This topic contains a solution. Click here to go to the answer

Author Question: The nurse is preparing to administer loxapine (Loxitane) 50 mg to a patient who has schizophrenia. ... (Read 90 times)

theo

  • Hero Member
  • *****
  • Posts: 698
The nurse is preparing to administer loxapine (Loxitane) 50 mg to a patient who has schizophrenia. The patient has been taking this medication twice daily for 15 months.
 
  The nurse notes smacking lip movements and involuntary movements of all extremities. Which action by the nurse is correct?
  a. Administer the medication as ordered to treat these symptoms of psychosis.
  b. Hold the dose and notify the provider of these medication adverse effects.
  c. Request an order for an anticholinergic medication such as benztropine (Cogentin).
  d. Suggest that the provider increase the dose to 125 mg twice daily.

Question 2

The nurse is caring for a patient who has begun taking chlorpromazine HCl (Thorazine) 75 mg BID to treat schizophrenia.
 
  A family member tells the nurse that the patient's agitation, hallucinations, and delusional symptoms have improved, but the patient continues to withdraw from social interaction and won't bathe unless reminded to do so. The nurse will tell the family member that
  a. all symptoms will eventually resolve over time with this medication.
  b. the patient may need an increased dose of the antipsychotic medication.
  c. these results may indicate that the patient does not have schizophrenia.
  d. they should consider discussing adding another medication.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ttt030911

  • Sr. Member
  • ****
  • Posts: 315
Answer to Question 1

ANS: B
Tardive dyskinesia manifests as protrusion and rolling of the tongue, smacking of the lips, and involuntary movement of the body and extremities and is a serious adverse effect of antipsychotic medications. The provider should be notified, so the drug can be stopped and a different medication ordered. These are not symptoms of psychosis. Anticholinergic medications are used to combat acute dystonia. Increasing the dose of this medication would only exacerbate these adverse effects.

Answer to Question 2

ANS: D
Chlorpromazine is a typical antipsychotic medication; drugs in this class manage positive symptoms rather than the negative symptoms of withdrawal and poor self-care. It is not likely that the negative symptoms will improve over time with this medication. Increasing the dose will not improve control of negative symptoms. This patient exhibits signs of schizophrenia.




theo

  • Member
  • Posts: 698
Reply 2 on: Jul 23, 2018
Wow, this really help


miss.ashley

  • Member
  • Posts: 371
Reply 3 on: Yesterday
Excellent

 

Did you know?

The ratio of hydrogen atoms to oxygen in water (H2O) is 2:1.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

Everyone has one nostril that is larger than the other.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

For a complete list of videos, visit our video library