A patient with schizophrenia is seen in the ED in an acutely agitated state resulting from threatening auditory hallucinations
The patient's medical record indicates he has had severe dystonic reactions to parenteral administration of typical antipsychotic medication. The nurse can anticipate that the phy-sician will order:
a. Ziprasidone (Geodon)
b. Fluphenazine (Prolixin) decanoate
c. Clozapine (Clozaril)
d. Paroxetine (Paxil)
ANS: A
This atypical antipsychotic comes in an injectable form and is effective in controlling agitated and assaultive behaviors. Fluphenazine (Prolixin) decanoate is a typical antipsychotic. Clozapine (Clozaril) is used only for refractory schizophrenia. Paroxetine (Paxil) is an SSRI.
You might also like to view...
The nurse is instructing a client about the medication sildenafil (Viagra). Which client statement indicates teaching has been effective?
A) "Viagra should be taken with food." B) "I can take Viagra anywhere from 1 to 6 hours before sex." C) "I can take only one pill in a 24-hour period." D) "Grapefruit juice will decrease the effects of Viagra."
A client asks the nurse why a creatinine clearance test is accurate. The nurse is most correct to reply which of the following?
A) "Creatinine is broken down at a constant rate, and the total amount is excreted by the kidney." B) "Creatinine is metabolized in the liver and excreted by the kidney at a regular rate." C) "Creatinine is a stress-related response that is excreted by the kidney." D) "Creatinine is found in the urine to make the urine acidic and can be measured."
During a well child exam, the parents of a 4-year-old child inform the nurse that they are thinking of buying a television for their child's bedroom, and ask for advice as to whether this is appropriate
Which is the best response from the nurse? 1. "Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children do, and physical inactivity in children has been linked to many chronic diseases, such as obesity and type 2 diabetes.". 2. "Research has shown that watching educational television shows improves a child's performance in school.". 3. "Don't buy a television for your child's room; he is much too young for that.". 4. "It is okay for your child to have a television in his room as long as you limit the amount of time he watches it to less than 2 hours per day.".
Interviews are generally preferable to questionnaires because:
A) They are less expensive B) They are easier to analyze C) The quality of the data tends to be higher D) There is less opportunity for bias