A nurse is working with a client who is obese and who has been stabilized on a regular dose of a "classical" first-generation antipsychotic medication. The client severely restricts caloric intake over several weeks to quickly lose weight
The nurse understands that the medication dosage may need to be: a. increased because of increased body metabolic rate
b. lowered because of the medication's affinity for fatty tissues
c. left at the same dose, as weight change does not affect metabolism of this medication
d. left at the same dose because this medication is very water soluble
B
Because of the medication's affinity for fatty tissues, the medication dosage may need to be lowered for an obese client experiencing rapid weight loss. First-generation antipsychotics tend to have a chemical structure that lacks polar regions. As a result, the drugs are not water soluble and have an affinity for fatty tissues in the body such as the lung, brain, and adipose stores. For this reason a thinner person may require a lower dosage than a fatter person, because the thinner person's body does not have as much fatty tissue.
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The nurse is writing an evidence report regarding one aspect of client care. When writing the summary statement, the nurse should include a:
a. review of the various published research. b. ranking of the strength and quality of the study results. c. practice-focused guideline. d. description of what the evidence reports.
Which of the following are examples of subjective data? (Select all that apply.)
a. A patient has an offensive body odor. b. A patient complains of feeling stressed. c. A patient complains of feeling anxious. d. A patient complains of substernal chest pain. e. A patient falls when ambulating to the bathroom. f. A patient states, "I feel a sense of impending doom."
A nurse is providing discharge teaching for a patient who is going home with an external fixation device. Which of the following is an accurate guideline when teaching the patient and significant others the care related to its use?
A) Emphasize that sterile technique must be used to provide pin site care. B) Reinforce the importance of keeping the affected body part elevated when sitting or lying down. C) Teach the caregivers how to adjust the clamps on the fixator frame, if necessary. D) Remind the patient that external fixator devices are in place for short periods of time and often require a cast to the part following removal.
A client with preexisting bipolar disorder is receiving filgrastim (Neupogen) for the management of neutropenia following chemotherapy treatments for lymphocytic leukemia
The oncology nurse recognizes that which preparation for bipolar disorder could complicate the management of the client's leukemia? 1. Clonazepam (Klonopin) 2. Valproic acid (Depakene) 3. Carbamazepine (Tegretol) 4. Lithium carbonate