A patient taking risperidone (Risperdal) for schizophrenia is experiencing signs of hypotension with certain activities since starting this medication. What should the nurse teach the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Avoid being outside in the heat of the day.
2. Avoid hot baths or hot showers.
3. Avoid vitamin C-containing preparations.
4. Change positions slowly, especially from lying or sitting to standing.
5. Take frequent naps during the day.
1,2,4
Rationale 1: The patient should avoid any situation that might cause overheating, especially in hot weather, to reduce the risk of hypotension.
Rationale 2: Hot baths and hot showers should be avoided to decrease the chance of hypotension.
Rationale 3: There is no association between vitamin C-containing products and hypotension.
Rationale 4: Changing positions slowly will help reduce orthostatic hypotension.
Rationale 5: Frequent naps will not affect the symptoms of hypotension.
Global Rationale: The patient should avoid any situation that might cause overheating, especially in hot weather, to reduce the risk of hypotension. Hot baths and hot showers should be avoided to decrease the chance of hypotension. Changing positions slowly will help reduce orthostatic hypotension. There is no association between vitamin C-containing products and hypotension. Frequent naps will not affect the symptoms of hypotension.
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