Nokea
The nurse is discussing the prescribed atypical antipsychotic medication therapy with the client with schizophrenia. What information should the nurse include in this discussion? Select all that apply.
- A. Atypical antipsychotic medications will affect the client's hallucinations and inappropriate emotional responses.
- B. Atypical antipsychotic medications are prescribed after other medications have proven ineffective in treating symptoms.
- C. The greatest concern with taking atypical antipsychotic medications is that they produce extrapyramidal side effects.
- D. Regular laboratory appointments will need to be scheduled to monitor the client's blood glucose levels.
- E. The client may experience an increase in appetite and weight gain when taking an atypical antipsychotic medication.
Correct Answer: A,D,E
Rationale: Atypical antipsychotics target hallucinations and emotional responses, require blood glucose monitoring, and may cause increased appetite and weight gain.
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The nurse is assessing the client who has begun therapy with duloxetine. Which assessment parameter should be the nurse's priority?
- A. Relief of neuropathic pain
- B. Increase in anxiety or irritability
- C. Liver function test (LFT) results
- D. Experiencing suicidal ideations
Correct Answer: D
Rationale: Duloxetine (Cymbalta) is a serotonin norepinephrine reuptake inhibitor (SSNRI) used in the treatment of major depression. Suicidal ideation is the most acute threat to life and should be assessed, especially when initiating duloxetine.
The client taking rifampin brings a sample of urine that is orange in color to the clinic. Which interventions should the nurse implement? Select all that apply.
- A. Send the urine to the lab for culture and sensitivity (C&S).
- B. Reassure the client that this is normal and harmless.
- C. Teach that the urine that is orange can stain clothing.
- D. Question continuation of rifampin with the HCP.
- E. Inform that sweat and tears can also turn orange-colored.
Correct Answer: B,C,E
Rationale: A: A C&S is unnecessary because orange-colored urine is a normal finding in the client taking rifampin. B: The nurse should reassure the client that orange-colored urine is a normal finding in the client taking rifampin (Rifadin). C: The nurse should teach the client that the orange-colored urine and sweat can stain clothing and that the client should consider wearing nonwhite clothing or using undergarments if sweating is excessive. D: It is unnecessary to question continuation of rifampin if the urine is orange-colored because this is a normal finding. E: The nurse should inform the client that other body fluids, such as tears, sweat, and saliva, can also turn orange-colored with the use of rifampin (Rifadin).
The clinic nurse is teaching the parent how to give eye drops to the 3-year-old who has bacterial conjunctivitis and purulent drainage out of both eyes, swollen eyelids, and inflamed conjunctiva. What information should the nurse provide?
- A. Restrain the child prior to administering the eye drops.
- B. Have the child sitting when administering the eye drops.
- C. Place the child in a head-down position to instill the eye drops.
- D. Obtain the child's cooperation by describing the procedure in detail.
Correct Answer: A
Rationale: A: It is necessary to secure the child prior to instilling eye drops to ensure that the child receives the entire prescribed dose. The child is likely to resist instillation of the eye drops because a child is told not to put anything in the eyes and is likely to remember painful experiences such as dust or a foreign object that has gotten into the eye. B: The child should be supine, not sitting, when instilling eye drops. C: The child should be supine, not in a head-down position, when instilling eye drops. D: Telling the child what is happening is important, but at the age of 3, a detailed explanation will not make the child more cooperative.
The client is taking methylphenidate sustained-release tablets once daily for attention deficit disorder. The medication peaks in 4 to 7 hours and has a duration of 12 hours. At which time should the nurse instruct the client to take the prescribed dose of methylphenidate?
- A. At bedtime
- B. With the midday meal
- C. Six hours before bedtime
- D. Upon waking in the morning
Correct Answer: D
Rationale: Sustained-release methylphenidate (Ritalin) should be taken in the morning to avoid sleep interference.
The LPN is on a home visit with a client taking Amiodarone. Which of these statements would indicate that the client understands the potential drug side effects.
- A. It is normal if I have numbing or tingling in my feet.
- B. I need to make sure I wear sunblock when going outdoors.
- C. I need to take supplemental vitamin B12.
- D. I should avoid eating leafy vegetables.
Correct Answer: B
Rationale: Amiodarone can cause increased photosensitivity, so the client should ensure that he or she wears protection.