A client who has had excellent symptom reduction as a result of taking a conventional/standard

antipsychotic tells the nurse that his medication makes him so sleepy that he is concerned his
supervisor may terminate his employment.

A solution the nurse should discuss with the physician is
a. reducing the dose by half.
b. discontinuing the medication.
c. having the client take the medication at bedtime.
d. switching from the conventional antipsychotic to risperidone (Risperdal).


ANS: C
Taking the medication at bedtime when the sedation would not be problematic may also reduce
daytime sleepiness. Option A might prompt symptom exacerbation. Option B is undesirable because
it may prompt relapse. Option D would not resolve the problem because risperidone also produces
sedation.

Nursing

You might also like to view...

Which factor contributes the most to an increased risk for chromosomal anomalies?

a. Maternal or paternal age b. Maternal or paternal occupation c. Environmental exposure to teratogens d. Seeking prenatal care late

Nursing

The nurse is planning care for an adolescent with AIDS. The priority nursing goal is to

a. Prevent infection. b. Prevent secondary cancers. c. Restore immunologic defenses. d. Identify source of infection.

Nursing

The nurse determines that a client has a Braden Scale score of 9 . Which is the nurse's best intervention related to this assessment?

a. Document the finding per protocol. b. Reassess the client in 3 days. c. Increase the client's fluid intake. d. Consult with the health care provider.

Nursing

What actions can nurses take that would demonstrate the skills necessary to move a vision? (Select all that apply.)

a. Elect decision makers. b. Refrain from political involvement. c. Testify before legislative committee hear-ings. d. Compromise. e. Become elected officials.

Nursing