Author Question: When a client with paranoid schizophrenia has a recurrence of positive symptoms after stopping his ... (Read 68 times)

ahriuashd · **on:** Jul 19, 2018

When a client with paranoid schizophrenia has a recurrence of positive symptoms after stopping his
antipsychotic medication to be free of its orthostatic side effect, he is readmitted to the mental health
unit.

The physician orders the resumption of medication. The nurse adds the nursing diagnosis of
noncompliance with antipsychotic medication regimen related to side effects to the client's care
plan. What measure should the nurse suggest to the client?
a. Ask the physician about prescribing an anticholinergic drug such as
trihexyphenidyl (Artane).
b. Chew sugarless gum or use sugarless hard candy to moisten oral mucous
membranes.
c. Reduce dosage by 5 mg daily if side effects recur.
d. Wear elastic support hose, stay hydrated, and rise slowly from the lying or sitting
position.

Question 2

The priority nursing interventions for the period immediately after electroconvulsive therapy
treatment focus on

a. establishing random eye movement latency.
b. supporting physiological stability.
c. reducing disorientation and confusion.
d. assisting the client in identifying and testing negative cognitions.

dantucker · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Orthostasis produces dizziness or fainting when moving from a lying or seated position to a standing
position. This can be effectively combated by rising slowly. The use of support hose may also be
helpful to prevent pooling of blood in the lower extremities. Options A and B are unnecessary.
Anticholinergic side effects are not the problem. Option C The client should be taught not to
discontinue or adjust the dose of the medication, but rather to report annoying side effects to the
physician or nurse.

Answer to Question 2

B
During the immediate posttreatment period, the client is recovering from general anesthesia, hence
the need to establish and support physiological stability. Option A is neither possible nor a priority.
Option C is an acceptable intervention but not the priority. Option D is inappropriate in the
immediate posttreatment period because the client may be confused.