A client has been taking thioridazine (Mellaril) for acute schizophrenia for a month when she comes to the hospital with a broken leg
The nurse notices that the client is slurring her words, keeps wiping her mouth with tissues to control the drooling, and has trouble holding a glass of water. The nurse documents the client's assessment and notifies the physician that the nurse sus-pects a. alcohol abuse.
b. drug abuse.
c. extrapyramidal symptoms.
d. tardive dyskinesia.
C
Antipsychotic medications affect dopamine receptors, and muscular side effects known as extrapyramidal symptoms (EPS) are common. Manifestations are tremor in the arms and legs, drooling, and spasms of the tongue, neck, or face.
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The nursing instructor is talking with their clinical group about constipation and the elderly. What should the instructor tell the students is the best recommendation a nurse can make about treating chronic constipation?
A) Take a mild laxative, such as magnesium citrate, when necessary. B) Take a stool softener, such as docusate sodium (Colace), daily. C) Administer a tap-water enema weekly. D) Administer a phospho-soda (Fleet) enema when necessary.
Which statement, if made by an older adult patient, would require further teaching by the nurse?
1. "Nonprescription drugs will not interfere with my prescribed medications." 2. "I can get non-childproof lids for my pills from the pharmacist." 3. "Alcohol can affect drug action." 4. "I will report any signs of drug toxicity to my doctor."
The client is a 25-year-old female student being seen for a physical examination. If this client is 5 ft 4 in tall and weighs 125 pounds, what is her BMI?
A) 17 B) 19 C) 21 D) 23
The spouse of an older adult with Alzheimer's disease tells the nurse that he has been giving the patient Amphogel (aluminum hydroxide) for heartburn. What is the nurse's best action?
a. Ask the spouse how often the patient is taking the Amphogel. b. Suggest that the patient be given AlternaGEL instead. c. Teach the spouse that taking this drug can worsen the patient's condition. d. Remind the spouse that giving this drug often can interfere with bowel function.