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Author Question: A patient with schizophrenia is seen in the ED in an acutely agitated state resulting from ... (Read 32 times)

cmoore54

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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


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debra928

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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

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Reply #2 on: Jul 19, 2018
Thank you :)


debra928

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Reply #3 on: Jul 19, 2018
Happy to help you


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