A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function. The patient is also overweight and hypertensive
Which drug should the nurse advocate?
a. Clozapine (Clozaril)
b. Ziprasidone (Geodon)
c. Olanzapine (Zyprexa)
d. Aripiprazole (Abilify)
ANS: D
Aripiprazole is a third-generation atypical antipsychotic effective against both positive and negative symptoms of schizophrenia. It causes little or no weight gain and no increase in glucose, high- or low-density lipoprotein cholesterol, or triglycerides, making it a reasonable choice for a patient with obesity or heart disease. Clozapine may produce agranulocytosis, making it a poor choice as a first-line agent. Ziprasidone may prolong the QT interval, making it a poor choice for a patient with cardiac disease. Olanzapine fosters weight gain.
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The nurse observes an individual from the Asian culture prepare ginseng to be used for an illness. What observation does the nurse make in the preparation of this herb?
A. It is not being prepared with anything metal. B. It is ground to a powder and rubbed on the skin. C. It will not be given to children. D. It is ingested several times a day.
A provider has ordered captopril [Capoten] for a patient who has hypertension. The patient reports a history of swelling of the tongue and lips after taking enalapril [Vasotec] in the past. Which action by the nurse is correct?
a. Administer the captopril and monitor for adverse effects. b. Hold the dose and notify the provider. c. Request an order to administer fosinopril instead of captopril. d. Reassure the patient that this is not a se-rious side effect.
A pregnant woman at 38 weeks' gestation has had ruptured membranes for 30 hours. A cesarean delivery is performed due to failure to progress. After birth, the newborn is noted to be pale and tachypneic
Based on maternal history, the cause of the newborn's distress is most likely to be: a. Hypoglycemia b. Respiratory distress syndrome c. Phrenic nerve injury d. Sepsis
The Guide to Clinical Preventive Services is based on a review of scientific evidence on 169 preventive services for 60 target conditions. This guide provides
1. The most recent recommendations for preventive interventions including screening tests. 2. Assistance in interpreting Healthy People 2010. 3. Community health nurses with a basis for their practice. 4. Health risk appraisal instruments.