Methylphenidate will be used to treat a 9-year-old boy's ADHD. In ...

[torybrooks]

Methylphenidate will be used to treat a 9-year-old boy's ADHD. In light of this drug's most common adverse effects, the nurse who is working with the family should implement what strategy?
 
  A) A strategy to ensure that the boy maintains normal bladder function
  B) A plan to address the boy's loss of appetite
  C) A plan to enhance the boy's self-esteem
  D) A strategy to regularly monitor the boy's blood glucose levels

Question 2

A 72-year-old woman has been diagnosed with osteoporosis and has begun taking alendronate (Fosamax). The nurse should be aware that this drug can increase the woman's bone density by which of the following means?
 
  A) Decreasing renal excretion of calcium
  B) Increasing the binding of vitamin D to calcium ions
  C) Suppressing the function of osteoclasts
  D) Enhancing the function of osteoblasts

[Li Jun]

Answer to Question 1

B
Feedback:
Like dextroamphetamine, methylphenidate often causes loss of appetite. Plans to address this should be in place at the beginning of therapy. Frequent blood glucose monitoring and actions to maintain bladder function are not likely necessary. Self-esteem should likely be addressed during treatment, but reduced self-esteem is not an adverse effect of methylphenidate.

Answer to Question 2

C
Feedback:
Alendronate suppresses osteoclast activity on newly formed resorption surfaces, which reduces bone turnover. This means that bone formation exceeds resorption at remodeling sites, leading to progressive gains in bone mass. Fosamax does not enhance osteoblast function or affect the renal excretion of calcium. It does not influence the chemical interaction between vitamin D and calcium.

[torybrooks]

TYSM

[mcarey591]

Excellent