A patient with schizophrenia begins a new prescription for lurasidone HCl (Latuda). The patient is 5', 6" tall and currently weighs 204 pounds. Which topic is most important for the nurse to include in the teaching plan related to this medication?
a. How to recognize tardive dyskinesia
b. Weight management strategies
c. Ways to manage constipation
d. Sleep hygiene measures
ANS: B
Lurasidone HCl (Latuda) is an atypical antipsychotic medication. The incidence of weight gain, diabetes, and high cholesterol is high with this medication. The patient is overweight now, so weight management is especially important. The incidence of tardive dyskinesia is low with atypical antipsychotic medications. Constipation may occur, but it is less important than weight management. This drug usually produces drowsiness.
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A client presents with an inability to make decisions and function independently. The nurse knows these symptoms are indicative of which of the following disorders?
1. Dependent personality disorder 2. Paranoid personality disorder 3. Schizotypal personality disorder 4. Schizoid personality disorder
Provide an example to demonstrate understanding of the meaning of this statement: "Whatever happens to one person influences the family, and whatever influences the family also influences persons that comprise the family."
What will be an ideal response?
The client is a 28-year-old man newly diagnosed with type 1 diabetes mellitus. He wears glasses for myopia and asks the nurse how frequently he should see his ophthalmologist now. What is the nurse's best answer?
A. "At your age, you do not need to change your usual patterns for visiting the oph-thalmologist." B. "See your ophthalmologist whenever you have a vision problem and yearly after you are 40 years old." C. "Your vision will change more quickly now, and you should see the ophthalmol-ogist whenever you find that your glasses are not strong enough to allow you to read comfortably." D. "The disease increases your risk for cataracts, glaucoma, and retinal blood vessel changes, so you should see the ophthalmologist yearly, even when you do not have a new vision problem."
During a home visit, the patient with diabetes mellitus tells the nurse that she is having a very difficult time obtaining blood for glucose monitoring. Which intervention does the nurse use to help the patient obtain a good blood sample?
a. Asks the healthcare provider to order a different monitoring device b. Instructs the patient to position the lancet on the side of finger or forearm c. Teaches the patient to find a good site and use it repeatedly d. Tells the patient to run warm water over the hand before testing