A patient taking risperidone (Risperdal) for schizophrenia is ...

[audragclark]

A patient taking risperidone (Risperdal) for schizophrenia is experiencing signs of hypotension with certain activities since starting this medication. What should the nurse teach the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Avoid being outside in the heat of the day.
  2. Avoid hot baths or hot showers.
  3. Avoid vitamin C-containing preparations.
  4. Change positions slowly, especially from lying or sitting to standing.
  5. Take frequent naps during the day.

Question 2

The patient receives verapamil (Calan). The patient tells the nurse that he is nervous about taking this medicine. What is the best response by the nurse?
 
  1. This medicine is safe, and most patients do very well with it.
  2. This medicine increases your blood pressure, but we will be monitoring that.
  3. This medicine has many side effects, but you should be okay.
  4. This medicine is a potassium channel blocker and is considered safe.

[cici]

Answer to Question 1

1,2,4
Rationale 1: The patient should avoid any situation that might cause overheating, especially in hot weather, to reduce the risk of hypotension.
Rationale 2: Hot baths and hot showers should be avoided to decrease the chance of hypotension.
Rationale 3: There is no association between vitamin C-containing products and hypotension.
Rationale 4: Changing positions slowly will help reduce orthostatic hypotension.
Rationale 5: Frequent naps will not affect the symptoms of hypotension.
Global Rationale: The patient should avoid any situation that might cause overheating, especially in hot weather, to reduce the risk of hypotension. Hot baths and hot showers should be avoided to decrease the chance of hypotension. Changing positions slowly will help reduce orthostatic hypotension. There is no association between vitamin C-containing products and hypotension. Frequent naps will not affect the symptoms of hypotension.

Answer to Question 2

1
Rationale 1: Calcium channel blockers are safe medications that are well tolerated by most patients.
Rationale 2: Verapamil (Calan) lowers, not increases, blood pressure and decreases cardiac workload.
Rationale 3: All medications have side effects, but telling the patient that he should be okay is not very reassuring.
Rationale 4: Verapamil (Calan) is a calcium channel blocker, not a potassium channel blocker.
Global Rationale: Calcium channel blockers are safe medications that are well tolerated by most patients. All medications have side effects, but telling the patient that he should be okay is not very reassuring. Verapamil (Calan) is a calcium channel blocker, not a potassium channel blocker. Verapamil (Calan) lowers, not increases, blood pressure and decreases cardiac workload.

[audragclark]

Thanks

[cici]

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