A client with a history of benign prostatic hyperplasia (BPH),gout,hyperlipidemia,and palpitations is being seen for symptoms of narcolepsy.Before starting on methylphenidate (Concerta)for treatment of narcolepsy,which testing would the nurse anticipate?

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The client's history of palpitations warrants further cardiac workup before starting a stimulant medication like methylphenidate. A 12-lead EKG should be performed, and additional cardiac testing may be necessary depending on the results. Testing for BPH, gout, and hyperlipidemia are not directly related to the use of methylphenidate for narcolepsy.

A Client with a History of Benign Prostatic Hyperplasia (BPH),gout,hyperlipidemia,and