A patient in whom drug therapy has failed several times in the ...

[littleanan]

A patient in whom drug therapy has failed several times in the past is readmitted to a hospital to begin therapy for schizophrenia. What will the nurse do to help improve adherence?
 
  a. Encourage the patient to take responsibil-ity for medication management.
  b. Teach the patient about drug side effects and how to manage them.
  c. Tell the patient that an abstinence syn-drome will occur if the drug is stopped.
  d. Tell the patient that the drug may be taken as needed to control symptoms.

Question 2

A patient who is a chronic alcoholic is admitted to the hospital. Admission laboratory work reveals a magnesium level of 1.2 mEq/L. The prescriber orders intravenous magnesium sulfate in a 10 solution at a rate of 10 mL/min.
 
  What will the nurse do? a. Administer the IV dose as ordered and have calcium gluconate on hand.
  b. Administer the IV dose and make prepa-rations for mechanical ventilation.
  c. Hold the IV dose until the infusion rate has been clarified with the provider.
  d. Request an order for renal function tests before administering the IV dose.

[InfiniteSteez]

Answer to Question 1

B
One way to promote adherence to a medication regimen is to teach patients about drug side ef-fects and how to minimize undesired responses. Family members should be encouraged to over-see medication management for outpatients, because patients themselves may fail to appreciate the need for therapy or may be unwilling to take prescribed medications. It is not true that an ab-stinence syndrome occurs when these drugs are withdrawn. These drugs are not used PRN; they must be given on a regular basis.

Answer to Question 2

C
This patient has hypomagnesemia and should be given magnesium sulfate intravenously. The percent of magnesium in solution is correct; however, magnesium should not be infused faster than 1.5 mL/min, so the nurse is correct to question the rate of infusion. Calcium gluconate should be available when magnesium is given, but the nurse needs to clarify the rate of infusion first. Mechanical ventilation is necessary with excessive magnesium. Renal function tests are not indicated.

[littleanan]

Thanks

[InfiniteSteez]

Welcome