The nurse is deciding on a dosage schedule for methylphenidate (Ritalin). The nurse recognizes that which time is the most appropriate to administer this drug for maximum effectiveness?

a. Before breakfast or lunch
b. With meals
c. After dinner
d. At bedtime


ANS: A
This represents the correct time for administration of this drug. The drug should be taken 30 to 45 minutes before meals to enhance absorption and early in the day to avoid wakefulness at bedtime.

Nursing

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Why is it important for nurses to teach their clients to cook foods in a minimum amount of water?

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A patient has suffered a spinal cord injury. These patients are prone to having an exaggerated autonomic response triggered by what stimuli?

A) Listening to quiet music B) Placing the patient in semi-Fowler's position C) Voiding D) Constipation

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Which manifestation would the nurse expect to assess in the patient with regurgitation?

A) Sour taste in the mouth B) Forceful evacuation of gastric contents C) Difficulty swallowing D) Pain with swallowing

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A nurse executive is writing the job description for the hospital's newly created case manager position

Which job responsibilities should the executive include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Collaborating across disciplines to plan patient care 2. Coordinating care to increase cost-effectiveness 3. Developing nursing service work schedules 4. Reducing fragmentation of care 5. Determining when the patient can be discharged from the facility

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