Causes and risk factors
Causes and risk factors ( 6 Questions)
A client is prescribed methylphenidate for attention-deficit/hyperactivity disorder (ADHD). The client tells the nurse that they sometimes take more than the prescribed dose to study for exams. What is the nurse's best response?
Rationale: Methylphenidate is a stimulant that can increase alertness, attention, and energy. However, taking more than the prescribed dose can cause adverse effects such as insomnia, anxiety, palpitations, hypertension, psychosis, and seizures.
This may encourage the client to continue misusing the medication and may not address the underlying causes of their academic difficulties.
This may discourage the client from adhering to their treatment plan and may not acknowledge the benefits of the medication for their condition.
This may imply that the medication is unnecessary or ineffective and may not address the risks of misusing the medication.
Correct answer: a) "You should not take more than the prescribed dose because it can cause serious side effects."
Rationale: Methylphenidate is a stimulant that can increase alertness, attention, and energy. However, taking more than the prescribed dose can cause adverse effects such as insomnia, anxiety, palpitations, hypertension, psychosis, and seizures.
Incorrect choices:
b) "You should talk to your doctor about adjusting your dose if you feel that it is not effective.": This may encourage the client to continue misusing the medication and may not address the underlying causes of their academic difficulties.
c) "You should stop taking this medication because it is addictive and can lead to dependence.": This may discourage the client from adhering to their treatment plan and may not acknowledge the benefits of the medication for their condition.
d) "You should use other strategies to improve your concentration and memory, such as exercise and meditation.": This may imply that the medication is unnecessary or ineffective and may not address the risks of misusing the medication.