The nurse is caring for a patient with schizophrenia spectrum ...

[mspears3]

The nurse is caring for a patient with schizophrenia spectrum disorder who is taking olanzapine (Zyprexa). The nurse knows the patient requires education related to avoiding which drugs and/or foods?
 
  1. Phenytoin
  2. Grapefruit juice
  3. Dexamethasone
  4. Garlic supplements

Question 2

The nurse knows that the patient taking aripiprazole (Abilify) 20 mg/day PO requires which specific follow-up assessment?
 
  1. Vital signs each visit
  2. Height and weight at each visit
  3. Weekly assessment for extrapyramidal symptoms
  4. Every six month checks for tardive dyskinesia

[wilsonbho]

Answer to Question 1

Answer: 1
Explanation: Nursing considerations for patients on olanzapine (Zyprexa) include teaching the patient to avoid drugs and foods that may increase/decrease the levels of the drug. Contraindicated items include phenytoin (Dilantin), St. John's wort, cruciferous vegetables, and smoking. Grapefruit, dexamethasone, and garlic supplements do not affect olanzapine (Zyprexa).

Answer to Question 2

Answer: 4
Explanation: . Abilify is a third-generation antipsychotic with a partial agonist function for dopamine like the first-generation antipsychotics. The patient taking first-generation antipsychotics should be evaluated for tardive dyskinesia every 6 months, while the patient using second-generation antipsychotics should be checked once per year. While the other assessments are recommended for patients with SSDs, the tardive dyskinesia assessment is the most important when taking antipsychotics.

[mspears3]

Thank you

[wilsonbho]

No problemo