The nurse working in the ambulatory care center is providing medication instructions about methylphenidate (Ritalin) to the mother of a child with attention-deficit/hyperactivity disorder (ADHD)

The nurse recommends that the mother give the medication to the child: 1. At bedtime
2. With the evening meal
3. Just before the noontime meal
4. In the morning, 2 hours before breakfast


3

Rationale: Methylphenidate is best taken shortly before a meal. It should not be taken after 12 noon or 1 PM for children or after 6 PM for adults, because the stimulating effect may keep the client awake. The other options are incorrect.

Nursing

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Which of the following findings on the bimanual exam of a female patient requires further investigation?

A. Retroverted uterus B. Varicose veins in vaginal wall C. Cervical motion tenderness D. Anteflexed uterus

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The nurse would instruct a client with frequent bouts of diarrhea to:

A) Note the precipitating event. B) Decrease fluid consumption. C) Increase fiber in the diet. D) Change her daily routine.

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A client recently lost a child in a severe case of poisoning. The client tells the nurse, "I don't want to make any new friends right now." This is an example of which of the following indica-tors of stress?

1. Spiritual indicator 2. Emotional indicator 3. Intellectual indicator 4. Sociocultural indicator

Nursing