This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with schizophrenia is seen in the ED in an acutely agitated state resulting from ... (Read 31 times)

cmoore54

  • Hero Member
  • *****
  • Posts: 568
on: Jul 19, 2018
A patient with schizophrenia is seen in the ED in an acutely agitated state resulting from threatening auditory hallucinations.
 
  The patient's medical record indicates he has had severe dystonic reactions to parenteral administration of typical antipsychotic medication. The nurse can anticipate that the phy-sician will order:
  a. Ziprasidone (Geodon)
  b. Fluphenazine (Prolixin) decanoate
  c. Clozapine (Clozaril)
  d. Paroxetine (Paxil)

Question 2

The nurse must notify the physician of the need to suspend treatment for a patient re-ceiving clozapine (Clozaril) when the weekly WBC monitoring shows:
 
  a. WBCs below 2000/mm3 and absolute neutrophils below 1000/mm3
  b. WBCs below 2500/mm3 and absolute neutrophils below 1500/mm3
  c. WBCs below 3000/mm3 and absolute neutrophils below 2000/mm3
  d. WBCs below 3500/mm3 and absolute neutrophils below 2500/mm3


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

debra928

  • Sr. Member
  • ****
  • Posts: 342
Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: A
This atypical antipsychotic comes in an injectable form and is effective in controlling agitated and assaultive behaviors. Fluphenazine (Prolixin) decanoate is a typical antipsychotic. Clozapine (Clozaril) is used only for refractory schizophrenia. Paroxetine (Paxil) is an SSRI.

Answer to Question 2

ANS: A
Counts at this level indicate the presence of leukopenia. Agranulocytosis is a possible side effect of Clozaril therapy for which the patient is closely monitored. The other levels are high enough to be considered safe.


cmoore54

  • Hero Member
  • *****
  • Posts: 568
Reply #2 on: Jul 19, 2018
Thank you :)


debra928

  • Sr. Member
  • ****
  • Posts: 342
Reply #3 on: Jul 19, 2018
Happy to help you


« previous next »
 

Did you know?

Human neurons are so small that they require a microscope in order to be seen. However, some neurons can be up to 3 feet long, such as those that extend from the spinal cord to the toes.

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

When working with the patient with impaired hearing, the interpreter needs to direct questions to th When working with the patient with impaired hearing, the interpreter needs to direct questions to th
The structural formulas show the state of ionization that would predominate at pH 7.0 The structural formulas show the state of ionization that would predominate at pH 7.0
Medical assistants can quickly pull up a patient record when a phone call is received. Medical assistants can quickly pull up a patient record when a phone call is received.
Apply direct pressure to the patient’s wound. Apply direct pressure to the patient’s wound.
Variations in patient response to drugs Variations in patient response to drugs
Twenty percent of the automobiles inspected at a state inspection station required repairs to ... Twenty percent of the automobiles inspected at a state inspection station required repairs to ...
Video: Splitting of Sugar, Oxidation/ Reduction & ATP Generation

For a complete list of videos, visit our video library