A mother tells the nurse, My son has ADHD and so does my sister's ...

[segrsyd]

A mother tells the nurse, My son has ADHD and so does my sister's daughter. They are the same age, but they are on two different drugs. Why is that? Which information should the nurse provide?
 
  Standard Text: Select all that apply.
  1. All the drugs used to treat ADHD are basically the same.
  2. Children often have severe reactions to ADHD drugs and have their therapy changed.
  3. The choice of drug can be guided by different dosing schedules.
  4. Some children just do better on one drug or the other.
  5. Girls don't respond to medications as well as boys.

Question 2

What should the nurse teach a client about obtaining prescribed central nervous system stimulant medications?
 
  Standard Text: Select all that apply.
  1. Have the health care provider call the prescription in to a pharmacy that knows your health history.
  2. The prescription can be filled only at a pharmacy especially licensed to dispense these drugs.
  3. There must be a new prescription written each time additional medication is needed.
  4. Ask the pharmacy to pre-certify the number of refills indicated on the prescription form.
  5. Extra rules apply to these drugs because of their abuse potential.

[gcook]

Answer to Question 1

Correct Answer: 3,4
Rationale 1: This is not a correct statement regarding drugs for ADHD.
Rationale 2: Severe reactions are rare, and it is not appropriate to alarm the mother regarding this possibility.
Rationale 3: This is a correct statement and may be the reason these two children are on different medications.
Rationale 4: This is a true statement. Children react differently to the drugs and may try more than one drug before their symptoms are controlled.
Rationale 5: This is not a true statement. Medication therapy works for both genders.
Global Rationale: Prescribing specific medication may be determined by dosing schedule and may be the reason these two children are on different medications. Children react differently to the drugs and may try more than one drug before their symptoms are controlled. Not all drugs used to treat ADHD are the same. Severe reactions are rare, and it is not appropriate to alarm the mother regarding this possibility. Medication therapy works for both genders in same fashion.

Answer to Question 2

Correct Answer: 3,5
Rationale 1: Prescriptions for these medications cannot be called in to the pharmacy. A hard-copy prescription must be presented.
Rationale 2: Any regularly licensed pharmacy can dispense these medications.
Rationale 3: This is a true statement of the laws concerning these medications.
Rationale 4: These prescriptions are for a single fill only and do not have refills authorized.
Rationale 5: This is a true statement regarding these medications.
Global Rationale: There must be a new prescription written each time additional medication is needed and extra rules apply to these drugs because of their abuse potential. Prescriptions for these medications cannot be called in to the pharmacy. A hard-copy prescription must be presented. Any regularly licensed pharmacy can dispense these medications.

[segrsyd]

Excellent

[Joy Chen]

TYSM