An aging client diagnosed with schizophrenia spectrum disorder takes an antipsychotic and a beta-adrenergic blocking agent for hypertension. Understanding the combined side effects of these drugs, which statement by a nurse is most appropriate?
1. "Make sure you concentrate on taking slow, deep, cleansing breaths."
2. "Watch your diet and try to engage in some regular physical activity."
3. "Rise slowly when you change position from lying to sitting or sitting to standing."
4. "Wear sunscreen and try to avoid midday sun exposure."
3
Rationale: The most appropriate statement by the nurse is to instruct the client to rise slowly when changing positions. Antipsychotic medications and beta blockers cause a decrease in blood pressure. When given in combination, the additive effect of these drugs places the client at risk for developing orthostatic hypotension.
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A child's genetic disorder is thought to have arisen from a process called crossing over. The mother says, "I can't believe this happened. Is it because of something I did while I was pregnant?" How should the nurse respond?
1. "No, crossing over only happens in sperm." 2. "No, crossing over occurred before you got pregnant." 3. "Did you drink alcohol during your pregnancy?" 4. "Crossing over happens very late in embryonic development. It is random and is not caused by anything you did."
After completing a medication history, the nurse is concerned that a patient is at risk for secondary thrombocytopenia. Which medications did the nurse learn that the patient takes that increase this risk?
Select all that apply. 1. digoxin 2. warfarin 3. penicillin 4. cimetidine 5. furosemide
It has been found that fats that are hydrogenated are what?
A) Found in cold-water fish B) More likely to oxidize and become rancid than vegetable oils C) More saturated than the original oil from which they were derived D) Less saturated than the original oil from which they were derived
A patient in labor asks what causes labor to begin. Which statement is a possible explanation?
A) Progesterone levels rise at term to initiate contractions B) The ovary releases additional estrogen at term C) Prostaglandins may be the causative factor of labor D) Calcium is drawn from bones to block relaxation fibers