This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The family of a patient who was prescribed chlorpromazine (Thorazine) report that the patient ... (Read 47 times)

genevieve1028

  • Hero Member
  • *****
  • Posts: 601
on: Jul 23, 2018
The family of a patient who was prescribed chlorpromazine (Thorazine) report that the patient continually rolls his tongue and smacks his lips. What is the nurse's best action?
 
  a. Reassure the patient and family that this response is an expected side effect of the drug.
  b. Instruct the family to ensure that the patient drinks plenty of fluids and performs oral hygiene at least three times daily.
  c. Instruct the family to hold the next dose of the drug and have the patient seen by the prescriber as soon as possible.
  d. Emphasize to the family that this drug cannot be stopped quickly and to gradually reduce the dose over a 2- to 3-week period.

Question 2

How do the major antipsychotic drugs exert their effects to reduce psychotic episodes?
 
  a. They block dopamine receptors and reduce neuronal impulse transmission.
  b. They redirect nerve impulses away from excitatory areas of the brain and into brain inhibitory areas.
  c. They enhance the breakdown of excitatory neurotransmitter chemicals so that impulse transmission is slower.
  d. They block the reuptake of neurotransmitters so that the concentration of these chemicals is increased in the brain.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kbennett34

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
The patient's behaviors of tongue rolling and lip smacking are symptoms of tardive dyskinesia associated with chlorpromazine therapy. This neurologic problem can become permanent if the patient remains on the drug long-term. Chlorpromazine is an older antipsychotic drug and the patient may respond better to a newer one. Although stopping the drug quickly can cause nausea, vomiting, and dizziness, these effects are not life threatening.

Answer to Question 2

A
All antipsychotic drugs tend to block dopamine receptors in the dopamine pathways in the brain. The normal effect of releasing the neurotransmitter dopamine is decreased. Transmission of im-pulses is decreased which in turn decreases the symptoms of hallucinations, illusions, and delu-sions.


genevieve1028

  • Member
  • Posts: 601
Reply 2 on: Jul 23, 2018
:D TYSM

duy1981999

  • Member
  • Posts: 341
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

The senior population grows every year. Seniors older than 65 years of age now comprise more than 13% of the total population. However, women outlive men. In the 85-and-over age group, there are only 45 men to every 100 women.

Did you know?

Persons who overdose with cardiac glycosides have a better chance of overall survival if they can survive the first 24 hours after the overdose.

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

Disorders that may affect pharmacodynamics include genetic mutations, malnutrition, thyrotoxicosis, myasthenia gravis, Parkinson's disease, and certain forms of insulin-resistant diabetes mellitus.

Did you know?

The eye muscles are the most active muscles in the whole body. The external muscles that move the eyes are the strongest muscles in the human body for the job they have to do. They are 100 times more powerful than they need to be.

Palpating the Apical Impulse with the Patient on the Left Side Palpating the Apical Impulse with the Patient on the Left Side
Patient teaching: nail assessment Patient teaching: nail assessment
Patient health history form Cont. Patient health history form Cont.
The correct beginning position for the patient’s feet and crutches (tripod position). The correct beginning position for the patient’s feet and crutches (tripod position).
Example of a family genogram with accompanying legend (symbols used in genograms). Example of a family genogram with accompanying legend (symbols used in genograms).
Pneumonia patient’s chest x-ray. Note the irregular areas of density. Pneumonia patient’s chest x-ray. Note the irregular areas of density.
Video: Hemodynamics Animation

For a complete list of videos, visit our video library