The nurse is caring for a client with severe cardiovascular ...

[Brittanyd9008]

The nurse is caring for a client with severe cardiovascular disease and schizophrenia. Which antipsychotic medication would be the safest treatment for this client?
 
  1. Ziprasidone (Geodon)
  2. Paliperidone (Invega)
  3. Risperidone (Risperdal)
  4. Aripiprazole (Abilify)

Question 2

A client is prescribed haloperidol decanoate (Haldol LA) IM to be administered once a month for treatment of schizophrenia. The nurse will instruct the client to notify the health care provider for which manifestation?
 
  1. Involuntary, unusual tongue and face movements, such as lip smacking or rapid eye blinking
  2. Nausea, sometimes accompanied with vomiting
  3. Weight gain of 5 pounds or more in 2 weeks
  4. Constipation and dry mouth

[raili21]

Answer to Question 1

Correct Answer: 3
Rationale 1: Geodon has the possibility of prolonging the QT interval and should not be given to those with cardiovascular disease.
Rationale 2: Invega causes most common side effects, such as orthostatic hypotension, syncope, and increased risk of death due to heart failure in older adults.
Rationale 3: Risperdal should be used with caution in dysrhythmias but is not specifically listed as a risk in cardiovascular disease.
Rationale 4: Abilify must be administered with caution to persons with cardiovascular disease that predisposes them to hypotension.
Global Rationale: Risperdal should be used with caution in dysrhythmias but is not specifically listed as a risk in cardiovascular disease. Geodon has the possibility of prolonging the QT interval and should not be given to those with cardiovascular disease. Invega causes most common side effects, such as orthostatic hypotension, syncope, and increased risk of death due to heart failure in older adults. Abilify must be administered with caution to persons with cardiovascular disease that predisposes them to hypotension.

Answer to Question 2

Correct Answer: 1
Rationale 1: Unusual tongue and face movements are signs of tardive dyskinesia, and if the medication is not discontinued immediately, the symptoms could persist for months or years.
Rationale 2: Nausea and vomiting are common side effects. The health care provider would not need to be notified unless the vomiting is severe enough to cause dehydration and/or interruption in the client's lifestyle.
Rationale 3: Weight gain is an undesirable side effect but does not need to be reported immediately to the health care provider.
Rationale 4: The client can be taught to change dietary habits and increase fluid intake for constipation and to suck on sugarless hard candy for the dry mouth.
Global Rationale: Unusual tongue and face movements are signs of tardive dyskinesia, and if the medication is not discontinued immediately, the symptoms could persist for months or years. Nausea and vomiting are common side effects. The health care provider would not need to be notified unless the vomiting is severe enough to cause dehydration and/or interruption in the client's lifestyle. Weight gain is an undesirable side effect but does not need to be reported immediately to the health care provider. The client can be taught to change dietary habits and increase fluid intake for constipation and to suck on sugarless hard candy for the dry mouth.

[Brittanyd9008]

Both answers were spot on, thank you once again

[raili21]

Great! Please up vote