After an unsuccessful trial with fluphenazine (Prolixin), a patient's medication was changed to trifluoperazine (Stelazine)
Three months later the patient is still hallucinating and delusional. What is the most likely explanation for the persistent symptoms?
a. Trifluoperazine (Stelazine) is a low-potency antipsychotic, and the patient might need higher doses.
b. The patient has not taken trifluoperazine (Stelazine) long enough to decrease symptoms significantly.
c. Delusions and hallucinations are negative symptoms of schizophrenia that do not respond to traditional antipsychotic medications.
d. Both fluphenazine (Prolixin) and trifluoperazine (Stelazine) are traditional antipsychotics, and the patient does not respond well to this class of drug.
D
When a trial of a drug produces little change in symptoms and a new drug is to be prescribed, the best plan is to use a drug of another class, because the response to a drug of the first class will usually be poor. The other options are misleading.
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The nurse teaching a 79-year-old with type 2 diabetes about the importance of regular exercise suggests that the patient
a. swim 10 laps in the community center pool three times a week. b. enroll in a daily lunch time aerobics class at the senior center. c. lift 5 pound weights in a routine of 10 re-petitions in each arm. d. walk on the treadmill each morning for 30 minutes.
Which of the following statements about Health Care Rationing is most accurate?
A) It will not occur in the United States because of our country's values. B) A danger of rationing is compromising quality and effectiveness. C) Rationing in health care has never been practiced. D) Advances in knowledge and technological capabilities will eliminate the need for rationing in the future.
Select the therapy of choice for patients suffering from insomnia that is complicated with anxiety or stressful situations.
A. Barbiturates B. Amphetamines C. Benzodiazepines D. None of the above
A client in chronic renal failure can have total body edema called anasarca. What is an appropriate nursing diagnosis related to anasarca?
a. Risk for falls b. Ineffective coping c. Risk for altered skin integrity d. Altered nutrition: more than body requirements