Author Question: The patient who is receiving antipsychotic medication complains of having a dry mouth. The patient ... (Read 26 times)

KimWrice · **on:** Jul 23, 2018

The patient who is receiving antipsychotic medication complains of having a dry mouth. The patient refused the morning dose of the medication. What is the best response by the nurse?

1. Why are you refusing the medicine?
2. I can give you benztropine (Cogentin) for your dry mouth.
3. I will let your doctor know about your dry mouth.
4. A dry mouth is common, but drinking more water will help.

Question 2

The patient receives quetiapine (Seroquel) and asks the nurse how the medication works. What is the best response by the nurse?

1. Quetiapine (Seroquel) decreases norepinephrine in your brain and that decreases your auditory hallucinations.
2. Quetiapine (Seroquel) increases norepinephrine in your brain and that decreases your feelings of depression.
3. Quetiapine (Seroquel) decreases dopamine in your brain and that decreases your symptoms.
4. Quetiapine (Seroquel) increases dopamine in your brain and that helps you to think more clearly.

duy1981999 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale: The symptom of dry mouth is very common with antipsychotic medications. The best approach is to have the patient suck on sugarless candy, chew gum, or have frequent drinks of water. Benztropine (Cogentin) is indicated for extrapyramidal side effects, not for a dry mouth. Asking the patient why he is refusing his medication is an inappropriate question, as the nurse knows the patient has been complaining of a dry mouth. Dry mouth is a common side effect treated by nursing interventions, not physician's orders.

Answer to Question 2

Correct Answer: 3
Rationale: Quetiapine (Seroquel) acts by interfering with the binding of dopamine to its receptors in the brain. Quetiapine (Seroquel) does not increase dopamine in the brain. Quetiapine (Seroquel) does not decrease norepinephrine in the brain. Quetiapine (Seroquel) does not increase norepinephrine in the brain.