The parent of an adolescent who has taken methylphenidate 20 mg/day for 6 months for attention deficit/hyperactivity disorder (ADHD) brings the child to clinic for evaluation of a recent onset of nausea, vomiting, and headaches
The parent expresses concern that the child seems less focused and more hyperactive than before. What will the nurse do next?
a. Ask the child whether the drug is being taken as prescribed.
b. Contact the provider to discuss increasing the dose to 30 mg/day.
c. Recommend taking the drug with meals to reduce gastrointestinal side effects.
d. Report signs of drug toxicity to the patient's provider.
ANS: A
Nausea, vomiting, and headaches can occur with drug withdrawal, along with a recurrence of symptoms. The nurse should ask the child about drug compliance. Methylphenidate should be taken 30 to 45 minutes before meals, not with meals.
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