A client with schizophrenia is seen in the Emergency Department in an acutely agitated state due to threatening auditory hallucinations

The client's medical record indicates he has had severe dystonic reactions to parenteral admin-istration of typical antipsychotic medication. The nurse can anticipate that the physician will or-der:
1. Ziprasidone (Geodon) IM
2. Fluphenazine (Prolixin) decanoate
3. Clozapine (Clozaril) IM
4. Paroxetine (Paxil) IM


ANS: 1
This atypical antipsychotic comes in an injectable form and is effective in controlling agitated and assaultive behaviors. Option 2 is a typical antipsychotic. Option 3 is used only for refractory schizophrenia. Option 4 is an SSRI.

Nursing

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