When administering an antipsychotic medication to a client diagnosed with schizophrenia, which action would be most appropriate for the nurse to include in the client's plan of care? Select all that apply.

Monitoring the client for neuroleptic malignant syndrome for up to 2 months after initiating the drug.

Encouraging the client to report signs of diabetes, such as increased thirst, hunger, and urination.

Advising the client to report weight gain and skin rashes to the health care provider immediately.

Using the Abnormal Involuntary Movement Scale (AIMS) to assess for neurologic adverse effects.

Administering the medication subcutaneously when the client is unable to swallow effectively.

Answer and Explanation

Correct Answer : A,B,C,D

A. Monitoring the client for neuroleptic malignant syndrome for up to 2 months after initiating the drug. Neuroleptic malignant syndrome (NMS) is a rare but serious adverse effect of antipsychotic medications. Monitoring for NMS, especially during the first few months of treatment, is crucial.

B. Encouraging the client to report signs of diabetes, such as increased thirst, hunger, and urination. Some antipsychotics, particularly second-generation antipsychotics, are associated with an increased risk of metabolic syndrome, including diabetes. Clients should be educated to report symptoms suggestive of hyperglycemia.

C. Advising the client to report weight gain and skin rashes to the health care provider immediately. Weight gain is a common side effect, particularly with second-generation antipsychotics. Skin rashes could indicate an allergic reaction, including serious conditions like Stevens-Johnson syndrome, requiring immediate medical attention.

D. Using the Abnormal Involuntary Movement Scale (AIMS) to assess for neurologic adverse effects. The AIMS scale is used to assess for tardive dyskinesia and other extrapyramidal symptoms, which are potential adverse effects of antipsychotic medications.

E. Administering the medication subcutaneously when the client is unable to swallow effectively. Antipsychotic medications are generally not administered subcutaneously. If a client cannot swallow, an alternative route such as intramuscular injection or an orally disintegrating tablet might be used.

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Correct Answer is A

Explanation

A. "It will not produce sedation like benzodiazepines." Buspirone is a non-sedative anxiolytic, making it safer for long-term use compared to benzodiazepines, which can cause sedation and other CNS depressant effects. This is the best response as it directly addresses the patient's concern about safety.

B. "It produces anticonvulsant action to prevent convulsions." Buspirone does not have anticonvulsant properties, and this response does not address the patient’s question about safety compared to benzodiazepines.

C. "It produces muscle relaxant effects to decrease back pain." Buspirone does not have muscle relaxant effects, and this response does not directly answer the patient’s concern about the safety of the medication.

D. "It provides you with a sleep additive to decrease insomnia." Buspirone does not have significant sedative or hypnotic effects, making this response incorrect.

A. Unequal pupils B. Pupil reaction quick C. Pinpoint pupils D. Absence of pupillary response E. Pupil reacts to light

Correct Answer is ["A","C","D"]

Explanation

A. Unequal pupils: Unequal pupils (anisocoria) can indicate a potential neurological issue, such as intracranial pressure or brain injury, especially after trauma. It is a significant finding requiring further evaluation.

B. Pupil reaction quick: Quick pupil reaction is typically normal and indicates proper neurological function, not a concern.

C. Pinpoint pupils: Pinpoint pupils can indicate opioid overdose or certain types of brainstem injury and should be evaluated as a potential neurological concern.

D. Absence of pupillary response: Absence of pupillary response to light can be a serious neurological concern, indicating severe brain injury or significant neurological compromise.

E. Pupil reacts to light: A pupil that reacts to light is a normal finding and indicates proper neurological function.

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When administering an antipsychotic medication to a client diagnosed with schizophrenia, which action would be most appropriate for the nurse to include in the client's plan of care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient's medication regimen for treatment of anxiety has been changed from a benzodiazepine to buspirone (BuSpar). The patient asks the nurse what makes this medication safer than the benzodiazepine he has taken. What is the nurse's best response?

Correct Answer is A

Explanation

The nurse is assessing the client's pupils following a sports injury. Which of the following assessment findings indicates a neurologic concern? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

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