A seven-year-old boy is being treated with attention deficit and hyperactivity disorder. The nurse is teaching the parents about methylphenidate (Ritalin), a central nervous stimulant. It is inappropriate to include which of the following in the teaching?
  1. Over-the-counter medications should be avoided during therapy.
  2. Instruct the client to administer the medication at least six hours before bedtime.
  3. Central nervous system stimulants decrease alertness and sensitivity in children with ADHD.
  4. Central nervous system stimulants have a calming effect on children with ADHD.
Explanation
Answer: C - Methylphenidate (Ritalin), a central nervous system stimulant, has a calming effect on children with ADHD. This drug works by stimulating the neurons that help the child pay attention and focus on activities, increasing the child’s alertness. Methylphenidate is given at least six hours before bedtime to prevent sleeping problems.
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