Author Question: The patient is receiving clozapine (Clozaril) for the treatment of schizophrenia. The nurse ... (Read 80 times)

crazycityslicker · **on:** Jul 23, 2018

The patient is receiving clozapine (Clozaril) for the treatment of schizophrenia. The nurse evaluates that this medication has been effective when the patient makes which statement?

1. I will start going to group therapy.
2. I think I am ready for discharge, as I feel better.
3. I am not hearing the voices anymore.
4. I promise not to skip breakfast anymore.

Question 2

The paramedics are transporting to the emergency department a patient who is experiencing shock. What will the nurse prepare in anticipation of the patient's arrival?

1. Cardiac monitor
2. Pulse oximeter
3. Oxygen
4. Whole blood
5. Dextran 40

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

Answer to Question 1

3
Rationale 1: A patient stating he will go to group therapy does not indicate the remission of any psychotic symptoms.
Rationale 2: A patient stating he feels better and is ready for discharge does not indicate the remission of any psychotic symptoms.
Rationale 3: Therapeutic effects of clozapine (Clozaril) include remission of a range of psychotic symptoms to include delusions, paranoia, auditory hallucinations, and irrational behavior.
Rationale 4: A patient stating he will not skip breakfast does not indicate the remission of any psychotic symptoms.
Global Rationale: Therapeutic effects of clozapine (Clozaril) include remission of a range of psychotic symptoms to include delusions, paranoia, auditory hallucinations, and irrational behavior. A patient stating he feels better and is ready for discharge does not indicate the remission of any psychotic symptoms. A patient stating he will go to group therapy does not indicate the remission of any psychotic symptoms. A patient stating he will not skip breakfast does not indicate the remission of any psychotic symptoms.

Answer to Question 2

1,2,3
Rationale 1: When treating shock, the patient should be immediately connected to a cardiac monitor.
Rationale 2: When treating shock, the patient should be immediately connected to a pulse oximeter.
Rationale 3: Unless contraindicated, oxygen is administered via a nonrebreather mask.
Rationale 4: The use of whole blood will be decided after the type of shock is determined.
Rationale 5: The use of dextran 40 will be decided after the type of shock is determined.
Global Rationale: When treating shock, the patient should be immediately connected to a cardiac monitor and a pulse oximeter. Unless contraindicated, oxygen is administered via a nonrebreather mask. The use of whole blood will be decided after the type of shock is determined. The use of dextran 40 will be decided after the type of shock is determined.