The physician is considering changing the antipsychotic medication for a client with schizophrenia
who is troubled by the extrapyramidal symptoms of his current medication, haloperidol, and who
seems to be becoming less motivated and more
withdrawn. For planning purposes the nurse can
assume that the physician will probably choose
a. chlorpromazine (Thorazine).
b. clozapine (Clozaril).
c. olanzapine (Zyprexa).
d. fluoxetine (Prozac).
C
Olanzapine is an atypical antipsychotic that produces few extrapyramidal side effects and is
effective in treating both positive and negative symptoms of schizophrenia. Option A: This drug
often produces EPS. It is not effective in treating negative symptoms. Option B: Clozapine would
not be the drug of choice because of the danger of agranulocytosis. Option D: Fluoxetine is a
selective serotonin reuptake inhibitor antidepressant.
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The nurse is working on the telemetry unit and has noted that many post–myocardial-infarction (MI) patients experience depression. What medication would the nurse question if ordered for one of these patients?
A) Amitriptyline B) Escitalopram C) Fluoxetine D) Fluvoxamine
A client tells the nurse about two abortions she had while in college. The nurse responds, "What did you major in while you were in college?" This response is evidence of which type of barrier to communication?
1. Changing the subject 2. False reassurance 3. Cross-examination 4. Use of technical terms
After a patient has been on a narcotic agonist drug for a week, what would you expect the physician to do next?
1. Take the patient off all pain medications. 2. Continue the patient on the medication for another week. 3. Have the patient use distractions from pain. 4. Give another method for pain relief.
Which of the following interventions would be a priority when providing care to a client recovering from thoracic injuries sustained from a motor vehicle accident?
1. Monitor urine output 2. Assess vital signs 3. Assist to deep breath and cough every two hours 4. Perform passive range of motion to all extremities