Author Question: The nurse is teaching a child and a parent about taking methylphenidate (Ritalin) to treat attention ... (Read 113 times)

neverstopbelieb · **on:** Jul 23, 2018

The nurse is teaching a child and a parent about taking methylphenidate (Ritalin) to treat attention deficit/hyperactivity disorder (ADHD). Which statement by the parent indicates understanding of the teaching?

a. I should give this drug to my child at bedtime.
b. My child should avoid products containing caffeine.
c. The drug should be stopped immediately if my child develops aggression.
d. We should monitor my child's weight since weight gain is common.

Question 2

The nurse is checking an 8-year-old child who has attention deficit/hyperactivity disorder (ADHD) into a clinic for an annual well-child visit.

The child takes methylphenidate HCl (Ritalin). Which assessments are especially important for this child?
a. Heart rate, respiratory rate, and oxygen saturation
b. Height, weight, and blood pressure
c. Measures of fine- and gross-motor development
d. Nausea, vomiting, and gastrointestinal upset

ririgirl15 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Methylphenidate is a stimulant, so other stimulants such as caffeine should be avoided because a high plasma caffeine level can be fatal. The medication should be taken in the morning. Patients should be taught not to stop the drug abruptly to avoid withdrawal symptoms. Weight loss is common.

Answer to Question 2

ANS: B
Methylphenidate may cause growth suppression, so the child's height and weight should be assessed. Methylphenidate may also increase blood pressure, so the nurse should pay careful attention to blood pressure.