Exam 14: Antipsychotic Drugs

A nurse reviews laboratory reports for a patient who has taken clozapine for 1 year.Which WBC and granulocyte values would prompt the nurse to notify the health care provider of the need to suspend treatment?

Which information should the nurse include in the teaching plan for a patient receiving clozapine?

When assessing for a positive outcome to drug therapy with fluphenazine, the nurse would look primarily for improvement in which focus area?

Which patient diagnosed with schizophrenia and receiving antipsychotic medication should receive the nurse's priority attention based on presenting characteristics?

Considering potency, what should the nurse closely monitor a patient receiving a traditional high-potency antipsychotic medication for:

A patient prescribed which medication should be counseled about the drug's tendency to cause weight gain? (Select all that apply.)

A patient who takes haloperidol 10 mg/day orally developed restlessness, agitation, and an inability to sit still.The nurse then administered a PRN dose of haloperidol 5 mg intramuscularly.One hour later the patient's symptoms were worse.What is the most likely explanation for the increase in symptoms?

Which medication from the patient's pharmacologic profile would most likely led to the development of neuroleptic malignant syndrome?

A patient diagnosed with schizophrenia and well managed with medication therapy tells the clinic nurse, "I stopped taking my antipsychotic medication 2 days ago." What assessment finding would the nurse expect at this visit?

A patient has taken a traditional antipsychotic medication for several years is now demonstrating involuntary tongue movements and lip smacking.What should be the nurse's initial action?

When comparing major differences between traditional and atypical antipsychotic drugs, which statements are correct? (Select all that apply.)

A 60-year-old female patient who has taken traditional antipsychotic medication for 20 years should be screened for which potential side effect?

Which patient receiving antipsychotic medication has the greatest risk for the development of neuroleptic malignant syndrome (NMS) and should be most carefully monitored for this serious adverse reaction?

During a psychiatric emergency, a patient is given a traditional antipsychotic drug intramuscularly and placed in seclusion.Over the next 2 hours, concerns for safety and physiologic stability require that the patient be carefully monitored for what antiadrenergic effect? (Select all that apply.)

After an unsuccessful trial with fluphenazine, a patient's medication was changed to trifluoperazine.Three months later the patient is still hallucinating and delusional.What is the most likely explanation for the persistent symptoms?

A patient is being switched to clozapine from therapy using a traditional antipsychotic.The patient asks, "What's the advantage of the new drug?" What is the nurse's best response?

A patient who takes a traditional antipsychotic medication says, "I feel shaky and very warm" and is observed to be diaphoretic.The nurse should further assess for what complication?

A patient is to be discharged on a maintenance dose of a high-potency antipsychotic medication.Which remark indicates that discharge teaching about the medication was effective?

A patient receiving a traditional low-potency antipsychotic medication should assess closely for what possible peripheral nervous system related side effect?

A patient who takes a traditional antipsychotic medication says, "I feel shaky and very warm." The patient is diaphoretic.What is the nurse's best first action when suspecting that a patient is experiencing neuroleptic malignant syndrome (NMS)?