Author Question: The nurse is caring for a patient who was referred to a psychiatrist for treatment of a severe ... (Read 29 times)

cagreen833 · **on:** Jul 23, 2018

The nurse is caring for a patient who was referred to a psychiatrist for treatment of a severe anxiety disorder. What medication does the nurse consider appropriate for this patient?

A) Chlorpromazine (Thorazine) 25 mg three times daily orally
B) Benztropine (Cogentin) 2 mg twice daily orally
C) Clozapine (Clozaril) 200 mg twice daily orally
D) Paroxetine (Paxil) 10 mg once daily orally

Question 2

The nurse provides patient teaching for a patient who has a new order for nadolol (Corgard) to treat hypertension. What statement by the patient concerning nadolol (Corgard) would indicate that the teaching has been effective?

A) I should cover my head at all times while I am outdoors.
B) Since I am taking this drug, I no longer need to worry about diet and exercise.
C) I will not stop taking this drug abruptly and will talk to my doctor before discontinuing.
D) I may have a very dry mouth while taking this drug.

Chou · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Paroxetine is a selective serotonin reuptake inhibitor indicated for the treatment of depression, obsessive compulsive disorder, panic attacks, bulimia, premenstrual dysphoria disorder, posttraumatic stress disorders, social phobias, and social anxiety disorders. Chlorpromazine and clozapine are antipsychotic medications whereas benztropine is a drug used to treat Parkinson's disease. None of these would be appropriate options to treat anxiety disorders.

Answer to Question 2

C
Feedback:
A patient receiving an adrenergic blocker must be aware that abruptly stopping the medication may result in a serious reaction. When changing medications or discontinuing their use, these drugs need to be tapered off gradually. This drug is not associated with photophobia or the anticholinergic effect of dry mouth. If the teaching were effective, the patient would be aware that he would need to continue lifestyle modifications, including diet and exercise.