Author Question: A client prescribed an atypical antipsychotic medication for bipolar disorder reports difficulty ... (Read 29 times)

mspears3 · **on:** Jul 23, 2018

A client prescribed an atypical antipsychotic medication for bipolar disorder reports difficulty sleeping. What might the nurse want to discuss with the client?

1. Using alcohol to aid with sleep
2. Increasing fluid intake
3. Trying St. John's wort to help with sleeping
4. Avoiding the use of valerian

Question 2

A client prescribed olanzapine (Zyprexa) for mania associated with bipolar disorder is being discharged. Which client statement indicates more teaching is necessary about this medication?

1. I take St. John's wort at bedtime to help me go to sleep.
2. I'm going to weigh myself weekly to check for weight gain.
3. I need to report symptoms of extreme thirst, insatiable hunger with weight loss, and increased urination.
4. I might need to increase my intake of fiber and fluids.

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

Answer to Question 1

Correct Answer: 4
Rationale 1: Alcohol is a central nervous system depressant and should not be taken with this medication.
Rationale 2: There is no reason to increase fluid intake just because of the antipsychotic medication.
Rationale 3: Increased central nervous system depression may occur if this medication is taken with St. John's wort.
Rationale 4: Increased central nervous system depression may occur if used with valerian.
Global Rationale: Increased central nervous system depression may occur if used with valerian. Alcohol is a central nervous system depressant and should not be taken with this medication. There is no reason to increase fluid intake just because of the antipsychotic medication. Increased central nervous system depression may occur if this medication is taken with St. John's wort.

Answer to Question 2

Correct Answer: 1
Rationale 1: Increased central nervous system depression can occur if atypical antipsychotics are taken with St. John's wort or valerian.
Rationale 2: Weight gain is a frequent adverse effect of atypical antipsychotics.
Rationale 3: The risk of developing type 2 diabetes is greater with this medication, so it is important to assess for symptoms.
Rationale 4: Constipation is a frequent adverse effect of atypical antipsychotics.
Global Rationale: Increased central nervous system depression can occur if atypical antipsychotics are taken with St. John's wort or valerian. Weight gain and constipation are frequent adverse effects of atypical antipsychotics. The risk of developing type 2 diabetes is greater with this medication, so it is important to assess for symptoms.