The physician plans to use an atypical antipsychotic for an elderly client. Regardless of which drug in the category is chosen for therapy, the nurse should plan to:
1. Arrange for weekly WBC counts
2. Teach about tyramine-free diets
3. Provide a daily laxative
4. Teach fall prevention
ANS: 4
Orthostatic hypotension is a possible side effect due to alpha-adrenergic blockade. The nurse should teach the client about changing position slowly, using handrails when walking, etc. to prevent falls. Option 1 is necessary only with Clozaril therapy. Option 2 is necessary only if the client is taking MAOIs. Option 3 is not necessary unless the client seeks help with constipation.
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