A child with attention deficit/hyperactivity disorder is ...

[Kikoku]

A child with attention deficit/hyperactivity disorder is prescribed long-acting methylphenidate. Which of the following would the nurse include when teaching the child and his parents about this drug?
 
  A) Give the drug three times a day: morning, midday, and after school..
  B) This drug may cause drowsiness, so be careful when doing things..
  C) Some increase in appetite may occur, so watch how much you eat..
  D) Take this drug every day in the morning when you wake up..

Question 2

The nurse is caring for a child with bipolar disorder. The child is taking lithium as ordered. The parents inquire about the potential side effects. Which response by the nurse would be most appropriate?
 
  A) You might see excessive urination and thirst, tremor, nausea, weight gain, and diarrhea..
  B) He might experience a significant decrease in his appetite and difficulty sleeping..
  C) You need to watch for dry mouth, urinary retention, and constipation..
  D) This medication can cause seizures, agitation, headache, and nausea..

[TheDev123]

Answer to Question 1

D
Feedback:
Long-acting methylphenidate is administered once daily in the morning, whereas the other forms are given three times a day. The drug typically causes difficulty sleeping and decreased appetite.

Answer to Question 2

A
Feedback:
The nurse needs to explain that the potential side effects of lithium include polyuria, polydipsia, tremors, nausea, weight gain, and diarrhea. Decreased appetite and difficulty sleeping are associated with psychostimulants. Anticholinergic effects such as dry mouth, urinary retention, and constipation are often associated with tricyclic antidepressants as well as a-agonist antihypertensive agents such as clonidine. Seizures, agitation, headache, and nausea are associated with atypical antipsychotic agents.