A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should anticipate a prescription of which of the following medications?

Chlorpromazine (Thorazine)

Thiothixene (Navane)

Risperidone (Risperdal)

Haloperidol (Haldol).

Answer and Explanation

The Correct Answer is C

Risperidone is an atypical antipsychotic medication that can help improve the negative symptoms of schizophrenia, such as lack of grooming and flat affect. It can also reduce positive symptoms, such as hallucinations and delusions.

Choice A is wrong because Chlorpromazine (Thorazine) is wrong because it is a conventional antipsychotic medication that mainly treats positive symptoms of schizophrenia, but has little effect on negative symptoms.

Choice B is wrong because Thiothixene (Navane) is wrong for the same reason as choice A. It is also a conventional antipsychotic medication that mainly treats positive symptoms of schizophrenia, but has little effect on negative symptoms.

Choice D is wrong because Haloperidol (Haldol) is wrong for the same reason as choice A and B. It is also a conventional antipsychotic medication that mainly treats positive symptoms of schizophrenia, but has little effect on negative symptoms.

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Correct Answer is C

Explanation

This is because SSRIs can cause increased anxiety in some patients during the first few weeks of treatment, but this usually subsides as the medication takes effect.Discontinuing the medication abruptly can cause withdrawal symptoms and worsen the depression.Increasing the dose of the medication is not advisable without consulting the prescriber, as it may increase the risk of adverse effects and serotonin syndrome.Administering an anxiolytic medication may interact with the SSRI and cause excessive sedation or respiratory depression.

Choice A is wrong because discontinuing the medication immediately can cause withdrawal symptoms and worsen the depression.

Choice B is wrong because increasing the dose of the medication is not advisable without consulting the prescriber, as it may increase the risk of adverse effects and serotonin syndrome.

Choice D is wrong because administering an anxiolytic medication may interact with the SSRI and cause excessive sedation or respiratory depression.

Normal ranges for SSRIs vary depending on the specific drug, but generally they are between 20 and 200 ng/mL.The therapeutic effects of SSRIs usually take 3 to 6 weeks to appear.

A. Blood glucose levels B. Serum potassium levels C. Serum lithium levels D. Serum calcium levels.

Correct Answer is C

Explanation

Serum lithium levels should be monitored regularly while taking this medication because lithium has a narrow therapeutic range and can cause toxicity if the levels are too high or ineffective if the levels are too low.The normal range for serum lithium levels is 0.6 to 1.2 mEq/L (0.6 to 1.2 mmol/L).

Choice A is wrong because blood glucose levels are not affected by lithium and do not need to be monitored regularly.

Choice B is wrong because serum potassium levels are not affected by lithium and do not need to be monitored regularly.

Choice D is wrong because serum calcium levels are not affected by lithium and do not need to be monitored regularly.

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A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should anticipate a prescription of which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been prescribed an SSRI for depression and reports feeling more anxious since starting the medication. The nurse should:

Correct Answer is C

Explanation

A client with bipolar disorder is prescribed lithium carbonate (Lithobid). Which of the following laboratory values should be monitored regularly while taking this medication?

Correct Answer is C

Explanation

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A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should anticipate a prescription of which of the following medications?