A client with a diagnosis of schizophrenia has been brought to ...

[meagbuch]

A client with a diagnosis of schizophrenia has been brought to the emergency department by a worker from the group home where he resides.
 
  The worker states that the client has gone off his meds and drunk two to three gallons of water over the past several hours. What assessments should the nurse who is caring for this client prioritize?
 
  A) Neurological assessment and monitoring of electrolyte levels
  B) Monitoring for evidence of hallucinations or delusions
  C) Blood glucose levels and body weight
  D) Assessing for allergic reactions, dry mouth, and lethargy

Question 2

The nurse is providing care for a client whose schizophrenia is being treated with olanzapine (Zyprexa). Recognizing the risk for metabolic syndrome that accompanies this medication regimen, the nurse prioritizes the assessment of what?
 
  A) Thyroid hormone levels and deep tendon reflexes
  B) Heart rate and oxygen saturation levels
  C) Body weight and blood pressure
  D) Orientation and judgment

[amandanbreshears]

Answer to Question 1

Ans: A
Hyponatremia, electrolyte imbalances, and seizures may result from polydipsia. Consequently, close monitoring of the client's electrolytes and neurological status assessment are prioritized at this stage.

Answer to Question 2

Ans: C
The components of metabolic syndrome are hypertension, hyperlipidemia, obesity, and hyperglycemia. Consequently, the assessment of blood pressure and body weight is an important assessment in the care of a client who is receiving an atypical antipsychotic.