A nurse is teaching the parents of a child who has attention-deficit/hyperactivity disorder about methylphenidate (Concerta). Which statement by the child's parents indicates understanding of the teaching?
a. "The effects of this drug will wear off in 4 to 6 hours."
b. "The tablet needs to be swallowed whole, not crushed or chewed."
c. "This medication has fewer side effects than amphetamines."
d. "We should call the provider if we see parts of the medicine in our child's stools."
ANS: B
Concerta tablets must be swallowed whole and should not be crushed, chewed, or dissolved in liquids. This is a long-duration preparation with effects that last 10 to 12 hours. Methylphenidate has the same actions and adverse effects as amphetamines. The tablet shell may not fully dissolve in the gastrointestinal (GI) tract; therefore, tablet "ghosts" in the stool are normal.
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