A nurse provides teaching for a patient about to begin taking a first-generation antipsychotic drug for schizophrenia. Which statement by the patient indicates a need for further teaching about side effects of these drugs?
a. "Anticholinergic effects are uncommon with this medication."
b. "I may experience gynecomastia and galactorrhea."
c. "I may feel lightheaded or dizzy and should sit or lie down if this occurs."
d. "Sedation may occur initially, but will subside in 1 to 2 weeks."
ANS: A
Anticholinergic effects are common with FGAs, so this statement indicates a need for further teaching. Neuroendocrine effects, orthostatic hypertension, and sedation can occur with FGAs.
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Mr. L's health insurance has just expired though he is still in the recovery stages of a serious exacerbation of his chronic obstructive pulmonary disease. Backdating the paperwork by only 2 days will spare Mr
L the out-of-pocket expense of home oxygen therapy. The nurse who is organizing Mr. L's care on discharge has chosen a course of action that prioritizes the principle of veracity. Which of the following courses of action best exemplifies this principle? A) Backdating the paperwork to ensure that Mr. L does not sustain harm from having to pay or having to go without oxygen therapy. B) Backdating the paperwork because it will clearly maximize Mr. L's well-being at a nominal cost to the insurer. C) Refusing to backdate the paperwork because to do so would be untruthful. D) Refusing to backdate the paperwork because to do so would be an unjust act toward the insurance company.
The process by which the cervix thins and becomes part of the lower uterine segment is known as
a. effacement c. station b. transition d. dilation
When caring for a client with systemic lupus erythematosus the nurse should provide teaching that addresses:
A) the need to adhere to a high-protein diet. B) the need for daily aerobic exercises. C) skin care and limiting of sun exposure. D) the use of birth control to prevent pregnancy.
The hospice nurse is assessing the wife of a client who died 14 months ago. The nurse is concerned that the wife is still grieving the death of her husband. Which objective assessment finding would suggest that the wife is not still grieving?
A) The wife states, "I think about him all of the time." B) The wife has a weight loss of 40 pounds in the last 14 months. C) The wife states, "I can't go on living like this." D) The wife's hair is clean and styled.