A patient diagnosed with schizophrenia has taken thiothixene (Navane) 5 mg/day for 4 years with good symptom control
Today, the patient is admitted with paranoia and auditory hallucinations. The nurse should determine if the patient's symptoms are related to:
a. not taking the drug as prescribed.
b. activation of serotonin receptors.
c. development of tolerance to the drug.
d. an expected illness-exacerbation cycle.
A
When a patient does not respond to a drug, or when symptoms reappear after a good response to the drug, the nurse should assess for compliance. Is the patient taking the drug? Is the patient taking less of the drug than ordered? The other options are less relevant or of no value.
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A client has been admitted after experiencing multiple trauma and is intubated and sedated. When the five members of the immediate family arrive, they are anxious, angry, and very demanding
They all speak loudly at once and ask for many services and answers. What is the best nursing response? A) Ask the family to leave until visiting hours begin. B) Take them to a private area for initial explanations. C)
A patient asks the nurse about how air goes from the nose to the lung. The nurse draws the route according to which sequence?
1. Trachea, larynx, bronchi 2. Pharynx, trachea, bronchi, alveoli 3. Bronchi, trachea, bronchioles 4. Larynx, trachea, alveoli, bronchi
One day after cast removal, the client reports mild edema and muscle spasms in the affected arm. Which instruction does the nurse provide to the client to manage the complaints? (Select all that apply.)
1. Rest arm for 48 hours in a sling. 2. Take prescribed muscle relaxant. 3. Elevate arm slightly above waist. 4. Make appointment to see provider. 5. Use cool water soak for 30 minutes. 6. Apply ice pack at 20-minute intervals.
The postpartum client, who delivered 4 hours ago, has a mediolateral episiotomy and large hemorrhoids. The client currently rates her pain at 7 on a scale of 1 to 10. She has a history of anaphylactic reaction to acetaminophen (Tylenol)
Which nursing action is most appropriate? 1. Offering 800 mg ibuprofen (Advil) orally with food 2. Providing two oxycodone with acetaminophen tablets (Percocet) by mouth 3. Encouraging use of the prescribed topical anesthetic spray 4. Running very warm water into the tub and assisting her into the bath