Nokea
A nurse would assess a client treated with an antipsychotic medication for which of the following behaviors if the antipsychotic medication was stopped? Select all that apply.
- A. Hallucinations
- B. Anhedonia
- C. Delusions
- D. Dystonia
- E. Flattened affect
Correct Answer: A,B,C,E
Rationale: Antipsychotic medications help control symptoms associated with psychotic disorders such as hallucinations, delusions, disorganized speech, behavior disturbances, social withdrawal, flattened affect, and anhedonia. Dystonia would be noted as an adverse reaction with antipsychotic drugs.
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A client comes to the emergency department and tells the nurse, 'I've been hiccoughing constantly for the past 6 or 7 hours and nothing I do to stop them seems to work.' The nurse would expect the primary health care provider to prescribe which of the following?
- A. Prochlorperazine
- B. Chlorpromazine
- C. Haloperidol
- D. Olanzapine
Correct Answer: B
Rationale: Chlorpromazine may be used to treat uncontrolled hiccoughs. Prochlorperazine may be used as an antiemetic. Haloperidol and olanzapine are not indicated for uncontrolled hiccoughs.
After teaching a group of nursing students about antipsychotics, the instructor determines that the teaching was successful when the students identify which of the following as a typical antipsychotic? Select all that apply.
- A. Lithium (Eskalith)
- B. Aripiprazole (Abilify)
- C. Chlorpromazine (Thorazine)
- D. Haloperidol (Haldol)
- E. Fluphenazine (Prolixin)
Correct Answer: C,D,E
Rationale: Chlorpromazine, haloperidol, and fluphenazine are classified as typical antipsychotics.
When assessing a client receiving antipsychotic drugs, the nurse would suspect that the client is experiencing extrapyramidal syndrome (EPS) based on assessment of which of the following? Select all that apply.
- A. Fine tremor
- B. Hypotension
- C. Akathisia
- D. Anhedonia
- E. Dystonia
Correct Answer: A,C,E
Rationale: The signs of EPS include fine tremors, muscle rigidity, mask-like appearance of the face, slowness of movement, slurred speech, unsteady gait, akathisia, and dystonia. Anhedonia is a manifestation of schizophrenia.
After administering an antipsychotic to a client, the nurse would immediately report which of the following?
- A. Orthostatic hypotension
- B. Dry mouth
- C. Rigidity
- D. Drowsiness
Correct Answer: C
Rationale: The nurse should immediately report to the primary health care provider if the client displays signs of rigidity. Dry mouth, episodes of orthostatic hypotension, and drowsiness are reactions that are considered normal during drug therapy and need not be reported unless severe.
The nurse is providing care to an older adult who is receiving antipsychotic therapy. The primary health care provider prescribes an oral liquid concentrate. When administering the drug, the nurse would mix the drug with which of the following? Select all that apply.
- A. Fruit juice
- B. Milk
- C. Pudding
- D. Soup
- E. Green leafy vegetables
Correct Answer: A,B,C,D
Rationale: Oral liquid concentrates are available for patients who can more easily swallow a liquid. To aid in administration to debilitated or elderly patients, oral drugs can be mixed in liquids such as fruit juices, tomato juice, milk, or carbonated beverages. Semisolid foods, such as soups or puddings, may also be used. Green leafy vegetables would be an inappropriate choice based on the usual texture of the food and the inability to mix the drug solution with the food.