A nurse is assessing a client who has schizophrenia and is taking risperidone.

Which of the following findings should the nurse expect?.

Weight gain.

Bradycardia.

Nightmares.

Dependent edema.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Weight gain is a common side effect of risperidone. Antipsychotic medications like risperidone often lead to weight gain.

Choice B rationale:

Bradycardia is not typically associated with risperidone. Risperidone can cause mild heart rate changes, but significant bradycardia is not common.

Choice C rationale:

Nightmares are not a typical side effect of risperidone. Sleep disturbances can occur, but they are not the most common side effect.

Choice D rationale:

Dependent edema is not a common side effect of risperidone.

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Correct Answer is ["B","C","D","G","H","I"]

Explanation

Choice A rationale:
Financial situation is a concern but it does not require immediate follow-up in a medical context.
Choice B rationale:
Increased use of mood-altering substances is a serious concern. The client has been drinking heavily and asking for their “nerve” pill, which could indicate substance misuse.
Choice C rationale:
The client’s sexual behaviors, specifically having multiple partners and not using condoms, pose a risk for sexually transmitted infections.
Choice D rationale:
The positive Hepatitis Viral Study (HAA) indicates the presence of a viral hepatitis infection, which requires immediate medical attention.
Choice E rationale:
The BUN level is within the normal range (10 to 20 mg/dL), so it does not require immediate follow-up.
Choice F rationale:
The Hgb level is within the normal range (12 to 18 g/dL), so it does not require immediate follow-up.
Choice G rationale:
The sodium level is below the normal range (136 to 145 mEq/L), indicating hyponatremia, which requires immediate medical attention.
Choice H rationale:
The frequency of facility admissions indicates that the client’s condition is not being managed effectively and requires immediate reassessment.
Choice I rationale:
The recent loss of a parent is a significant life event that could exacerbate the client’s mental health issues and substance misuse, requiring immediate follow-up.

A. Monitor the client closely to prevent self-mutilation. B. Give positive feedback when the client is assertive with staff or clients. C. Discourage flamboyant or seductive behaviors. D. Set limits to prevent exploitation of other clients.

Correct Answer is B

Explanation

Choice A rationale:

Monitoring the client closely to prevent self-mutilation is more associated with self-harm disorders rather than dependent personality disorder.

Choice B rationale:

Giving positive feedback when the client is assertive with staff or clients can encourage independence and confidence.

Choice C rationale:

Discouraging flamboyant or seductive behaviors is more related to histrionic personality disorder.

Choice D rationale:

Setting limits to prevent exploitation of other clients is more associated with antisocial personality disorder.

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A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following findings should the nurse expect?.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","C","D","G","H","I"]

Explanation

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Correct Answer is B

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A nurse is assessing a client who has schizophrenia and is taking risperidone.

Which of the following findings should the nurse expect?.