A patient who is taking a first-generation antipsychotic (FGA) drug for schizophrenia comes to the clinic for evaluation. The nurse observes that the patient has a shuffling gait and mild tremors
The nurse will ask the patient's provider about which course of action? a. Administering a direct dopamine anta-gonist
b. Giving an anticholinergic medication
c. Increasing the dose of the antipsychotic drug
d. Switching to a second-generation anti-psychotic drug
B
The patient is showing signs of parkinsonism, an extrapyramidal effect associated with antipsy-chotic medications. Anticholinergic medications are indicated. A direct dopamine antagonist would counter the effects of the antipsychotic and remove any beneficial effect it has. Increasing the dose of the antipsychotic medication would only worsen the extrapyramidal symptoms. A second-generation antipsychotic medication may be used if parkinsonism is severe, since the risk of parkinsonism is lower than with the FGAs. This patient is exhibiting mild symptoms, so this is not necessary at this point.
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The nurse is creating a plan of care for a patient with a cardiomyopathy. What priority goal should underlie most of the assessments and interventions that are selected for this patient?
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a. 1 minute. b. 5 to 20 seconds. c. as long as it takes to hear a bowel sound. d. one full inspiration and expiration.
A community health nurse is engaged in the process aspect of quality management when the nurse does which of the following?
A) Contribute to the revision of standards B) Ensure an adequate amount of resources C) Determine additional sources of funding D) Review services provided for client needs