The client with schizophrenia is on olanzapine (Zyprexa) and has gained ten pounds in the four weeks after its initiation. The client asks the nurse if the weight gain is related to this medication. What nursing response is correct?
1. This medication is associated with weight gain in some clients.
2. The client is most likely gaining weight due to a hidden alcohol problem.
3. The client was evidently not weighed correctly initially.
4. The client is probably just feeling better and eating more.
1
Rationale: The CAITIE study demonstrated that antipsychotics, especially olanzapine, can trigger significant weight gain in some clients. Although plausible as reasons for the weight gain/difference, the other choices are not as probable and negate the importance of monitoring weight in a client on olanzapine.
You might also like to view...
The nurse reviews the medications of a patient taking folic acid. The nurse notes that the patient is concurrently taking vitamin B12 . This concerns the nurse because of the fact that folic acid may
a. cause fetal malformation. b. worsen megaloblastic anemia. c. mask the signs of vitamin B12 deficiency. d. negatively affect potassium levels.
Convert 4.5 inches to an equivalent amount in centimeters
1. 1.8 centimeters 2. 11.25 centimeters 3. 2 centimeters 4. 9.9 centimeters
The parent of an adolescent who has taken methylphenidate 20 mg/day for 6 months for attention deficit/hyperactivity disorder (ADHD) brings the child to clinic for evaluation of a recent onset of nausea, vomiting, and headaches
The parent expresses concern that the child seems less focused and more hyperactive than before. What will the nurse do next? a. Ask the child whether the drug is being taken as prescribed. b. Contact the provider to discuss increasing the dose to 30 mg/day. c. Recommend taking the drug with meals to reduce gastrointestinal side effects. d. Report signs of drug toxicity to the patient's provider.
High doses or long-term treatment with hydrocortisone generally results in:
A. the redistribution of fat in the body to the chest and stomach regions. B. the abnormal deposition of fat in the face and along the shoulders. C. the abnormal deposition of fat in the hips and buttocks. D. all of these.