A nurse is assessing a patient who has schizophrenia and is taking aripiprazole.

The nurse should notify the provider of which of the following findings?

Constipation

Weight gain of 5 lb in 1 month

Insomnia

Muscle stiffness .

Answer and Explanation

The Correct Answer is D

Choice A rationale

Constipation is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.

Choice B rationale

Weight gain of 5 lb in 1 month could be a side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.

Choice C rationale

Insomnia is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.

Choice D rationale

Muscle stiffness could be a sign of a serious side effect of aripiprazole known as extrapyramidal symptoms. This could include conditions such as dystonia, akathisia, and Parkinsonism. If a patient experiences muscle stiffness while taking aripiprazole, the healthcare provider should be notified.

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Correct Answer is B

Explanation

Choice A rationale

Polycystic ovarian syndrome is a hormonal disorder common among women of reproductive age. While it can lead to several complications, it does not significantly increase the risk of sepsis.

Choice B rationale

Cancer and certain treatments for cancer can weaken the immune system, increasing the risk of infections that could lead to sepsis.

Choice C rationale

Kallmann’s syndrome is a genetic condition that affects the production of a hormone involved in sexual development. It does not significantly increase the risk of sepsis.

Choice D rationale

Addison’s disease affects the adrenal glands and can disrupt the balance of hormones in the body, but it does not significantly increase the risk of sepsis.

A. Record that the nurse was unable to take the patient’s temperature. B. Continue to take the oral temperature. C. Wait for 30 minutes and then return to take the oral temperature. D. Give the patient a sip of warm water, wait for 5 minutes, and then take the temperature.

Correct Answer is C

Explanation

Choice A rationale

Recording that the nurse was unable to take the patient’s temperature would not be the most appropriate action in this situation. The nurse can wait for a certain period of time and then take the patient’s temperature.

Choice B rationale

Continuing to take the oral temperature immediately after the patient has consumed ice chips could result in an inaccurately low temperature reading. The cold from the ice chips can temporarily lower the temperature in the mouth.

Choice C rationale

Waiting for 30 minutes and then returning to take the oral temperature is the most appropriate action. Consuming cold substances can lower the oral temperature temporarily, so it’s recommended to wait 15-30 minutes after the patient has consumed something cold before taking an oral temperature.

Choice D rationale

Giving the patient a sip of warm water, waiting for 5 minutes, and then taking the temperature is not the standard procedure. While it might help to normalize the temperature in the mouth more quickly, it’s generally recommended to wait at least 15-30 minutes after the patient has consumed something cold before taking an oral temperature.

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A nurse is assessing a patient who has schizophrenia and is taking aripiprazole. The nurse should notify the provider of which of the following findings?

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A nurse is assessing a patient who has schizophrenia and is taking aripiprazole.

The nurse should notify the provider of which of the following findings?