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

Author Question: During an admission assessment, a nurse notes that a client diagnosed with schizophrenia has ... (Read 82 times)

Zoey63294

  • Hero Member
  • *****
  • Posts: 539
on: Jul 19, 2018
During an admission assessment, a nurse notes that a client diagnosed with schizophrenia has allergies to penicillin, prochlorperazine (Compazine), and bee stings.
 
  On the basis of this assessment data, which antipsychotic medication would be contraindicated?
 
  A. Haloperidol (Haldol), because it is used only in elderly patients
  B. Clozapine (Clozaril), because of a cross-sensitivity to penicillin
  C. Risperidone (Risperdal), because it exacerbates symptoms of depression
  D. Thioridazine (Mellaril), because of cross-sensitivity among phenothiazines

Question 2

If clozapine (Clozaril) therapy is being considered, the nurse should evaluate which laboratory test to establish a baseline for comparison in order to recognize a potentially life-threatening side effect?
 
  A. White blood cell count
  B. Liver function studies
  C. Creatinine clearance
  D. Blood urea nitrogen


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jaymee143

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: D
The nurse should know that thioridazine (Mellaril) would be contraindicated because of cross-sensitivity among phenothiazines. Prochlorperazine (Compazine) and thioridazine are both classified as phenothiazines.

Answer to Question 2

ANS: A
The nurse should establish a baseline white blood cell count to evaluate a potentially life-threatening side effect if clozapine (Clozaril) is being considered as a treatment option. Clozapine can have a serious side effect of agranulocytosis, in which a potentially fatal drop in white blood cells can occur.


Zoey63294

  • Member
  • Posts: 539
Reply 2 on: Jul 19, 2018
Great answer, keep it coming :)

ryhom

  • Member
  • Posts: 366
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

The human body produces and destroys 15 million blood cells every second.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

During pregnancy, a woman is more likely to experience bleeding gums and nosebleeds caused by hormonal changes that increase blood flow to the mouth and nose.

A nurse prepares a client for anesthesia and surgery. A nurse prepares a client for anesthesia and surgery.
Abuse Assessment Screening Tool Abuse Assessment Screening Tool
MRI Scans of the Brains of Twins Discordant for Schizophrenia MRI Scans of the Brains of Twins Discordant for Schizophrenia
Use face cradle covers to prevent the client’s skin from touching the face cradle upholstery. Use face cradle covers to prevent the client’s skin from touching the face cradle upholstery.
Genetic Vulnerability to Schizophrenia Genetic Vulnerability to Schizophrenia
The physician orders pemetrexed (Alimta) 500 mg/m2. The client’s body surface area is 2.14 ... The physician orders pemetrexed (Alimta) 500 mg/m2. The client’s body surface area is 2.14 ...
Video: Pores and Ion Channels

For a complete list of videos, visit our video library