A patient has schizophrenia and is troubled by negative symptoms, muscle stiffness, and motor restlessness
His Advanced Practice Nurse (APN) is considering changing the patient's antipsychotic medication, haloperidol (Haldol, a typical or first generation antipsychotic drug). For planning purposes, which medication can the nurse assume that the APN 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 (EPS) and is effective in treating both positive and negative symptoms of schizophrenia. Chlorpromazine often produces EPS and is not effective in treating negative symptoms. Clozapine produces fewer EPS but would not be the drug of choice because of the danger of agranulocytosis. Fluoxetine is a selective serotonin reuptake inhibitor antidepressant.
You might also like to view...
An adolescent patient is prescribed a brace to treat scoliosis. Which assessment finding by the nurse indicates that outcomes for a priority nursing diagnosis have been met by the patient?
A. Is able to explain the rationale for the bracing B. No redness or breakdown seen under the brace C. Participates in social activities with friends D. Wears brace continuously for 20 hours each day
Which action by the nurse is appropriate when examining an infant's neck?
1. Palpating the trachea 2. Positioning the infant upright on the parent's shoulder 3. Lifting the head and turning it from side to side while the infant is lying supine 4. Documenting the short neck as abnormal for development
The nurse would use which of the following terms to describe a condition in which there is deviation from perfect ocular alignment?
A) Hyphema B) Chemosis C) Ptosis D) Strabismus
After presenting to the emergency department with abdominal pain, a 21-year-old man was diagnosed with appendicitis and underwent a laparoscopic appendectomy
The patient has just been brought to the postsurgical unit from the PACU and is being admitted by the nurse. How should the nurse best position this patient? A) Left-side lying B) Supine C) Semi-Fowler's D) High Fowler's