The mother of a pediatric client prescribed clonidine (Kapvay) for treatment of ADHD makes these remarks. Which statements indicate that the nurse should provide additional information about the drug?

Question

Standard Text: Select all that apply.
1. "I'm so glad that the doctor chose a medication that won't make my child sleepy."
2. "I think my dad takes that for his high blood pressure."
3. "I can expect that the doctor will take my child off this medication for a few days every 6 months or so."
4. "I must warn my parents that Dad's clonidine cannot be substituted for the Kapvay."
5. "At least my child will not become addicted to this medication."

Answer 1

Correct Answer: 1,3
Rationale 1: Kapvay can cause sedation and fatigue.
Rationale 2: The original indication for clonidine was hypertension.
Rationale 3: Drug holidays are not used with Kapvay. If the medication is discontinued abruptly, rebound hypotension can occur.
Rationale 4: Kapvay is not interchangeable with other forms of clonidine.
Rationale 5: There is no risk of physical dependence with Kapvay.
Global Rationale: Kapvay can cause sedation and fatigue. Drug holidays are not used with Kapvay. If the medication is discontinued abruptly, rebound hypotension can occur. The original indication for clonidine was hypertension. Kapvay is not interchangeable with other forms of clonidine. There is no risk of physical dependence with Kapvay.