Author Question: The physician plans to use an atypical antipsychotic for an elderly client. Regardless of which drug ... (Read 171 times)

jazziefee · **on:** Jul 19, 2018

The physician plans to use an atypical antipsychotic for an elderly client. Regardless of which drug in the category is chosen for therapy, the nurse should plan to:

1. Arrange for weekly WBC counts
2. Teach about tyramine-free diets
3. Provide a daily laxative
4. Teach fall prevention

Question 2

When a client for whom haloperidol has been prescribed tells the nurse, I'm burning up and my muscles are stiff and sore, the nurse suspects neuromuscular malignant syndrome and recognizes the possibility that the physician may order:

1. Olanzapine (Zyprexa)
2. Benztropine (Cogentin)
3. Venlafaxine (Effexor)
4. Dantrolene (Dantrium)

frejo · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 4
Orthostatic hypotension is a possible side effect due to alpha-adrenergic blockade. The nurse should teach the client about changing position slowly, using handrails when walking, etc. to prevent falls. Option 1 is necessary only with Clozaril therapy. Option 2 is necessary only if the client is taking MAOIs. Option 3 is not necessary unless the client seeks help with constipation.

Answer to Question 2

ANS: 4
Dantrolene, a direct-acting skeletal muscle relaxant, is a drug often used to treat NMS. The other drugs mentioned would have no therapeutic effect on NMS.