A psychiatric nurse is providing care for a female patient with ...

[Jkov05]

A psychiatric nurse is providing care for a female patient with schizophrenia whose medication regimen includes oral chlorpromazine. When administering this medication, the nurse should do which of the following?
 
  A) Have the patient hold the drug under her tongue for at least 30 seconds.
  B) Administer the drug 1 to 2 hours before bedtime.
  C) Administer the drug on alternating days.
  D) Instruct the patient to avoid dairy products for 1 hour before and 2 hours after administration.

Question 2

A 16-year-old has been brought to the emergency department by his football coach after twisting his ankle during a practice drill. Diagnostic testing reveals a fracture. This patient is experiencing what type of pain?
 
  A) Acute somatic pain
  B) Acute cutaneous pain
  C) Visceral pain
  D) Neuropathic pain

[fur]

Answer to Question 1

B
Feedback:
For oral administration of chlorpromazine, the nurse should give doses 1 to 2 hours before bedtime; peak sedation occurs in about 2 hours. The drug is not given on alternating days, and there is no need to avoid dairy products. It is unnecessary for the patient to hold the drug under her tongue.

Answer to Question 2

A
Feedback:
Sprains and other traumatic injuries are examples of acute somatic pain. Somatic pain results from stimulation of nociceptors in skin, bone, muscle, and soft tissue. Visceral pain, which is diffuse and not well localized, results when nociceptors are stimulated in abdominal or thoracic organs and their surrounding tissues. Neuropathic pain is caused by lesions or physiologic changes that injure peripheral pain receptors, nerves, or the central nervous system. Cutaneous pain is not a recognized category.

[Jkov05]

TYSM

[helenmarkerine]

Excellent