Question

1. A client diagnosed with ADHD and juvenile diabetes is prescribed methylphenidate (Ritalin). Which nursing intervention related to both diagnoses takes priority?

a. Teach the client and family that Ritalin should be taken in the morning because it can affect sleep.

b. Teach the client and family to report restlessness, insomnia, and dry mouth.

c. Teach the client and family that Ritalin should be taken exactly as prescribed.

d. Teach the client and family to monitor fasting blood sugar levels daily at various times during treatment.

Answer 1

Ritalin is a stimulant used to treat ADHD. It stimulates the central nervous system which results in the patient to calm down and be more attentive. It partially negates restlessness. However, Ritalin is a drug or a stimulant which has side effects. The client diagnosed with juvenile diabetes who has also been prescribed methylphenidate, must monitor fasting blood sugar levels daily at various times during treatment.

One of the side effects of Ritalin is loss of appetite. The client must in this case use less insulin. On the other hand, Ritalin may increase blood glucose levels. Thus, in the nursing intervention related to both diagnoses, teaching the client and family to monitor fasting blood sugar levels daily at various times during treatment takes priority.

Thus, the correct answer is, D.