The severity of a client's positive and negative symptoms of schizophrenia has not significantly improved since treatment began, despite the use of three different neuroleptic medications
The nurse should anticipate that this client may benefit from treatment with which of the following medications?
A) Clozapine (Clozaril)
B) Haloperidol (Haldol)
C) Risperidone (Risperdal)
D) Olanzapine (Zyprexa)
Ans: A
Clozapine (Clozaril) may be used if the client has not responded favorably to the use of two different neuroleptics. It is not normally a drug of first resort, however, due to significant adverse effects.
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The nurse is caring for a client who had major abdominal surgery yesterday. Which assessment finding would indicate inadequate airway clearance that might be cleared with coughing and deep breathing?
1. Tachypnea with rales heard in the upper lobes and over the trachea 2. Bradypnea with wheezing heard throughout all lung fields 3. Tachypnea with wheezing heard throughout all lung fields 4. Tachypnea with rhonchi heard in the lower lobes
A client with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy
flexibility. The client's needs of priority importance are a. physical. b. psychosocial. c. safety and security. d. self-actualization.
Sleep deprivation can result from which of the following?
a. CPAP machine use b. Mechanical ventilation c. Use of nonbenzodiazepine short-acting hypnotics d. Use of analgesic medications to control pain
A depressed, adopted teenager talking to the school nurse about his home situation states, "It won't matter much longer." The nurse knows:
A) The teen is about to turn eighteen and move away. B) The teen is delusional. C) This is a cue that the teen is contemplating murder. D) This is a cue that the teen is contemplating suicide.