A physician orders mixed amphetamine salts (Adderall) for a child diagnosed with attention deficit-hyperactivity disorder (ADHD). Which information about this medication should the nurse provide to the parents?

A. Administer Adderall to the child just prior to bedtime to reduce nausea: Giving Adderall at bedtime can cause insomnia and exacerbate sleep disturbances due to its stimulant properties. Timing should avoid interfering with nighttime sleep. B. Adderall must be titrated to a therapeutic dose for it to work properly: While careful titration is important to find an effective dose with minimal side effects, the primary education point for parents involves proper timing and administration rather than dose adjustment alone. Titration is done under physician supervision. C. Administer Adderall to the child after breakfast: Adderall should be given in the morning, preferably after breakfast, to reduce gastrointestinal upset and prevent insomnia. Morning administration aligns with the child’s active hours and supports attention and behavior during school or daytime activities. D. If one dose of Adderall is missed, double the next dose: Doubling a missed dose increases the risk of adverse effects such as hypertension, tachycardia, and agitation. Missed doses should be skipped or taken as directed by the healthcare provider without doubling.