Diagnosis and treatment
Diagnosis and treatment ( 6 Questions)
A nurse is reviewing the electronic health record of a client who is prescribed methylphenidate, a stimulant. Which of the following findings should alert the nurse to a possible contraindication for this medication?
This is an indication for methylphenidate, which is used to treat ADHD by increasing attention and focus.
Rationale: Hypertension and angina are contraindications for methylphenidate, which is a stimulant that can increase blood pressure and heart rate and cause cardiac complications.
This is not a contraindication for methylphenidate, but it indicates that the client may have a substance use disorder and may need further assessment and intervention.
This is not a contraindication for methylphenidate, but it indicates that the client may be at risk for developing bipolar disorder and may need close monitoring for mood changes.
Correct answer: b) The client has a history of hypertension and angina.
Rationale: Hypertension and angina are contraindications for methylphenidate, which is a stimulant that can increase blood pressure and heart rate and cause cardiac complications.
Incorrect choices:
a) The client has a diagnosis of attention deficit hyperactivity disorder (ADHD).: This is an indication for methylphenidate, which is used to treat ADHD by increasing attention and focus.
c) The client has a positive urine drug screen for cannabis.: This is not a contraindication for methylphenidate, but it indicates that the client may have a substance use disorder and may need further assessment and intervention.
d) The client has a family history of bipolar disorder.: This is not a contraindication for methylphenidate, but it indicates that the client may be at risk for developing bipolar disorder and may need close monitoring for mood changes.