A nurse is developing a care plan for a client who has schizophrenia and is taking chlorpromazine. Which of the following actions should the nurse include in the plan?
Weigh the client daily.
Monitor the client for signs of bleeding.
Monitor the client’s respirations every 4 hours.
Administer an antacid with the medication to decrease nausea.
The Correct Answer is A
Choice A reason: Weigh the client daily is important because chlorpromazine can cause weight gain as a side effect. Regular monitoring of the client’s weight helps in managing and mitigating this potential adverse effect.
Choice B reason: Monitor the client for signs of bleeding is not typically necessary for clients taking chlorpromazine. This medication does not commonly cause bleeding issues. Monitoring for bleeding would be more relevant for clients on anticoagulants or medications that affect platelet function.
Choice C reason: Monitor the client’s respirations every 4 hours is not specifically required for clients on chlorpromazine. While respiratory depression can be a concern with some medications, it is not a common side effect of chlorpromazine.
Choice D reason: Administer an antacid with the medication to decrease nausea is not recommended. Antacids can interfere with the absorption of chlorpromazine, reducing its effectiveness. If the client experiences nausea, other antiemetic strategies should be considered.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: I may have a dry mouth while taking this medication
Dry mouth is a common side effect of chlorpromazine, which is an antipsychotic medication used to treat various mental health conditions. This side effect occurs because chlorpromazine can reduce saliva production. Patients should be advised to maintain good oral hygiene and stay hydrated to manage this symptom.
Choice B reason: This medication may cause me to urinate frequently
Frequent urination is not a typical side effect of chlorpromazine. Instead, chlorpromazine can cause urinary retention, which is the inability to empty the bladder completely. Therefore, this statement does not indicate a correct understanding of the medication’s side effects.
Choice C reason: This medication will help me stop smoking
Chlorpromazine is not used to help people stop smoking. It is primarily prescribed for the treatment of schizophrenia, bipolar disorder, and other psychotic disorders. Medications specifically designed to aid smoking cessation include nicotine replacement therapies and other drugs like varenicline or bupropion.
Choice D reason: I should expect flu-like symptoms while taking this medication
Flu-like symptoms are not commonly associated with chlorpromazine. While some side effects can mimic flu symptoms, such as fatigue or muscle aches, they are not typical and should be reported to a healthcare provider if they occur. This statement does not reflect a correct understanding of the medication’s expected side effects.
Correct Answer is D
Explanation
Choice A reason:
Assisting the client on a bedpan to urinate can help if the bladder is full, as a full bladder can impede uterine contraction and contribute to bleeding. However, this is not the immediate priority. The primary concern is to control the bleeding, which requires more direct intervention.
Choice B reason:
Increasing the client’s fluid intake is important for maintaining hydration, especially if there is significant blood loss. However, this action does not directly address the cause of the bleeding. Immediate measures to control the hemorrhage are more critical.
Choice C reason:
Palpating the client’s uterine fundus is an essential step in assessing the cause of the bleeding. If the uterus is not contracting properly (uterine atony), it can lead to excessive bleeding. However, while this assessment is crucial, it is not the definitive intervention to stop the bleeding.
Choice D reason:
Preparing to administer oxytocic medication is the priority intervention. Oxytocic drugs, such as oxytocin (Pitocin), stimulate uterine contractions, which help to control and reduce postpartum hemorrhage. Administering this medication promptly can effectively manage the bleeding and prevent further complications.
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