A patient with schizophrenia has received typical (first-generation) antipsychotics for a year. His hallucinations are less intrusive, but he remains apathetic, has poverty of thought, cannot work, and is socially isolated
To address these symptoms, the nurse might consult the prescribing health care provider to suggest a change to: a. haloperidol (Haldol).
b. olanzapine (Zyprexa).
c. diphenhydramine (Benadryl).
d. chlorpromazine (Thorazine).
B
Olanzapine is an atypical (second-generation) antipsychotic that targets both positive and negative symptoms of schizophrenia. Haldol and Thorazine are typical antipsychotics of the same class as the patient's present medication and are effective primarily on positive symptoms. Benadryl is an antihistamine and has no antipsychotic properties.
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Your patient complains of worsening ankle edema and weight gain over the last week. On physical examination, you note jugular venous distension, ascites, hepatomegaly, and splenomegaly. These conditions are indicative of:
A. Left ventricular failure B. Pulmonary embolism C. Right ventricular failure D. Myocardial infarction
A woman arrives at the site of a disaster, hysterically crying because she was in the building that collapsed just minutes earlier. What should the nurse do with this patient?
1. Advise her to go home and be with her family. 2. Triage the patient and transport her to the hospital. 3. Have a nurse talk with the patient. 4. Ask psychiatric service personnel to talk with this patient.
An adult male comes to the office in search of a product that will slow the progression of hair loss and encourage new hair growth
The prescriber orders Rogaine for Men. The nurse provides patient education about the effects of Rogaine. Which statement by the patient best demonstrates a need for further teaching? a. "This medicine takes a few months to be effective." b. "I will continue to grow hair even when I stop using the medication." c. "I may experience itching." d. "Rogaine can retard loss of hair."
To ensure safe handling of a client's dentures, the nurse will:
1. Clean biting surfaces. 2. Place a washcloth in the bowl of the sink. 3. Replace the upper dentures first. 4. Rinse dentures thoroughly with hot water.