Author Question: A mother questions the decreased effectiveness of methylphenidate (Ritalin), prescribed for her ... (Read 82 times)

audie · **on:** Jul 19, 2018

A mother questions the decreased effectiveness of methylphenidate (Ritalin), prescribed for her child's ADHD. Which nursing response best addresses the mother's concern?

1. The physician will probably switch from Ritalin to a central nervous system stimulant.
2. The physician may prescribe an antihistamine with the Ritalin to improve effectiveness.
3. Your child has probably developed a tolerance to Ritalin and may need a higher dosage.
4. Your child has developed sensitivity to Ritalin and may be exhibiting an allergy.

Question 2

A client reports taking St. John's wort for major depressive episode. The client states, I'm taking the recommended dose, but it seems like if two capsules are good, four would be better Which is an appropriate nursing response?

1. Herbal medicines are more likely to cause adverse reactions than prescription medications.
2. Increasing the amount of herbal preparations can lead to overdose and toxicity.
3. FDA does not regulate herbal remedies, therefore, ingredients are often unknown.
4. Certain companies are better than others. Always buy a reputable brand.

bd5255 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: The nurse should explain to the mother that the child has probably developed a tolerance to Ritalin and may need a higher dosage. Methylphenidate is a central nervous system stimulant, and tolerance can develop rapidly. Physical and psychological dependence can also occur.

Answer to Question 2

2
Rationale: The nurse should advise the client that increasing the amount of herbal preparations can lead to overdose and toxicity. The use of herbal medicines, such as St. John's wort, should be approached with caution and responsibility. This herb is generally recognized as safe when taken at recommended dosages (900 mg/day).