A client, age 8, has just been prescribed pemoline (Cylert). The ...

[bio_gurl]

A client, age 8, has just been prescribed pemoline (Cylert). The child's parents ask about the long-term effects of this medication.
 
  The nurse conducting patient teaching for the parents about this medication will include which of the following statements? 1. Photosensitivity is a problem with long-term use.
  2. This is one of the drugs found to be safe for long-term use.
  3. At the present time, there is limited information about this.
  4. There seems to be a better outcome when the higher dose is given at bedtime.

Question 2

Which of the following are extrapyramidal side effects that the nurse would assess as symptoms of dystonia? Standard Text: Select all that apply.
 
  1. Decreased gastric motility and tachycardia
  2. An inability to sit still
  3. Forcing the back to arch and the neck to bend backward
  4. Pulling the neck down into the shoulders
  5. Spasms of the neck and back

[yasmin]

Answer to Question 1

3
Rationale: There is limited information on the long-term effects of stimulants or the impact of treatment when the child is on medication for 10 years or more. This medication is used to treat attention deficit disorder and should be given in the morning to prevent problems sleeping at night.

Answer to Question 2

2,3,4,5
Rationale: Decreased gastric motility and tachycardia. Decreased gastric motility and tachycardia may occur with a dopamine-acetylcholine imbalance in the extrapyramidal system.

[bio_gurl]

Wow, this really help

[okolip]

Thanks for the timely response, appreciate it