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    HESI RN Pharmacology 106a Proctored Exam

    A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?

    Explanation & Rationale

    Choice A reason: Bronchitis is not typically a contraindication for the use of methylphenidate. This medication primarily affects the central nervous system and has no direct impact on bronchitis.Choice B reason: Hypertension is a critical condition to review before administering methylphenidate because this medication can increase blood pressure. Clients with pre-existing hypertension may be at risk for exacerbation of their condition, requiring careful monitoring and dosage adjustments.Choice C reason: Diabetes mellitus does not present a direct contraindication for the use of methylphenidate. However, clients with diabetes should be monitored for any changes in blood glucose levels, as the stress response and changes in appetite can indirectly impact diabetes management.Choice D reason: Hypercholesterolemia is not a primary concern when prescribing methylphenidate. While general health and cardiovascular risk factors should always be considered, hypercholesterolemia does not directly contraindicate the use of this medication.

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