Laboratory results reveal decreased levels of prolactin in a client diagnosed with schizophrenia spectrum disorder. Which of the following client symptoms would a nurse expect to observe during assessment? (Select all that apply.)
1. Apathy2. Social withdrawal3. Anhedonia4. Auditory hallucinations
5. Delusions
1, 2, 3
Rationale: The nurse should expect that a client with decreased levels of prolactin may experience apathy, social withdrawal, and anhedonia. Decreased levels of prolactin can cause depression, which could result in these symptoms.
You might also like to view...
The patient has persistently elevated intracranial pressure that is refractory to first-tier or conventional therapy. Controlled hypothermia is initiated to help control ICP. During this therapy, the nurse notices that the patient is shivering. What is the best nursing decision?
A) Shivering is an expected effect of this therapy and should be ignored. B) Administer a neuroparalytic medication to minimize patient discomfort. C) Reduce the rate of cooling to prevent shivering, and monitor the patient closely. D) Place a cotton blanket between the patient and the hypothermia blanket.
A nurse is caring for a 15-year-old patient with cystic fibrosis who has been prescribed dornase alfa (Pulmozyme) to relieve the buildup of secretions and keep airways open and functioning longer
What will the nurse instruct the patient to do concerning the use of this drug? A) Use in home nebulizer up to four times a day if needed. B) Stop all other medications while using the drug. C) Store the drug in the refrigerator, protected from light. D) Expect a severe headache after each use.
Persons with a mental illness and a substance abuse problem need to be treated using a stage-wise approach. One of the initial things staff can do to effectively initiate this treatment approach is to:
A) Provide a series of short-term hospitalizations that apply leverage to pressure the client into adhering to a prescribed treatment regimen. B) Establish rules that will enhance the client's recognition of staff as authority figures who know what is best for the client's care and well-being. C) Use heavy confrontation, intense emotional pressure, and discouragement of the use of medications since all medications have the potential to be addictive. D) Provide immediate help with a situational crisis the client is experiencing to promote trust in the client and have the client buy into the treatment process.
The nurse is preparing to obtain a pulse oximeter reading. Which should the nurse understand may provide a false reading? Select all that apply.
A. Artificial nails. B. Cool extremities. C. Pierced earlobe. D. Polished nails. E. Long nails.