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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Increasing age is a non-modifiable risk factor for cardiovascular disease. As people age, their risk of developing cardiovascular conditions naturally increases due to changes in the heart and blood vessels. However, age cannot be altered or controlled, making it a non-modifiable factor.
Choice B reason: Cigarette smoking is a significant modifiable risk factor for cardiovascular disease. Smoking damages the lining of the arteries, leading to atherosclerosis (narrowing and hardening of the arteries), which can result in heart attacks and strokes. Quitting smoking can significantly reduce the risk of cardiovascular disease, making it a key focus in prevention programs.
Choice C reason: Family history of cardiac disease is another non-modifiable risk factor. Genetics play a crucial role in the predisposition to cardiovascular diseases. If a close family member has had heart disease, the risk is higher. While this factor cannot be changed, awareness can lead to more proactive management of other modifiable risks.
Choice D reason: Diagnosis of diabetes mellitus is a complex risk factor. While having diabetes itself is not modifiable, the management of diabetes through lifestyle changes, medication, and monitoring can significantly reduce the risk of cardiovascular complications. Proper control of blood glucose levels, diet, and exercise are crucial in mitigating this risk.
Correct Answer is B
Explanation
Choice A reason: Free T4
In primary hypothyroidism, the thyroid gland is underactive and does not produce enough thyroid hormones. As a result, free T4 levels are typically low, not elevated. Free T4 is a direct measure of the active thyroid hormone available in the blood. Therefore, an elevation in free T4 is not expected in primary hypothyroidism.
Choice B reason: Thyroid-stimulating hormone (TSH)
Thyroid-stimulating hormone (TSH) is elevated in primary hypothyroidism due to the lack of negative feedback from low thyroid hormone levels. The pituitary gland produces more TSH in an attempt to stimulate the thyroid gland to produce more hormones. This is a hallmark finding in primary hypothyroidism and is used as a key diagnostic indicator.
Choice C reason: Serum T3
Serum T3 levels can be variable in primary hypothyroidism. While they may be low, they are often maintained within the normal range until the condition becomes severe. This is because T3 is produced in smaller quantities and has a shorter half-life compared to T4. Therefore, an elevation in serum T3 is not typically seen in primary hypothyroidism.
Choice D reason: Serum T4
Similar to free T4, serum T4 levels are usually low in primary hypothyroidism. The thyroid gland’s reduced ability to produce thyroid hormones results in decreased levels of both free and total T4. Thus, an elevation in serum T4 is not expected in primary hypothyroidism.
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