Author Question: A patient overdosed on risperidone (Risperdal) 20 minutes ago. The nurse should prepare to take ... (Read 43 times)

Beheh · **on:** Jul 23, 2018

A patient overdosed on risperidone (Risperdal) 20 minutes ago. The nurse should prepare to take which action?

1. Administer a CNS depressant
2. Administer an anticholinergic
3. Administer activated charcoal
4. Symptom management since there is no other treatment

Question 2

The patient is receiving procainamide hydrochloride (Pronestyl) for treatment of a dysrhythmia. What is the best patient outcome for medication compliance?

1. The patient will take his medication with food.
2. The patient will take his medication on an empty stomach.
3. The patient will take his medication as directed, even if he is feeling well.
4. The patient will monitor his pulse and hold his medication if his pulse is less than 60.

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

Answer to Question 1

3
Rationale 1: CNS depressants likely will worsen symptoms.
Rationale 2: Anticholinergic agents likely will worsen symptoms.
Rationale 3: Activated charcoal will bind the Risperdal that has not been absorbed and prevent absorption into the bloodstream.
Rationale 4: symptom management might be warranted, but given that the overdose occurred only 20 minutes ago, there is a different effective treatment.
Global Rationale: Activated charcoal will bind the Risperdal that has not been absorbed and prevent absorption into the bloodstream. Symptom management might be warranted, but given that the overdose occurred only 20 minutes ago, charcoal likely will be effective and should be used. Anticholinergic agents and CNS depressants likely will worsen symptoms.

Answer to Question 2

3
Rationale 1: Procainamide hydrochloride (Pronestyl) can be taken on an empty stomach.
Rationale 2: Procainamide hydrochloride (Pronestyl) can be taken with food.
Rationale 3: It is very important for patients to understand that medication must be taken as directed, even if the patient is feeling well.
Rationale 4: The beta-adrenergic blocking drugs cause bradycardia, not Group 1A cardiac antiarrhythmic drugs like procainamide hydrochloride (Pronestyl).
Global Rationale: It is very important for patients to understand that medication must be taken as directed, even if the patient is feeling well. Procainamide hydrochloride (Pronestyl) can be taken on an empty stomach. The beta-adrenergic blocking drugs cause bradycardia, not Group 1A cardiac antiarrhythmic drugs like procainamide hydrochloride (Pronestyl). Procainamide hydrochloride (Pronestyl) can be taken with food.