A 22-year-old male patient who has dropped out of college has increasingly disorganized behavior and delusional thinking. His parents report that he lives at home and has no desire to find a job or help around the house
The primary care NP has ruled out organic causes and has referred the patient to a psychiatrist for treatment. To prepare for the referral visit, the NP should: a. begin therapy with a low-potency antipsychotic.
b. begin therapy with a high-potency antipsychotic.
c. obtain a complete blood count (CBC), serum lipids, and hemoglobin A1c.
d. order liver function tests (LFTs), a CBC, an electrocardiogram (ECG), and a urinalysis.
D
Before antipsychotic drugs are initiated, baseline laboratory tests, including LFTs, CBC, ECG, and urinalysis, should be performed. Serum lipids and hemoglobin A1c may be ordered if the patient has risk factors for diabetes or metabolic syndrome.
You might also like to view...
A community health care nurse is teaching a group of female high school students about the importance of regular Papanicolaou (Pap) smears. The nurse recognizes that what fact underlies the rationale for this teaching?
A) The active substitution of normal cells in the cervix correlates to cancer risk. B) Undifferentiated stem cells are an early indicator of cervical cancer. C) Cancer of the uterine cervix develops incrementally at a cellular level. D) Dysplasia in the connective tissue of the cervix is a strong precursor to cancer.
After administering insulin detemir to a client with diabetes, the nurse suspects that the client is developing hypoglycemia based on assessment of which of the following? Select all that apply
A) Increased thirst B) Increased urination C) Headache D) Confusion E) Diaphoresis
A middle-aged male has been brought to the emergency department by ambulance after being found unconscious by police with injuries consistent with an assault
Injuries on the man's face and skull necessitate prompt assessment for traumatic brain injury. What neuroimaging tests are best able to yield clinically meaningful data? Select all that apply. A) Computed tomography (CT) B) Radiographs (X-ray) C) Positron emission tomography (PET) D) Magnetic resonance imaging (MRI) E) Doppler ultrasound
The nurse is assessing a client with liver disease and notes that the skin, mucous membranes, and sclerae are yellowish in color. The nurse would correctly document this finding as which of the following?
1. Uremia 2. Cyanosis 3. Jaundice 4. Carotenemia