A patient has taken many conventional antipsychotic drugs over years. The health care provider, who is concerned about early signs of tardive dyskinesia, prescribes risperidone (Risperdal)
A nurse planning care for this patient understands that atypical antipsychotics:
a. are less costly.
b. have higher potency.
c. are more readily available.
d. produce fewer motor side effects.
ANS: D
Atypical antipsychotic drugs often exert their action on the limbic system rather than the basal ganglia. The limbic system is not involved in motor disturbances. Atypical antipsychotic medications are not more readily available. They are not considered to be of higher potency; rather, they have different modes of action. Atypical antipsychotic drugs tend to be more expensive.
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A patient with a massive upper gastrointestinal hemorrhage is exhibiting signs and symptoms of hypovolemic shock. What most specific treatment does the nurse anticipate?
A) Admission to a general care nursing unit for monitoring B) Initial fluid resuscitation with intravenous crystalloids C) Diet of clear liquids, advanced as tolerated D) Bed rest in semi-Fowler's position
After reporting the client's signs and symptoms of early shock to the physician, the nurse is told that the physician will be ordering a specialist to consult on the case
Which type of specialist is the physician most likely to consult with on this client's care? a. hematologist c. cardiologist b. infectious disease d. respiratory
Which principle is most useful and effective when interacting with a patient experiencing a manic episode?
a. Encourage the patient to freely express feelings. b. Use a calm, matter-of-fact approach. c. Do not interrupt the patient. d. Frequently use silence.
When drainage tubing is attached to a urinary catheter, there is extra tubing to allow the client to move freely in the bed. The ex tra tubing should be
a. placed on the bed and fastened so that it will not fall over the side of the bed b. hanging over the side so that it does not hamper the client in moving c. securely fastened to an overhead pole d. run down the length of the bed to a container at the foot of the bed