A Client Recently Started on Methylphenidate (Ritalin)for Treatment of ADHD

question 4

Multiple Choice

A client recently started on methylphenidate (Ritalin) for treatment of ADHD complains that he is unable to go to sleep at night.Which of the following is the best response of the nurse? Select all that apply.

• A)Inform the health care provider that the client is unable to fall asleep while taking Ritalin.
• B)Assess for caffeine intake, especially late in the afternoon or evening hours.
• C)Assess for time of day that Ritalin is taken.
• D)Assess for non-pharmacological measures taken to induce sleep.
• E)Suggest taking melatonin to assist in nighttime drowsiness.

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Definitions:

Marbury V. Madison

A landmark U.S. Supreme Court case in 1803 that established the principle of judicial review, enabling courts to strike down laws deemed unconstitutional.

Judicial Review

The power of courts to assess if laws and actions of government adhere to the constitution.

XYZ Affair

A diplomatic incident between France and the United States in 1797-1798, which led to an undeclared naval war, involving controversial negotiations and demands for bribes.

American Diplomats

Officials representing the United States in foreign countries, involved in negotiating treaties, and dealing with issues related to national security and international relations.