Patient teaching for individuals taking risperidone (Risperdal) ...

[colton]

Patient teaching for individuals taking risperidone (Risperdal) should include (select all that apply)
 
  a. measures to prevent episodes of orthostatic hypotension.
  b. strategies to maintain fluid and electrolyte balance.
  c. importance of determining monthly WBC count.
  d. dietary management to avoid weight gain.
  e. self-monitoring for facial tics.

Question 2

Which information should the nurse include in the teaching plan for a patient receiving clozapine (Clozaril)?
 
  a. Abstain from using tobacco products.
  b. Increase your daily carbohydrate intake.
  c. Notify your health care provider if you start drooling.
  d. You will need monthly electrocardiographi c tracings done.

[adammoses97]

Answer to Question 1

A, D
Risperidone causes orthostatic hypotension, sedation, and appetite stimulation. When taken in moderate doses, its favorable side effect profile suggests that teaching regarding EPSEs and tardive dyskinesia can be minimal. Fluid and electrolyte imbalance and agranulocytosis are not usual side effects.

Answer to Question 2

A
Use of tobacco products speeds metabolism of clozapine in the liver, reducing the clozapine level and diminishing its effectiveness in reducing symptoms. Increasing carbohydrate intake is contraindicated because of the possibility of developing metabolic syndrome. Drooling is a common side effect. Monthly electrocardiographi c tracings are unnecessary, but annual or semiannual tracings might be suggested, because arrhythmia development is possible.