Nokea
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.
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After teaching a group of nursing students about antipsychotic drugs, the instructor determines that the teaching was successful when the students identify aripiprazole (Abilify) as exerting its effect on which of the following in the brain? Select all that apply.
- A. Serotonin
- B. Dopamine
- C. Norepinephrine
- D. Muscarinic
- E. Nicotinic
Correct Answer: A,B
Rationale: Atypical antipsychotic drugs like aripiprazole (Abilify) are thought to act on serotonin and dopamine receptors in the brain. The conventional, or first-generation, antipsychotics (FGAs) work to diminish the positive symptoms by blocking dopamine transmission.
A client with schizophrenia is prescribed antipsychotic therapy. When developing the plan of care for the client, the nurse integrates understanding that the client is at risk for extrapyramidal syndrome. The nurse would expect to assess the client for this adverse reaction at which time?
- A. Once a week
- B. At the initiation of therapy
- C. When the dose is reduced
- D. Every 3 months
- E. When the dose is increased
Correct Answer: B,C,E
Rationale: The nurse should assess for EPS during initial therapy and whenever the dosage is increased or decreased.
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.
When describing tardive dyskinesia (TD) associated with the use of antipsychotic medication, which of the following would the nurse integrate into the teaching plan? Select all that apply.
- A. TD is an early-appearing adverse reaction.
- B. TD involves rhythmic, involuntary movements of the facial structures.
- C. TD is a reversible adverse effect of antipsychotic drugs.
- D. TD is less likely to occur with the use of atypical psychotics.
- E. TD can occur after discontinuation of antipsychotic drug therapy.
Correct Answer: B,D,E
Rationale: TD is a late-appearing reaction that is characterized by rhythmic, involuntary movements of the tongue, face, mouth, or jaw and sometimes the extremities, TD is nonreversible, can occur during antipsychotic drug therapy or after discontinuation, and is less likely to occur with the use of atypical antipsychotics.
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.