A client with acute symptoms of schizophrenia is prescribed ...

[crazycityslicker]

A client with acute symptoms of schizophrenia is prescribed ziprasidone (Geodon) IM. Which rhythm will the nurse assess this client for prior to administering the medication?
 
  1. Normal sinus rhythm
  2. Sinus irregularity
  3. Increase in QT interval
  4. Premature atrial contractions

Question 2

A client is experiencing fever, diaphoresis, muscle rigidity, and tachycardia for 4 hours. Current medications include aripiprazole (Abilify), enalapril (Vasotec), and atenolol (Tenormin).
 
  What will the nurse prepare to administer to this client?
  1. Antipyretics, electrolytes, and muscle relaxants
  2. Antipyretics, intravenous fluids, and lorazepam (Ativan)
  3. Antipyretics, electrolytes, and a cooling blanket
  4. Antipyretics, intravenous fluids, and Atropine

[hramirez205]

Answer to Question 1

Correct Answer: 3
Rationale 1: A normal sinus rhythm is expected.
Rationale 2: Sinus irregularity with an otherwise normal rhythm does not usually present adverse effects.
Rationale 3: Geodon has the possibility of prolonging the QT interval, causing potentially fatal dysrhythmias.
Rationale 4: Premature atrial contractions would not present an immediate threat to the client.
Global Rationale: Geodon has the possibility of prolonging the QT interval, causing potentially fatal dysrhythmias. A normal sinus rhythm is expected and would not alter the course of treatment. Sinus irregularity with an otherwise normal rhythm does not usually present adverse effects. Premature atrial contractions would not present an immediate threat to the client.

Answer to Question 2

Correct Answer: 1
Rationale 1: Quick, aggressive treatment is required for symptoms of neuroleptic malignant syndrome with antipyretics, electrolytes, and muscle relaxants.
Rationale 2: Giving Ativan might mask the symptoms and allow the disorder to worsen.
Rationale 3: A muscle relaxant is needed to halt the muscle rigidity.
Rationale 4: Giving Atropine would increase the heart rate even more.
Global Rationale: Quick, aggressive treatment is required for symptoms of neuroleptic malignant syndrome with antipyretics, electrolytes, and muscle relaxants. Giving Ativan might mask the symptoms and allow the disorder to worsen. A muscle relaxant is needed to halt the muscle rigidity. Giving Atropine would increase the heart rate even more.

[crazycityslicker]

Thanks

[hramirez205]

Welcome