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 57 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
YES! Correct, THANKS for helping me on my review

parshano

  • Member
  • Posts: 333
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

Did you know?

Most women experience menopause in their 50s. However, in 1994, an Italian woman gave birth to a baby boy when she was 61 years old.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

The surgical nurse assists the client into the correct position The surgical nurse assists the client into the correct position
Taking attendance in the genome Taking attendance in the genome
NANDA international nursing diagnosis 2 NANDA international nursing diagnosis 2
Taking a blood pressure is one of the procedures the medical assistant extern may perform under the ... Taking a blood pressure is one of the procedures the medical assistant extern may perform under the ...
Symptoms That May Lead to a Diagnosis of Attention Deficit/Hyperactivity Disorder Symptoms That May Lead to a Diagnosis of Attention Deficit/Hyperactivity Disorder
A health care professional taking a radial pulse and common pulse points. A health care professional taking a radial pulse and common pulse points.
Video: Metabolic Rate, Heat and Thermoregulation - response to heat and cold stresses

For a complete list of videos, visit our video library