A client prescribed an atypical antipsychotic medication for bipolar disorder reports difficulty sleeping. What might the nurse want to discuss with the client?
1. Using alcohol to aid with sleep
2. Increasing fluid intake
3. Trying St. John's wort to help with sleeping
4. Avoiding the use of valerian
Correct Answer: 4
Rationale 1: Alcohol is a central nervous system depressant and should not be taken with this medication.
Rationale 2: There is no reason to increase fluid intake just because of the antipsychotic medication.
Rationale 3: Increased central nervous system depression may occur if this medication is taken with St. John's wort.
Rationale 4: Increased central nervous system depression may occur if used with valerian.
Global Rationale: Increased central nervous system depression may occur if used with valerian. Alcohol is a central nervous system depressant and should not be taken with this medication. There is no reason to increase fluid intake just because of the antipsychotic medication. Increased central nervous system depression may occur if this medication is taken with St. John's wort.
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