An elderly client diagnosed with schizophrenia takes an ...

[madam-professor]

An elderly client diagnosed with schizophrenia takes an antipsychotic and a beta-adrenergic blocking agent (propranolol) for hypertension.
 
  Understanding the combined side effects of these drugs, the nurse would most appropriately make which statement? A. Make sure you concentrate on taking slow, deep, cleansing breaths.
  B. Watch your diet and try to engage in some regular physical activity.
  C. Rise slowly when you change position from lying to sitting or sitting to standing.
  D. Wear sunscreen and try to avoid midday sun exposure.

Question 2

A client who is admitted to the inpatient psychiatric unit and is taking Thorazine presents to the nurse with severe muscle rigidity, tachycardia, and a temperature of 105F (40.5C).
 
  The nurse identifies these symptoms as which of the following conditions? A. Neuroleptic malignant syndrome
  B. Tardive dyskinesia
  C. Acute dystonia
  D. Agranulocytosis

[Beatricemm]

Answer to Question 1

C
The most appropriate statement by the nurse is to instruct the client to rise slowly when changing positions. Antipsychotic medications and beta blockers cause a decrease in blood pressure. When given in combination, this side effect places the client at risk for developing orthostatic hypotension.

Answer to Question 2

A
Neuroleptic malignant syndrome is a potentially fatal condition characterized by muscle rigidity, fever, altered consciousness, and autonomic instability.

[madam-professor]

TY

[Beatricemm]

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