Nokea
A client who takes Chlorpromazine for the treatment of Schizophrenia is due for a follow-up assessment. The nurse should expect the greatest improvement in which of the following manifestations? (Select all that apply.)
- A. Disorganized speech.
- B. Bizarre behavior.
- C. Impaired social interactions.
- D. Hallucinations.
Correct Answer: A
Rationale: When a client takes a conventional antipsychotic medication like chlorpromazine, the greatest improvement is typically seen in positive symptoms such as disorganized speech. These medications are more effective in managing positive symptoms like disorganized speech rather than negative symptoms like impaired social interactions or hallucinations. Therefore, the nurse should anticipate improvement in disorganized speech as a positive response to chlorpromazine treatment.
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After administering the drug Atropine to a patient, the nurse notices side effects of dry mouth, tachycardia, and drowsiness. The nurse suspects ans overdose of the drug. Which of the following is the antidote for Atropine?
- A. Flumazenil
- B. Naloxone
- C. Physostigmine
- D. Protamine sulfate
Correct Answer: C
Rationale: Physostigmine is the antidote for Atropine overdose. Atropine is an anticholinergic drug that blocks the action of acetylcholine. Physostigmine works by increasing the levels of acetylcholine in the body, counteracting the effects of Atropine. It can help reverse the side effects of Atropine overdose, such as dry mouth, tachycardia, and drowsiness. Flumazenil is the antidote for benzodiazepines, Naloxone is the antidote for opioids, and Protamine sulfate is the antidote for heparin.
Which statement is accurate concerning the use of aspirin (ASA) to treat pain?
- A. High doses are necessary (1 gram) to achieve anticoagulant effects.
- B. Enteric-coated capsules are available to reduce GI side effects.
- C. Increase consumption of herbs such as garlic and ginger to potentiate the anti-inflammatory effects.
- D. In low doses (325 mg), it significantly reduces inflammation.
Correct Answer: B
Rationale: Aspirin's use for pain involves anti-inflammatory and analgesic properties, but it risks GI irritation. Enteric-coated capsules minimize this by dissolving in the intestine, not the stomach, reducing bleeding risk—an accurate statement. High doses are true for anticoagulation, not pain relief, where lower doses suffice. Herbs like garlic and ginger increase bleeding risk, not inflammation relief, making it dangerous advice. Low doses (choice D, 325 mg) primarily prevent clotting, not significantly reduce inflammation, which requires higher doses. Choice B correctly reflects a practical measure to enhance aspirin's safety profile for pain management.
Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of the following side effects indicates an overdose of the medication?
- A. Flushing
- B. Dizziness
- C. Joint pain
- D. Metallic taste
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching a client with a new prescription for Ipratropium, which of the following instructions should the nurse include?
- A. This medication can be used as a rescue inhaler.
- B. This medication should be taken before albuterol.
- C. Wait 5 minutes between medications if two inhaled medications are prescribed.
- D. Ipratropium can be used before exercise.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Methotrexate to treat Rheumatoid Arthritis. Which of the following instructions should the nurse provide?
- A. Take this medication with food to prevent nausea.
- B. Drink plenty of fluids to stay hydrated while on this medication.
- C. Avoid alcohol while taking this medication.
- D. Wear sunscreen when outdoors while taking this medication.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.