The nurse is assessing a female client who is prescribed chlorpromazine for schizophrenia. Based on this information, what will the nurse include in the client assessment?
Standard Text: Select all that apply.
1. Perform an eye exam and ask if there have been changes in vision.
2. Draw blood to check a lipid profile.
3. Ask the client questions regarding amount of alcohol intake.
4. Determine the date of her last menstrual period.
5. Draw blood to check thyroid function.
Correct Answer: 1,3,4
Rationale 1: Chlorpromazine accumulates in the eye, and there is a risk of phototoxicity, blurred vision, dry eyes, and glaucoma.
Rationale 2: Treatment with chlorpromazine would not be a reason to check the client's lipid levels, and there is no information given to indicate the need to check a lipid profile.
Rationale 3: It is important to assess for alcohol use, as this could cause excessive drowsiness.
Rationale 4: It is important to assess for pregnancy as this drug is pregnancy category C.
Rationale 5: There is no indication that antipsychotics affect thyroid function, and nothing in the scenario indicates the need to check thyroid function.
Global Rationale: Chlorpromazine accumulates in the eye, and there is a risk of phototoxicity, blurred vision, dry eyes, and glaucoma. It is important to assess for alcohol use, as this could cause excessive drowsiness and to assess for pregnancy because this drug is a pregnancy category C. Treatment with chlorpromazine would not be a reason to check the client's lipid levels, and there is no information given to indicate the need to check a lipid profile. There is no indication that antipsychotics affect thyroid function, and nothing in the scenario indicates the need to check thyroid function.
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