Author Question: Antipsychotic therapy with a conventional antipsychotic has been started for a client with ... (Read 28 times)

tatyanajohnson · **on:** Jul 23, 2018

Antipsychotic therapy with a conventional antipsychotic has been started for a client with schizophrenia. Assessment reveals that the client is experiencing drowsiness that is affecting his ability to function.

The nurse notes that the client needs assistance with his activities of daily living and ambulating. Which nursing diagnosis would the nurse most likely identify?

A) Risk for Infection
B) Risk for Unstable Blood Glucose Level
C) Risk for Injury
D) Impaired Physical Mobility

Question 2

A nurse is caring for a client with schizophrenia. The physician has prescribed olanzapine in a disintegrating tablet form for the client. Which of the following points should the nurse include in the teaching plan for the client?

A) Remove the tablet with dry hands.
B) Take the tablet with a full glass of water.
C) Add extra salt to food.
D) Avoid tea or coffee.

vboyd24 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
Feedback:
Antipsychotic drugs may cause extreme drowsiness and sedation, especially during the first or second weeks of therapy. This reaction may impair mental or physical abilities. The patient may need assistance with activities of daily living due to the experience of extreme sedation. This includes cueing or help with eating, dressing, and ambulating. Therefore, Risk for Injury would be most appropriate. Risk for Infection would be appropriate if the client was receiving clozapine. Risk for Unstable Blood Glucose Level would be appropriate if the client was receiving an atypical antipsychotic due to the increased risk for weight gain and subsequent development of diabetes. Impaired Physical Mobility would be appropriate if the client was experiencing EPS or TD.

Answer to Question 2

Ans: A
Feedback:
The nurse should instruct the client to remove the olanzapine tablet with dry hands and place the entire tablet in his or her mouth. Wet or damp hands may cause the medication to begin disintegrating prior to entering the client's mouth. There is no need to add extra salt to food. The client is required to take orally disintegrating olanzapine, so there is no need to take any fluid with the drug. Also, there is no need to avoid tea or coffee.