The nurse is assessing a female patient who has been taking chlorpromazine for schizophrenia. What should the nurse include in this assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Ask the patient if she is compliant with the use of St. John's wort as an adjunctive medication.
2. Draw blood to check a lipid profile.
3. Ask the patient questions regarding amount of alcohol intake.
4. Determine the date of her last menstrual period.
5. Draw blood to check thyroid function.
2,3,4
Rationale 1: St. John's wort may result in an increase in the risk and severity of dystonia.
Rationale 2: Antipsychotic drugs have cardiometabolic effects. A lipid profile should be drawn at each visit.
Rationale 3: It is important to assess for alcohol use as this could cause excessive drowsiness.
Rationale 4: It is important to assess for pregnancy as this drug is Pregnancy Category C.
Rationale 5: There is no indication that antipsychotics affect thyroid function, and nothing in the scenario indicates the need to check thyroid function.
Global Rationale: It is important to assess for alcohol use as this could cause excessive drowsiness. It is important to assess for pregnancy as this drug is Pregnancy Category C. St. John's wort may result in an increase in the risk and severity of dystonia. Antipsychotic drugs have cardiometabolic effects. A lipid profile should be drawn at each visit. There is no indication that antipsychotics affect thyroid function, and nothing in the scenario indicates the need to check thyroid function.
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