Which instruction has priority when teaching a patient about ...

[charchew]

Which instruction has priority when teaching a patient about clozapine (Clozaril)?
 
  a. Avoid unprotected sex.
  b. Report sore throat and fever immediately.
  c. Reduce foods high in polyunsaturated fats.
  d. Use over-the-counter preparations for rashes.

Question 2

A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug's strong dopaminergic effect?
 
  a. Chew sugarless gum.
  b. Increase dietary fiber.
  c. Arise slowly from bed.
  d. Report changes in muscle movement.

[JYan]

Answer to Question 1

ANS: B
Clozapine therapy may produce agranulocytosis; therefore, signs of infection should be immediately reported to the health care provider. In addition, the patient should have white blood cell levels measured weekly. The other options are not relevant to clozapine.

Answer to Question 2

ANS: D
Phenothiazines block dopamine receptors in both the limbic system and basal ganglia. Movement disorders and motor abnormalities (extrapyramidal side effects), such as parkinsonism, akinesia, akathisia, dyskinesia, and tardive dyskinesia, are likely to occur early in the course of treatment. They are often heralded by sensations of muscle stiffness. Early intervention with antiparkinsonism medication can increase the patient's comfort and prevent dystonic reactions. The distracters are related to anticholinergic effects.

[charchew]

Thank you

[JYan]

Happy to help you