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 B
Explanation
Choice A reason:
Nursing assistants are at risk for various musculoskeletal injuries due to the physical nature of their work, which often involves lifting and moving patients. However, their risk for repetitive motion injuries is generally lower compared to occupations that involve repetitive tasks over extended periods.
Choice B reason:
Assembly line workers are highly susceptible to repetitive motion injuries. Their work typically involves performing the same motions repeatedly, which can lead to conditions such as carpal tunnel syndrome, tendonitis, and other musculoskeletal disorders. The repetitive nature of their tasks places significant strain on specific muscle groups and joints.
Choice C reason:
Truck drivers are more prone to injuries related to prolonged sitting and vibration exposure, such as lower back pain and sciatica. While they may perform some repetitive tasks, such as shifting gears, these do not typically constitute the primary risk for repetitive motion injuries.
Choice D reason:
Elementary school teachers are less likely to suffer from repetitive motion injuries compared to assembly line workers. Their job involves a variety of activities, including standing, walking, and interacting with students, which reduces the likelihood of repetitive strain on specific muscle groups.
Correct Answer is A
Explanation
Choice A reason: Eating a snack half an hour before playing soccer is a good practice for children with type 1 diabetes. Physical activity can lower blood glucose levels, and having a snack beforehand helps prevent hypoglycemia. This statement indicates that the child understands the importance of managing blood glucose levels during exercise.
Choice B reason: My morning blood glucose should be between 90 and 130 is a correct statement regarding target blood glucose levels for children with type 1 diabetes. However, this statement alone does not indicate a comprehensive understanding of diabetes management, as it only addresses one aspect of blood glucose monitoring.
Choice C reason: I should not take my regular insulin when I am sick is incorrect. Children with type 1 diabetes should continue taking their insulin even when they are sick, as illness can cause blood glucose levels to rise. They may need to adjust their insulin dosage, but stopping insulin altogether can lead to dangerous complications like diabetic ketoacidosis.
Choice D reason: I can store unopened bottles of insulin in the freezer is incorrect. Insulin should be stored in the refrigerator, not the freezer. Freezing insulin can damage its effectiveness. Unopened insulin should be kept at a temperature between 36°F and 46°F (2°C to 8°C).
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