A health care provider decided that the emotional distress of an older adult patient who experiences threatening auditory hallucinations warrants the use of risperidone (Risperdal). Which intervention should the nurse add to the patient's plan of care?
a. Use disposable briefs for incontinence.
b. Monitor for psychomotor changes.
c. Implement a tyramine-free diet.
d. Monitor for dehydration.
ANS: B
Use of atypical antipsychotic medications increases the risk of cerebrovascular events in the older adult population; therefore the nurse should carefully monitor the patient for psychomotor changes. This medication does not place the patient at great risk for the other options.
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