A school-aged child takes methylphenidate each morning. Which instruction should the nurse include to reduce a common treatment problem?
Correct answer: B. Give the medicine early in the day and monitor sleep
- A. Give the medicine late at night after the evening meal
- B. Give the medicine early in the day and monitor sleep
- C. Crush every sustained-release tablet before giving it
- D. Give an extra dose whenever the child is irritable
Explanation
Methylphenidate can cause insomnia, so morning administration helps limit sleep disturbance. Sustained-release preparations should not be crushed, and extra doses should never be given without a prescription.
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About Psychopharmacology
Psychopharmacology covers the actions, uses, adverse effects, and nursing responsibilities associated with antipsychotics, antidepressants, mood stabilizers, anxiolytics, sedatives, and stimulants. It includes extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, serotonin syndrome, lithium toxicity, medication adherence, and monitoring of therapeutic response.
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