A 6-Year-Old Boy Has Been Started on an Extended-Release Form

Multiple Choice

A 6-year-old boy has been started on an extended-release form of methylphenidate hydrochloride (Ritalin) for the treatment of attention deficit hyperactivity disorder (ADHD) . During a follow-up visit, his mother tells the nurse that she has been giving the medication at bedtime so that it will be "in his system" when he goes to school the next morning. What is the nurse's appropriate evaluation of the mother's actions?

A) She is giving him the medication dosage appropriately.
B) The medication should not be taken until he is at school.
C) The medication should be taken with meals for optimal absorption.
D) The medication should be given 4 to 6 hours before bedtime to diminish insomnia.