Which teaching point will have the most positive effect on patients diagnosed with schizophrenia and their families concerning the risk of relapses?
a. Patients who take their medications will not relapse.
b. Caffeine and nicotine can reduce the effectiveness of antipsychotic drugs.
c. With support, education, and adherence to treatment, patients will not relapse.
d. Schizophrenia is a chronic disorder that is characterized by repeated relapses.
B
Caffeine intake greater than 250 mg daily or smoking 10 to 20 cigarettes daily dramatically reduces the effectiveness of antipsychotic and antianxiety drugs and lithium. The need to limit the use of these substances is an important teaching point.
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An older female patient is being treated for acute anxiety and has a nursing diagnosis of ineffective coping patterns related to feelings of helplessness. The most appropriate nursing intervention would be:
A) Provide the patient with realistic choices for her care. B) Assess and provide constructive outlets for anger and hostility. C) Assess the patient's need for social support. D) Encourage an attitude of realistic hope to help deal with helpless feelings.
An 8-year-old with asthma has been prescribed triamcinolone (Aristocort). What dosage of medication would the nurse appropriately deliver?
A) One inhalation per day B) One inhalation b.i.d. C) Two inhalations every 3 hours D) Two inhalations t.i.d.
Signs and symptoms of a pulmonary embolism (PE) are best described as:
a. slowly occurring over a month c. increasing in intensity over a week b. abrupt in onset d. waxing and waning
Cardiac tamponade is suspected in a patient diagnosed with pericarditis. What assessment data would assist the nurse in determining the presence of this complication?
1. Changes in systolic blood pressure during inspiration 2. Arterial blood gases 3. The rhythm of the pulse in relation to inspiration and expiration 4. A cardiac murmur that occurs during systole