This topic contains a solution. Click here to go to the answer

Author Question: The nurse is assessing a female patient who has been taking chlorpromazine for schizophrenia. What ... (Read 212 times)

dakota nelson

  • Hero Member
  • *****
  • Posts: 604
The nurse is assessing a female patient who has been taking chlorpromazine for schizophrenia. What should the nurse include in this assessment?
 
  1. Perform an eye exam and ask if there have been changes in vision.
  2. Draw blood to check a lipid profile.
  3. Ask the patient questions regarding amount of alcohol intake.
  4. Determine the date of her last menstrual period.
  5. Draw blood to check thyroid function.

Question 2

A patient with a history of suicidal behavior with schizophrenia stopped taking clozapine (Clozaril) after 4 weeks of therapy. The patient is currently experiencing a return of hallucinations.
 
  What might the nurse assess when determining the reason the patient stopped taking the medication?
  1. Feeling sedated all the time
  2. Significant weight gain
  3. Agitation
  4. Fatigue and headache
  5. Lack of desire to consume alcohol



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bigsis44

  • Sr. Member
  • ****
  • Posts: 317
Answer to Question 1

Correct Answer: 1,3,4
Rationale 1: Chlorpromazine accumulates in the eye, and there is a risk of phototoxicity, blurred vision, dry eyes, and glaucoma.
Rationale 2: Treatment with chlorpromazine would not be a reason to check the patient's lipid levels, and there is no information given to indicate the need to check a lipid profile.
Rationale 3: It is important to assess for alcohol use, as this could cause excessive drowsiness.
Rationale 4: It is important to assess for pregnancy as this drug is Pregnancy Category C.
Rationale 5: There is no indication that antipsychotics affect thyroid function, and nothing in the scenario indicates the need to check thyroid function.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Patients do not like the side effect of being sedated all the time.
Rationale 2: Substantial weight gain has been reported in some patients taking this medication. This is a reason some stop taking the medication.
Rationale 3: Agitation may be an extrapyramidal symptom of treatment with this medication and is an unwanted adverse effect.
Rationale 4: Fatigue and headache are possible side effects of this medication.
Rationale 5: The desire to drink alcohol would be a reason for the patient to stop taking this medication.





 

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

Did you know?

More than 34,000 trademarked medication names and more than 10,000 generic medication names are in use in the United States.

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

For a complete list of videos, visit our video library