This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Which medication from a patient's pharmacologic profile is most likely to precipitate neuroleptic ... (Read 26 times)

future617RT

  • Hero Member
  • *****
  • Posts: 543
on: Jul 19, 2018
Which medication from a patient's pharmacologic profile is most likely to precipitate neuroleptic malignant syndrome (NMS)?
 
  a. Diphenhydramine (Benadryl)
  b. Risperidone (Risperdal)
  c. Haloperidol (Haldol)
  d. Clozapine (Clozaril)

Question 2

An adult diagnosed with schizophrenia was started on clozapine (Clozaril) 4 days ago
 
  At 2100 today, the patient's vital signs are temperature 101 F; pulse 143 beats/min; respirations 20 breaths/min; blood pressure 100/60 mm Hg. What is the nurse's best action regarding the 2100 dose of clozapine?
  a. Recognize the alterations in vital signs as typical for early therapy, and administer the medication.
  b. Hold the medication, and notify the health care provider.
  c. Give the drug and continue to monitor vital signs every 4 hours.
  d. Postpone the dose until vital signs are normal.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

olivia_paige29

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 19, 2018
Answer to Question 1

C
Haloperidol is a first-generation high-potency antipsychotic drug. It has a greater risk for producing NMS than atypical antipsychotic drugs. Diphenhydramine is not an antipsychotic drug.

Answer to Question 2

B
Clozapine might cause agranulocytosis, a potentially fatal illness. Any symptoms or signs of infection raise suspicion and call for investigation of white cell differential counts. Clozapine should be withheld until the white blood cell (WBC) count and absolute neutrophil count (ANC) are known. Administering the drug has the potential for further lowering the WBC count and ANC.


future617RT

  • Hero Member
  • *****
  • Posts: 543
Reply #2 on: Jul 19, 2018
TY


olivia_paige29

  • Sr. Member
  • ****
  • Posts: 334
Reply #3 on: Jul 19, 2018
Happy to Help


« previous next »
 

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

Did you know?

A seasonal flu vaccine is the best way to reduce the chances you will get seasonal influenza and spread it to others.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Medicinal leeches on a patient’s neck. Today leeches are sometimes used in microsurgery to prevent b Medicinal leeches on a patient’s neck. Today leeches are sometimes used in microsurgery to prevent b
Example of a patient statement. Example of a patient statement.
Patient Teaching Methods Patient Teaching Methods
Koplik spots in the mouth of a patient with measles. Koplik spots in the mouth of a patient with measles.
Variations in patient response to drugs Variations in patient response to drugs
Video: Cellular slime mold life cycle Animation

For a complete list of videos, visit our video library