The nurse is instructing a client on the medication risperidone ...

[tiffannnnyyyyyy]

The nurse is instructing a client on the medication risperidone (Risperdal). What should be included in this teaching?
 
  1. Do not use alcohol while on this medication.
  2. Watch for abnormal bruising, bleeding of the gums, blood in the feces, or any other abnormal bleeding.
  3. Do not eat grapefruit or take grapefruit juice while on this medication.
  4. Monitor for extreme thirst, hunger with weight loss, and increased urination.

Question 2

A client prescribed aripiprazole (Abilify) for schizophrenia is experiencing signs of hypotension with certain activities since starting this medication. What should the nurse teach the client?
 
  Standard Text: Select all that apply.
  1. Avoid being outside in the heat of the day.
  2. Avoid hot baths or hot showers.
  3. Avoid caffeine-containing preparations.
  4. Change positions slowly, especially from lying or sitting to standing.
  5. Take frequent naps during the day.

[popopong]

Answer to Question 1

Correct Answer: 1
Rationale 1: The use of alcohol can cause additive CNS depression.
Rationale 2: Risperidone does not cause agranulocytosis.
Rationale 3: There is no indication that risperidone reacts adversely with grapefruit.
Rationale 4: There is no indication that this medication causes diabetes.
Global Rationale: The use of alcohol can cause additive CNS depression. Risperidone does not cause agranulocytosis. There is no indication that risperidone reacts adversely with grapefruit or causes diabetes.

Answer to Question 2

Correct Answer: 1,2,4
Rationale 1: The client should avoid any situation that might cause overheating, especially in hot weather, to reduce the risk of hypotension.
Rationale 2: Hot baths and hot showers should be avoided to decrease the chance of hypotension.
Rationale 3: Caffeine products are more likely to produce anxiety or palpitations.
Rationale 4: Changing positions slowly will help reduce orthostatic hypotension.
Rationale 5: Frequent naps will not affect the symptoms of hypotension.
Global Rationale: The client should avoid any situation that might cause overheating, especially in hot weather, to reduce the risk of hypotension. Hot baths and hot showers should be avoided to decrease the chance of hypotension. Changing positions slowly will help reduce orthostatic hypotension. Caffeine products are more likely to produce anxiety or palpitations. Frequent naps will not affect the symptoms of hypotension.

[tiffannnnyyyyyy]

Excellent

[gcook]

Gracias!