Question

A physician orders methylphenidate (Ritalin) for a child diagnosed with attention deficit-hyperactivity disorder (ADHD). Which information about this medication should the nurse provide to the parents?

A. If one dose of Ritalin is missed, double the next dose.
B. Administer Ritalin to the child after breakfast.
C. Administer Ritalin to the child just prior to bedtime.
D. A side effect of Ritalin is decreased ability to learn.

Answer 1

Parents should be informed to administer methylphenidate, or Ritalin, to their child after breakfast and not to double the dose if one is missed. Giving Ritalin before bedtime should be avoided, and it is important to understand that it does not lead to a decreased ability to learn.

Step-by-step explanation:

A physician prescribing methylphenidate (Ritalin) for a child with ADHD suggests the use of this medication to help the child maintain focus and control over their behavior due to its stimulant properties. When providing information to the parents about methylphenidate, it is important to emphasize the correct way to administer this medication. Specifically, parents should be advised to:

• Administer Ritalin to the child after breakfast to reduce the chance of appetite suppression and to take advantage of the medication's peak effectiveness during school hours.
• Do not double the dose if one is missed, as this could lead to overdose or increased side effects.
• Avoid giving Ritalin just prior to bedtime, as it is a stimulant and may interfere with sleep.
• Be aware that a side effect of Ritalin is not a decreased ability to learn; rather, when used as prescribed, methylphenidate can aid in improving attention and decreasing impulsivity in children with ADHD.