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

Author Question: A client with a diagnosis of schizophrenia has stopped taking his prescribed olanzapine (Zyprexa) ... (Read 56 times)

gonzo233

  • Hero Member
  • *****
  • Posts: 557
on: Jul 19, 2018
A client with a diagnosis of schizophrenia has stopped taking his prescribed olanzapine (Zyprexa) and gone on a cocaine and hallucinogen binge lasting several weeks.
 
  When providing care for this client in the acute care setting after a cocaine-induced myocardial infarction, the nurse should recognize what?
 
  A) He cannot resume treatment with psychotropic medications until he has tested negative for recreational drugs twice consecutively.
  B) The pharmacokinetics of his prescribed medications may be affected by his recent substance use.
  C) His olanzapine dosage will be temporarily increased in order to compensate for his missed doses over the past weeks.
  D) He will have his medications administered intramuscularly rather than orally for the duration of his hospital stay.

Question 2

At the encouragement of his parents, a client with bipolar disorder and an addiction to methamphetamine has agreed to enter treatment.
 
  Which of the following nursing activities takes place during the engagement phase of treatment for a client who has a dual diagnosis?
 
  A) Establishing a therapeutic relationship
  B) Stabilizing the client medically
  C) Assisting the client in developing vocational skills
  D) Initiating detoxification


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

cpetit11

  • Sr. Member
  • ****
  • Posts: 321
Reply #1 on: Jul 19, 2018
Answer to Question 1

Ans: B
The impact of alcohol and drugs of abuse may alter pharmacokinetics and exacerbate adverse effects when psychotropic medication is administered. Dosages are never increased to compensate for the past. IM administration would only be necessary if the client is noncompliant and legally incompetent, and medication would not be withheld until the client has had two consecutive negative drug screens.

Answer to Question 2

Ans: A
The engagement phase begins with the establishment of a therapeutic treatment relationship. Detoxification and medical stabilization are in the acute stabilization phase. The development of vocational skills takes place later in the rehabilitation and recovery phase.


gonzo233

  • Member
  • Posts: 557
Reply 2 on: Jul 19, 2018
Great answer, keep it coming :)

diana chang

  • Member
  • Posts: 288
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

The first successful kidney transplant was performed in 1954 and occurred in Boston. A kidney from an identical twin was transplanted into his dying brother's body and was not rejected because it did not appear foreign to his body.

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Schizophrenia Schizophrenia
Weber test: Place the base of the tuning fork on top of the client’s head. Weber test: Place the base of the tuning fork on top of the client’s head.
Taking a Pap smear. Taking a Pap smear.
Examples of NANDA nursing diagnosis Examples of NANDA nursing diagnosis
To reduce stress on your client’s neck when the head is turned, put a towel under the shoulder and ... To reduce stress on your client’s neck when the head is turned, put a towel under the shoulder and ...
Symptoms That May Lead to a Diagnosis of Attention Deficit/Hyperactivity Disorder Symptoms That May Lead to a Diagnosis of Attention Deficit/Hyperactivity Disorder
Video: Aneurysm

For a complete list of videos, visit our video library