A patient with a recent diagnosis of schizophrenia is taking thioridazine (Mellaril) to treat psychotic symptoms
The patient's family member is concerned that the patient continues to have little interest in activities and has difficulty beginning even simple tasks. The primary care NP should contact the patient's psychiatrist to discuss changing to: a. fluphenazine (Prolixin).
b. risperidone (Risperdal).
c. chlorpromazine (Thorazine).
d. prochlorperazine (Compazine).
B
First-generation antipsychotics treat positive but not negative symptoms associated with psychotic states. This patient exhibits negative symptoms and should be treated with a second-generation antipsychotic, such as risperidone. The other three drugs are first-generation antipsychotics.
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The nurse documents the assessment and interventions performed to relieve the client's pain on a pain management flow sheet. Why is this documentation important?
Select all that apply. 1. Reduces time spent on documentation. 2. Clarifies and communicates each client's pain experience. 3. Accurately documents the pain management efforts performed by the nurse. 4. Enhances pain relief efforts. 5. Ensures continuity of care.
In the triad of health care, which would be considered the third-party payer?
a. Client b. Health care provider c. Insurance company d. Government agency that sets reimbursement rules for services
The nurse is teaching a group of student nurses how to develop menu plans based on a 2000-calorie DASH eating plan. Which of the following menus best demonstrates this plan?
A) 1/2 cup of brown rice; 6 oz of steamed salmon; 1/2 cup of steamed green beans; 1 cup of tossed salad with lettuce, carrots, tomatoes, celery, radishes, and onions; 1 tablespoon of fat-free salad dressing; and hot tea B) 3 oz of ground beef patty fried; 1 whole wheat hamburger bun with lettuce leaf, tomato slice, 1 slice of American cheese, 2 tablespoons of mayonnaise and mustard; and 2 cups diet soda C) 1 cup of clam chowder in medium-sized bread bowl, 4 saltine crackers, and 2 cups of skim milk D) 1 slice of pizza with cheddar cheese, pepperoni, mushroom slices, bell pepper, olives, and pizza sauce; and 2 cups of milk
An elderly client with a history of stable chronic obstructive pulmonary disease, alcohol abuse, and cirrhosis has a serum theophylline level of 25.8 mcg/mL (143 µmol/L). Which clinical manifestation associated with theophylline toxicity should worry the nurse most?
a. Alterations in color vision b. Gum (gingival) hypertrophy c. Hyperthermia d. Seizure activity