Question

an adolescent client with a diagnosis of adhd is prescribed immediate-release methylphenidate to promote social and academic success. the care team has educated the client about the risks of misusing the medication, but the clients current presentation suggests a possible overdose. which assessment finding(s) would confirm this? select all that apply.
the client is uncharacteristically agitated.
the clients blood pressure is 188/111 mm hg.
the client claims they take the medication as prescribed.
the clients skin has a visible, yellowish tint.
the client is disoriented to time and place.

Explanation:

Methylphenidate is a stimulant; overdose causes stimulant toxicity effects: agitation (overstimulation of the nervous system), severe hypertension (elevated blood pressure from vasoconstriction and increased cardiac output), and disorientation (central nervous system impairment). A yellowish skin tint suggests liver dysfunction, not stimulant overdose, and claiming proper use does not indicate overdose.

Answer:

• The client is uncharacteristically agitated.
• The client's blood pressure is 188/111 mm Hg.
• The client is disoriented to time and place.