39. The parent of the client with attention deficit-hyperactivity disorder (ADHD) is receiving discharge teaching for methylphenidate (Ritalin). A nurse evaluates that the parent is in need of additional teaching when the parent states:
Select all that apply.
. "I must give my child the medication 30 minutes before meals."
. "My child will need to take this medication in the morning."
. "I would know that it indicates tolerance if my child gains weight."
. "It is best for my child to avoid caffeine with this medication."
. "This CNS depressant should not be combined with other CNS depressants."
Test-Taking Tip
Eliminate those responses that are not related to stimulants. The best answers are the wrong options (e.g., where more teaching is needed).
Content Area: Mental Health, Pharmacology; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Medication Administration
. .
Answer 1 is correct because methylphenidate (Ritalin) is a stimulant and has an appetite suppression effect. It is best to administer the medication after meals to avoid problems with decreased appetite. Answer 2 is incorrect because methylphenidate (Ritalin) is a CNS stimulant and should be taken at least 6 hours before bedtime to prevent insomnia. Answer 3 is incorrect because a sign of tolerance with this medication is weight gain. Answer 4 is incorrect because caffeine would create a synergistic effect (e.g., increased activity and diminished attention span) when used with this medication and should be avoided. Answer 5 is correct because methylphenidate (Ritalin) is not a CNS depressant (it is classified as a stimulant).