Author Question: A client has been managed on chlorpromazine (Thorazine) for some time for schizophrenia. The nurse ... (Read 32 times)

Zulu123 · **on:** Jun 25, 2018

A client has been managed on chlorpromazine (Thorazine) for some time for schizophrenia. The nurse assesses the client prior to administering the medication and notes the client's lip smacking, blinking, and tongue protrusion.

The initial action by the nurse would be to:

1. give the medication.
2. call a code.
3. hold the medication and notify the physician.
4. notify the charge nurse.

Question 2

The nurse is explaining to a family member about the causes of the client's symptoms of schizophrenia. The family member is concerned that the family caused the disease in the client. The nurse should teach the family member that:

1. the family is probably the cause of the disease.
2. there are no causes for schizophrenia.
3. the client might be experiencing an alteration of neurotransmitters.
4. the client's neurotransmitter levels are probably normal.

uniquea123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 3

1. The client is exhibiting signs of tardive dyskinesia, which is a dangerous and permanent side effect of antipsychotics. The nurse should not give the medication.
2. Calling a code is not necessary unless vital signs are compromised.
3. The nurse should withhold the medication and notify the physician immediately.
4. The charge nurse may be notified after the physician has been notified.

Answer to Question 2

Answer: 3

1. The nurse needs to learn if any other family members have the disorder before stating that the family probably caused the disease.
2. Schizophrenia has many causes, many of them physical alterations.
3. A large number of individuals with schizophrenia experience an alteration of the neurotransmitters in the brain, which affects their behavior and responses to life.
4. Most clients with schizophrenia do not have normal neurotransmitter levels.