A client with schizophrenia is receiving teaching from the nurse about their prescribed medication, Chlorpromazine. Which of the following client statements indicates an understanding of the teaching?
"I am less likely to get an infection while taking this medication."
"Weight loss is a sign that my medication dose is too low."
"I will contact my healthcare provider if I have difficulty urinating."
"I will stop taking this medication once my hallucinations go away."
The Correct Answer is C
a. "I am less likely to get an infection while taking this medication." This statement is incorrect. Chlorpromazine can actually increase the risk of infection due to potential side effects like agranulocytosis (a drop in white blood cell count).
b. "Weight loss is a sign that my medication dose is too low." This statement is incorrect. Chlorpromazine typically causes weight gain rather than weight loss.
c. "I will contact my healthcare provider if I have difficulty urinating." This statement indicates an understanding of one of the potential side effects of chlorpromazine, which can cause urinary retention due to its anticholinergic properties.
d. "I will stop taking this medication once my hallucinations go away." This statement is incorrect. Discontinuing antipsychotic medication without a healthcare provider's guidance can lead to a relapse of symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. Diphenhydramine: Diphenhydramine is an antihistamine that can also be used for its sedative properties to help calm an agitated client.
b. Ondansetron: Ondansetron is an antiemetic used to prevent nausea and vomiting, not for managing agitation or assaultive behavior. The nurse should question this order as it is not appropriate for the client's current symptoms.
c. Lorazepam: Lorazepam is a benzodiazepine used for its anxiolytic and sedative effects, making it appropriate for calming an agitated client.
d. Haloperidol: Haloperidol is an antipsychotic medication commonly used to manage severe agitation and aggressive behavior.
Correct Answer is C
Explanation
a. Reaction Formation: Reaction formation involves expressing the opposite of what one truly feels. Exploring a career that involves controlled expression of anger (such as professional wrestling) can be seen as a reaction formation against uncontrolled anger.
b. Projection: Projection involves attributing one's own unacceptable feelings or thoughts to others. Exploring a career in professional wrestling does not involve projecting one's own feelings onto others.
c. Sublimation: This is correct because sublimation involves channeling unacceptable impulses into socially acceptable activities. Exploring a career in professional wrestling could be seen as channeling anger into a constructive and socially acceptable outlet.
d. Repression: Repression involves pushing unacceptable thoughts or memories out of consciousness. Exploring a career in professional wrestling does not involve repressing anger but rather finding a way to express it constructively.
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