A client has begun phenothiazine therapy. What teaching should ...

[charchew]

A client has begun phenothiazine therapy. What teaching should the nurse provide related to the
  drug's strong dopaminergic effect?
 
  a. Chew sugarless gum
  b. Eat plenty of roughage
  c. Arise slowly from bed
  d. Report muscle stiffness

Question 2

Disturbed body image has been established as a nursing diagnosis for a client with an eating
  disorder. The outcome indicator most appropriate to monitor is
 
  a. weight, muscle, and fat congruence with height, frame, age, and sex.
  b. calorie intake within required parameters of treatment plan.
  c. weight at established normal range for the client.
  d. client satisfaction with body appearance.
  Other

[Joy Chen]

Answer to Question 1

ANS: D
Phenothiazines block dopamine receptors in both the limbic system and basal ganglia. The
movement disorder dystonia is likely to occur early in the course of treatment and is often heralded
by sensations of muscle stiffness. Early intervention with anti-Parkinson medication can increase the
client's comfort and prevent dystonic reactions.

Answer to Question 2

D
Body image disturbances are considered improved or resolved when the client is consistently
satisfied with his or her own appearance and body function. This is a subjective consideration. The
other indicators are more objective but less related to the nursing diagnosis.