A child is taking Ritalin (methylphenidate hydrochloride) for ...

[WWatsford]

A child is taking Ritalin (methylphenidate hydrochloride) for attention deficit hyperactivity dis-order (ADHD). The parents should be instructed to administer the medication:
 
  1. At bedtime.
  2. After lunch.
  3. With the evening meal.
  4. Early in the morning.

Question 2

While assessing the integument of a 24-hour-old newborn, the nurse notes a pink, papular rash with vesicles superimposed on the thorax, back, and abdomen. The nurse should:
 
  a. Notify the physician immediately.
  b. Move the newborn to an isolation nursery.
  c. Document the finding as erythema toxicum.
  d. Take the newborn's temperature and obtain a culture of one of the vesicles.

[hramirez205]

Answer to Question 1

4
Rationale:
1. Insomnia can be a side effect of Ritalin. Administering the medication early in the day can help alleviate the effect of insomnia.
2. Insomnia can be a side effect of Ritalin. Administering the medication early in the day can help alleviate the effect of insomnia.
3. Insomnia can be a side effect of Ritalin. Administering the medication early in the day can help alleviate the effect of insomnia.
4. Insomnia can be a side effect of Ritalin. Administering the medication early in the day can help alleviate the effect of insomnia.

Answer to Question 2

C

Feedback
A This is a normal finding that does not require notification of the physician.
B This is a normal finding that does not require the newborn to be isolated.
C Erythema toxicum (or erythema neonatorum) is a newborn rash that resembles flea bites.
D This is a normal finding that does not require any additional interventions.