An adolescent client who has been taking amphetamine sulfate (Adderall) since age 7 now presents with new-onset type 1 diabetes mellitus. What should be of highest priority in the nurse's education regarding the diabetes for this client?
1. This medication may be changed.
2. Immediately report signs of a dry mouth.
3. Monitor height and weight very closely.
4. Report any increase in irritability and nervousness.
Correct Answer: 1
Rationale 1: The health care provider might change treatment to a nonamphetamine as Adderall is contraindicated in clients with diabetes.
Rationale 2: Adderall can have the side effect of dry mouth, which this client would have dealt with since age 7.
Rationale 3: Height and weight should have been monitored since beginning Adderall. Diabetes will not change this.
Rationale 4: An increase in irritability and nervousness should be reported, but it is not the most important issue in a client recently diagnosed with diabetes.
Global Rationale: The health care provider might change treatment to a nonamphetamine as Adderall is contraindicated in clients with diabetes. Adderall can have the side effect of dry mouth, which this client would have dealt with since age 7. Height and weight should have been monitored since beginning Adderall. Diabetes will not change this. An increase in irritability and nervousness should be reported, but it is not the most important issue in a client recently diagnosed with diabetes.
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