Nokea
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.
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A client is prescribed an antipsychotic drug that also has an antiemetic effect. Which of the following would the nurse identify as having this effect? Select all that apply.
- A. Lithium (Eskalith)
- B. Aripiprazole (Abilify)
- C. Chlorpromazine (Thorazine)
- D. Prochlorperazine (Compazine)
- E. Clozapine (Clozaril)
Correct Answer: C,D
Rationale: Chlorpromazine (Thorazine) and prochlorperazine (Compazine) are antipsychotic medications that have antiemetic effects. Lithium, aripiprazole, and clozapine do not.
When teaching a client who is to receive antipsychotic therapy, the nurse would include which of the following as a common skin reaction that might occur when initiating therapy? Select all that apply.
- A. Urticaria
- B. Stevens-Johnson syndrome
- C. Photosensitivity
- D. Hyperpigmentation
- E. Toxic epidermal necrolysis
Correct Answer: A,C
Rationale: Urticaria and photosensitivity are common skin reactions a nurse should warn a client about when the client is initiated on antipsychotic therapy.
A nurse asses a client receiving antipsychotic drugs for which of the following adverse reactions?
- A. Hypertension
- B. Skin dryness
- C. Dry mouth
- D. Bradycardia
Correct Answer: C
Rationale: The nurse should monitor the client for mouth dryness. Antipsychotic drugs cause hypotension, not hypertension. Skin dryness and bradycardia are not adverse reactions related to the administration of antipsychotic drugs.
When administering antipsychotic drugs, the nurse would need to keep in mind that which of the following atypical antipsychotics are most commonly associated with weight gain? Select all that apply.
- A. Olanzapine (Zyprexa)
- B. Rispendone (Risperdal)
- C. Ziprasidone (Geodon)
- D. Quetiapine (Seroquel)
- E. Clozapine (Clozaril)
Correct Answer: A,B
Rationale: Olanzapine (Zyprexa) and risperidone (Risperdal) are atypical antipsychotics that are most commonly associated with weight gain. None of the other drugs are associated with weight gain.
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.