The nurse is assessing a female patient who has been taking chlorpromazine for schizophrenia. What should the nurse include in this assessment?
1. Perform an eye exam and ask if there have been changes in vision.
2. Draw blood to check a lipid profile.
3. Ask the patient questions regarding amount of alcohol intake.
4. Determine the date of her last menstrual period.
5. Draw blood to check thyroid function.
Correct Answer: 1,3,4
Rationale 1: Chlorpromazine accumulates in the eye, and there is a risk of phototoxicity, blurred vision, dry eyes, and glaucoma.
Rationale 2: Treatment with chlorpromazine would not be a reason to check the patient's lipid levels, and there is no information given to indicate the need to check a lipid profile.
Rationale 3: It is important to assess for alcohol use, as this could cause excessive drowsiness.
Rationale 4: It is important to assess for pregnancy as this drug is Pregnancy Category C.
Rationale 5: There is no indication that antipsychotics affect thyroid function, and nothing in the scenario indicates the need to check thyroid function.
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