A client has begun phenothiazine therapy. What teaching should the nurse provide related to the
drug's strong dopaminergic effect?
a. Chew sugarless gum
b. Eat plenty of roughage
c. Arise slowly from bed
d. Report muscle stiffness
ANS: D
Phenothiazines block dopamine receptors in both the limbic system and basal ganglia. The
movement disorder dystonia is likely to occur early in the course of treatment and is often heralded
by sensations of muscle stiffness. Early intervention with anti-Parkinson medication can increase the
client's comfort and prevent dystonic reactions.
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The nurse is discussing vitamin replacement with a client in the clinic. Which vitamin should the nurse discuss with the client in order to increase the absorption of folic acid and iron?
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A critical appraisal should be a/an:
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