Author Question: A client's medication regimen is being determined by the health care provider. Currently, the ... (Read 47 times)

bb · **on:** Jul 23, 2018

A client's medication regimen is being determined by the health care provider. Currently, the medications haloperidol (Haldol), a high-potency drug, and chlorpromazine, a low-potency drug, are being considered.

Which doses of the medications does the nurse anticipate for this client?
1. 2 mg of chlorpromazine and 2 mg of haloperidol (Haldol).
2. 100 mg of chlorpromazine and 2 mg of haloperidol (Haldol).
3. 100 mg of chlorpromazine and 100 mg of haloperidol (Haldol).
4. 2 mg of chlorpromazine and 100 mg of haloperidol (Haldol).

Question 2

The nurse is preparing discharge instructions for a client being treated with medication and psychotherapy for schizophrenia. What should the nurse address with the client prior to discharge?

1. The client smokes 13 cigarettes per day.
2. The client drinks 13 beers before bedtime per day.
3. The client likes to eat grapefruit for breakfast.
4. The client drinks 13 caffeinated sodas per day.

ecabral0 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: 2 mg of chlorpromazine and 2 mg of Haldol would make both high-potency drugs.
Rationale 2: Low-potency drugs are those that require higher doses, and high-potency drugs are those that are able to control symptoms with low doses.
Rationale 3: 100 mg of chlorpromazine and 100 mg of Haldol would make both low-potency drugs.
Rationale 4: Chlorpromazine is a low-potency drug and requires a higher dose than the high-potency drug Haldol.
Global Rationale: Low-potency drugs are those that require higher doses, and high-potency drugs are those that are able to control symptoms with low doses. 2 mg of chlorpromazine and 2 mg of Haldol would make both high-potency drugs. 100 mg of chlorpromazine and 100 mg of Haldol would make both low-potency drugs. Chlorpromazine is a low-potency drug and requires a higher dose than the high-potency drug Haldol.

Answer to Question 2

Correct Answer: 2
Rationale 1: The client should be encouraged to quit smoking, but this is not the most important issue.
Rationale 2: Alcohol taken with antipsychotic medications can cause additive CNS depression, which could be fatal.
Rationale 3: Only a few antipsychotic medications are affected by grapefruit juice. The nurse would need to know which medication the client is prescribed before teaching the client not to take it with grapefruit.
Rationale 4: The client should be encouraged to drink more water and fewer caffeinated sodas, but this is not the most important issue. Caffeine is not restricted because of the use of antipsychotic drugs.
Global Rationale: Alcohol taken with antipsychotic medications can cause additive CNS depression, which could be fatal. The client should be encouraged to quit smoking, but this is not the most important issue. Only a few antipsychotic medications are affected by grapefruit juice. The nurse would need to know which medication the client is prescribed before teaching the client not to take it with grapefruit. The client should be encouraged to drink more water and fewer caffeinated sodas, but this is not the most important issue. Caffeine is not restricted because of the use of antipsychotic drugs.