The nurse provides information regarding methylphenidate (Concerta) to the parents of a school-age client. Which statements indicate that the parents have good understanding of the information?
Standard Text: Select all that apply.
1. "I will talk with the school nurse about administering a dose at about noon each day."
2. "We should fold the patch with the medication side facing in before it is thrown in the garbage."
3. "We should not expect physical dependence at the low dose given for ADHD."
4. "We can expect that the health care provider will occasionally tell us to stop giving the medication for a few days."
5. "If our child experiences loss of appetite, we should immediately contact the health care provider."
Correct Answer: 3,4
Rationale 1: Concerta is a long duration form of methylphenidate. Midday dosing is not necessary.
Rationale 2: The patch form of methylphenidate is Daytrana, not Concerta.
Rationale 3: Physical dependence is uncommon at therapeutic dosages.
Rationale 4: The use of drug-free periods is common when therapy with Concerta is prolonged.
Rationale 5: Loss of appetite is a common adverse effect of Concerta. Notifying the health care provider is not necessary.
Global Rationale: Physical dependence is uncommon at therapeutic dosages. The use of drug-free periods is common when therapy with Concerta is prolonged. Concerta is a long duration form of methylphenidate. Midday dosing is not necessary. The patch form of methylphenidate is Daytrana, not Concerta. Loss of appetite is a common adverse effect of Concerta. Notifying the health care provider is not necessary.
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