The nurse is providing discharge instructions to a client who is prescribed ziprasidone (Geodon) for acute mania associated with bipolar disorder. Which statement by the client indicates the need for further education regarding this medication?
1. "I need to report severe muscle spasms, especially of the neck, back, tongue, or face."
2. "I sure hate it that I can't have a beer with my buddies anymore."
3. "I hope that I can discontinue this medicine after I go back to see my doctor."
4. "I need to let the doctor know immediately if I begin to have dizziness, lightheadedness, or shortness of breath with an irregular heartbeat."
Correct Answer: 3
Rationale 1: This medication can cause extrapyramidal symptoms.
Rationale 2: Taking alcohol along with this medication can cause additive CNS depression.
Rationale 3: The majority of clients must maintain drug therapy for a lifetime, or symptoms will return.
Rationale 4: It is possible for this medication to prolong the QT interval, thereby causing syncopal episodes, dizziness, lightheadedness, and shortness of breath.
Global Rationale: The majority of clients must maintain drug therapy for a lifetime, or symptoms will return. This medication can cause extrapyramidal symptoms. Taking alcohol along with this medication can cause additive CNS depression. It is possible for this medication to prolong the QT interval, thereby causing syncopal episodes, dizziness, lightheadedness, and shortness of breath.
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The term that the nurse uses to refer to persons who fail to maintain treatment protocols is ____________________
Fill in the blank(s) with correct word