Question

a school - aged child is taking methylphenidate hydrochloride for the treatment of attention - deficit hyperactivity disorder (adhd). the mother tells the nurse that she gives the medication at bedtime so it is \working\ during school the next morning. which modification to the administration plan should the nurse recommend to this mother?

• continue administering the medication dose at bedtime.
• give the medication when the child arrives at school.
• take the medication with meals.
• administer at least six hours before bedtime.

Explanation:

Methylphenidate hydrochloride is a stimulant used for ADHD. Stimulants can cause insomnia, so giving it at bedtime is inappropriate as it will interfere with sleep. Administering at least six hours before bedtime avoids this sleep disruption while ensuring the medication is effective during school hours. Continuing at bedtime (first option) causes insomnia. Giving at school (second) may not be feasible due to scheduling/school policies, and taking with meals (third) isn't the key modification for timing related to sleep.

Answer:

D. Administer at least six hours before bedtime.