The nurse is preparing discharge instructions for a patient with ...

[kwoodring]

The nurse is preparing discharge instructions for a patient with a history of diabetes who has just been diagnosed with seizure disorder. The patient has been prescribed hydantoin therapy. What will the patient most likely experience?
 
  a. Hunger
  b. Hyperglycemia
  c. Diarrhea
  d. Pupil dilation

Question 2

The psychiatric nurse is educating an elderly patient and family about antipsychotic drug therapy. When providing this education, the nurse will include which statement(s)? (Select all that apply.)
 
  a. Hallucinations may be reduced within 1 week of starting.
  b. Rapid increase in dosages will increase frequency of adverse effects.
  c. Older patients should be observed for hypertension.
  d. Tardive dyskinesia may be reversible in early stages.
  e. Full therapeutic response may require 6 to 8 weeks to be achieved.

[rekilledagain]

Answer to Question 1

ANS: B
Hydantoins may elevate blood sugar levels. Hunger, diarrhea, and pupil dilation are adverse effects of hydantoin therapy. Constipation and nystagmus are potential adverse effects.

Answer to Question 2

ANS: B, D, E
Rapid increases in dosages of antipsychotic medication will not reduce the antipsychotic response time but will increase the frequency of adverse effects. Tardive dyskinesia may be reversible in early stages, but it becomes irreversible with continued use of the antipsychotic medication. Reduction in hallucinations, delusions, and thought disorders often requires 6 to 8 weeks for a full therapeutic response to be achieved. Older patients should be observed for hypotension.

[kwoodring]

Thank you!

[rekilledagain]

Always glad to help...