the peak concentration of the medication with the times when increased focus and attention are often needed, such as during school hours.

B. With meals

While it can be administered with meals, the goal is often to have the medication take effect before meals to help with focus and attention during activities like school or work.

C. After dinner

Administering methylphenidate after dinner may interfere with the patient's ability to fall asleep, as the medication can cause insomnia. It is generally recommended to avoid administering it in the late afternoon or evening.

D. At bedtime

Administering methylphenidate at bedtime is not appropriate due to the potential for insomnia. The stimulant effect of the medication is not aligned with the patient's sleep-wake cycle.

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Correct Answer is ["A","D"]

Explanation

A. Acetaminophen

Acetaminophen is a non-opioid analgesic that can be used for mild to moderate pain relief. It is suitable for managing pain associated with abrasions.

B. Aspirin

Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) with analgesic and anti-inflammatory properties. While it can be used for pain relief, it may increase the risk of bleeding, and its use is generally avoided in acute injuries with bleeding.

C. Hydrocodone

Hydrocodone is an opioid analgesic and is typically reserved for moderate to severe pain. It may not be the first choice for managing pain associated with abrasions unless the pain is more intense.

D. Ibuprofen

Ibuprofen is a NSAID that provides analgesic and anti-inflammatory effects. It is suitable for managing pain and inflammation associated with abrasions.

E. Morphine

Morphine is a strong opioid analgesic and is generally reserved for severe pain, such as post-surgical pain or pain associated with more significant injuries. It may be excessive for managing pain from abrasions.

A. Depression B. Opiate overdose C. Poor appetite D. Narcolepsy

Correct Answer is D

Explanation

A. Depression:

CNS stimulants are generally not indicated for depression. In fact, they can exacerbate symptoms and are not considered a first-line treatment for depressive disorders.

B. Opiate overdose:

CNS stimulants are not indicated for treating opiate overdose. In cases of overdose, other medications like naloxone are commonly used to reverse the effects of opioids.

C. Poor appetite:

CNS stimulants may be used to increase alertness and decrease fatigue, but they are not typically prescribed to address poor appetite. Appetite stimulation is often managed through other approaches.

D. Narcolepsy:

This is the correct answer. CNS stimulants, such as modafinil or methylphenidate, are commonly prescribed to manage symptoms of narcolepsy. These medications help improve wakefulness and reduce excessive daytime sleepiness.

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The nurse is deciding on a dosage schedule for methylphenidate (Ritalin). The nurse recognizes that which time is the most appropriate to administer this drug for maximum effectiveness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client has fallen off his mountain bike and sustained multiple abrasions to both of his knees. Which would be appropriate medication(s) for pain management for this client? (Select All That Apply)

Correct Answer is ["A","D"]

Explanation

A nurse understands that a central nervous system (CNS) stimulant would be indicated for a patient with which of the following health alterations?

Correct Answer is D

Explanation

The nurse is deciding on a dosage schedule for methylphenidate (Ritalin). The nurse recognizes that which time is the most appropriate to administer this drug for maximum effectiveness?

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