A primary care NP sees a child for an annual well-child check-up. ...

[charchew]

A primary care NP sees a child for an annual well-child check-up. The child has been taking methylphenidate for AD/HD for 3 months. The NP should discontinue the medication if which symptom is present?
 
  a. Motor tics
  b. Decreased appetite
  c. Occasional headaches
  d. Decreased blood pressure

Question 2

A child is taking methylphenidate (Ritalin) for AD/HD. The child's parent calls the primary care NP to report increased behavior problems and delusional thinking. The NP should:
 
  a. increase the drug dose.
  b. discontinue the medication.
  c. change to dextroamphetamine.
  d. order methylphenidate SR.

[amandanbreshears]

Answer to Question 1

A
Methylphenidate is contraindicated in patients who have motor tics or a diagnosis of Tourette's syndrome. Decreased appetite, occasional headaches, and changes in blood pressure are not concerning.

Answer to Question 2

B
Exacerbation of behavioral and processing symptoms can occur in patients with preexisting psychosis, and manic and behavioral symptoms may occur in patients who do not have an underlying psychiatric disorder. This is true with all stimulant medications, so increasing the dose, switching to another stimulant, or switching to a long-acting form are not indicated.

[charchew]

TY

[amandanbreshears]

You're welcome