Author Question: Which side effect is highest priority for the nurse to assess for when diphenhydramine is ... (Read 65 times)

jrubin · **on:** Jul 22, 2018

Which side effect is highest priority for the nurse to assess for when diphenhydramine is administered to a patient also taking antipsychotic medication?

a. Increased pychosis
b. Cognitive impairment
c. Respiratory depression
d. Impaired memory

Question 2

In discussing disease prevention with a 15-year-old boy and his mother, the nurse identifies which of the following as risk factors for psychosis? (Select all that apply.)

a. Father diagnosed with paranoid schizophrenia
b. Rural residence
c. Recent immigration from Ecuador
d. Occasional cannabis use
e. January birth date
f. Physical abuse by the father

Carissamariew · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
Diphenhydramine is an anticholinergic medication that may induce drowsiness or even respiratory depression taken along with anti-psychotic medication. Respiratory depression and airway are always highest priorities of care. While increased psychosis may occur, respiratory depression is highest priority. Cognitive impairment and impaired memory are not well known effects of diphyenhydramine.

Answer to Question 2

ANS: A, C, E, F
Genetic predisposition has been identified as a risk factor for development of schizophrenia. Immigration, winter birth, and family difficulties such as abuse have also been identified as risk factors. Urban residence, not rural, and chronic cannabis use, not occasional, have also been identified.