Author Question: The nurse works with a client who has just been diagnosed with schizophrenia. While discussing the ... (Read 37 times)

Jipu 123 · **on:** Jul 8, 2018

The nurse works with a client who has just been diagnosed with schizophrenia. While discussing the various medication options for this disorder, the nurse explains that some have been associated with the development of type 2 diabetes.

The client explains that she is already at risk for developing diabetes and would like to avoid any medications that might promote the disease. On the basis of this information, which medication should this client most avoid?
A) Haloperidol
B) Olanzapine
C) Fluphenazine
D) Ziprasidone

Question 2

The nurse examines a client who is taking haloperidol for schizophrenia and notices that she habitually twists her tongue and arms. This side effect of her medication is known as:

A) Tardive dyskinesia
B) Akathisia
C) Dystonia
D) Neuroleptic malignant syndrome

nixon_s · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: B
Feedback:
Evidence is mounting that the second-generation antipsychotics, in particular clozapine and olanzapine, may increase the risk of developing new-onset type 2 diabetes. Haloperidol and fluphenazine are first-generation antipsychotics. Ziprasidone is a second-generation antipsychotic but less associated with development of type 2 diabetes than is olanzapine.

Answer to Question 2

Ans: A
Feedback:
Of particular concern with the first-generation antipsychotics is the risk of developing tardive dyskinesia. This condition, which is irreversible, is characterized by twisting movements of the tongue, limbs, and torso. Some of the other debilitating side effects of the first-generation antipsychotics include akathisia (extreme restlessness in the limbs), dystonia (severe stiffness in muscles, most prominently the neck), blurred vision, urinary retention, and neuroleptic malignant syndrome.