During an admission assessment, a nurse assesses that a client diagnosed with schizophrenia spectrum disorder has allergies to penicillin, prochlorperazine (Compazine), and bee stings
Based on this assessment data, which antipsychotic medication would be contraindicated? 1. Haloperidol (Haldol), because it is used only in older patients
2. Clozapine (Clozaril), because it is incompatible with desipramine
3. Risperidone (Risperdal), because it exacerbates symptoms of depression
4. Thioridazine (Mellaril), because of cross-sensitivity among phenothiazines
4
Rationale: The nurse should know that thioridazine would be contraindicated because of cross-sensitivity among phenothiazines. Prochlorperazine and thioridazine are both classified as phenothiazines.
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A patient with severe preeclampsia in the ICU has recently had a seizure. She is currently receiving magnesium sulfate therapy. What intervention can the nurse make to reduce the risk for future seizures in this patient?
A) Turn off the overhead lights in the room. B) Stop the magnesium sulfate therapy. C) Have the physician prescribe hydralazine to her. D) Place a wedge under the woman's right hip.
A nurse working in a primary care office is caring for a young woman with a new diagnosis of Syphilis. The young woman is horrified and asks the nurse if she has to tell anyone about the diagnosis
How should the nurse respond? A. "Absolutely not. This is your protected health information and I can't release any information unless you give me permission." B. "I'll need to contact the local health department and they will likely contact your prior sexual partners to be screened as well." C. "You should call your previous partners, but I can't force you to call anyone." D. None of the above
Adding fiber to the diet of a client with irritable bowel syndrome (IBS) may result in:
1. Bezoars formation. 2. Improved management of diarrhea and constipation. 3. Reduction of steatorrhea. 4. Increased stress and symptoms.
Which parental statement during a scheduled health maintenance assessment for a preschool-age child would cause the nurse concern?
1. "We have dinner together as a family each evening." 2. "We are so proud that our child is able to recognize letters of the alphabet." 3. "Our child wakes up each night screaming because of nightmares." 4. "Our child attends a daycare program 3 days per week."