A patient has been taking olanzapine (Zyprexa) for 3 weeks to treat schizophrenia. The primary care NP notes that the patient has more coherent speech and improved initiative and attentiveness but continues to have delusional ideation
The NP should: a. increase the dose of olanzapine.
b. decrease the dose of olanzapine.
c. maintain the same dose of olanzapine.
d. change from olanzapine to chlorpromazine.
A
Clinicians should gradually increase the dose of antipsychotic medication to achieve therapeutic effects, while minimizing side effects. It may take weeks to achieve full therapeutic effects.
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A home health nurse cautions the family of a frail 82-year-old woman about the intrinsic factors that may be a potential cause of injury. Which intrinsic factors should be included? (Select all that apply.)
a. Diminished vision b. Pet cats c. Cluttered bedroom d. Wearing loose house slippers e. Generalized weakness
An older client is experiencing diarrhea and a fever. Which assessment finding indicates that this client is dehydrated? (Select all that apply.)
a. Agitation and restlessness b. Dark yellow urine c. Orthostatic hypotension d. Three-pound weight gain e. Mucous membranes moist
A newborn has been diagnosed with brachial nerve paralysis. The nurse should assist the breastfeeding mother to use which hold or position during feeding?
a. Reclining b. The cradle hold c. The football hold d. The cross-over hold
The student nurse notices that a newborn weighs less today compared with the newborn's birth weight three days ago. The nursing instructor explains that newborns lose weight following birth due to:
1. A shift of intracellular water to extracellular spaces. 2. Loss of meconium stool. 3. A shift of extracellular water to intracellular spaces. 4. The sleep-wake cycle.