The nurse is preparing discharge instructions for a client being treated with medication and psychotherapy for schizophrenia. What should the nurse address with the client prior to discharge?
1. The client smokes 1–3 cigarettes per day.
2. The client drinks 1–3 beers before bedtime per day.
3. The client likes to eat grapefruit for breakfast.
4. The client drinks 1–3 caffeinated sodas per day.
Correct Answer: 2
Rationale 1: The client should be encouraged to quit smoking, but this is not the most important issue.
Rationale 2: Alcohol taken with antipsychotic medications can cause additive CNS depression, which could be fatal.
Rationale 3: Only a few antipsychotic medications are affected by grapefruit juice. The nurse would need to know which medication the client is prescribed before teaching the client not to take it with grapefruit.
Rationale 4: The client should be encouraged to drink more water and fewer caffeinated sodas, but this is not the most important issue. Caffeine is not restricted because of the use of antipsychotic drugs.
Global Rationale: Alcohol taken with antipsychotic medications can cause additive CNS depression, which could be fatal. The client should be encouraged to quit smoking, but this is not the most important issue. Only a few antipsychotic medications are affected by grapefruit juice. The nurse would need to know which medication the client is prescribed before teaching the client not to take it with grapefruit. The client should be encouraged to drink more water and fewer caffeinated sodas, but this is not the most important issue. Caffeine is not restricted because of the use of antipsychotic drugs.
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