Author Question: A nurse and a nursing student are discussing the plan of care for a patient with schizophrenia. The ... (Read 91 times)

bcretired · **on:** Jul 23, 2018

A nurse and a nursing student are discussing the plan of care for a patient with schizophrenia. The patient, who has been taking a high-potency FGA for 2 months, has become restless and constantly needs to be in motion.

Which statement by the student indicates a need for further education? a. Anticholinergic medications may help control these symptoms.
b. Because this may be an exacerbation of psychosis, the provider may increase the dose of the FGA.
c. The provider may try a low-potency FGA instead of the high-potency FGA.
d. This patient may need to take a benzo-diazepine or a beta blocker.

Question 2

A patient with hypertension is taking furosemide Lasix for congestive heart failure. The prescriber orders digoxin to help increase cardiac output. What other medication will the nurse expect to be ordered for this patient?

a. Bumetanide Bumex
b. Chlorothiazide Diuril
c. Hydrochlorothiazide HydroDIURIL
d. Spironolactone Aldactone

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

Answer to Question 1

B
The patient is showing signs of akathisia, which can resemble an exacerbation of psychosis. If the two are confused and the provider orders more of the FGA, the symptoms may actually increase. Anticholinergic medications may be used, a low-potency FGA may be ordered, or a ben-zodiazepine or beta blocker may be prescribed.

Answer to Question 2

D
Spironolactone is used in conjunction with furosemide because of its potassium-sparing effects. Furosemide can contribute to hypokalemia, which can increase the risk of fatal dysrhythmias, especially with digoxin administration. The other diuretics listed are all potassium-wasting di-uretics.