Question

a mother of a child prescribed methylphenidate hydrochloride for attention - deficit hyperactivity disorder (adhd) informs the nurse she administers the medication at bedtime. which instructions should the nurse recommend?
a continue administering the medication dose at bedtime.
b the medication should be taken with meals.
c give the medication when the child arrives at school.
d administer the medication at least six hours before bedtime.

Explanation:

Methylphenidate hydrochloride is a stimulant used for ADHD. Stimulants can cause insomnia, so administering it at bedtime is inappropriate. To avoid interfering with sleep, it should be given at least six hours before bedtime. Option A is wrong as bedtime administration causes insomnia. Option B: taking with meals isn't a key instruction for timing (though it can be taken with/without, timing relative to bedtime is critical here). Option C: giving at school time isn't the main guideline; the key is avoiding bedtime interference. So D is correct as it prevents sleep disruption.

Answer:

D. Administer the medication at least six hours before bedtime.