A nurse is caring for a client who has schizophrenia and is taking risperidone (Risperdal). Which of the following findings should alert the nurse to a potential adverse effect of this medication? (Select all that apply.)

This is because fatigue is a common side effect of SNRIs (serotonin and norepinephrine reuptake inhibitors) that usually improves over time.SNRIs are a type of antidepressant that work by correcting chemical imbalances of neurotransmitters in the brain.

Choice A is wrong because Discontinue the medication immediately is wrong because abruptly stopping an SNRI can cause withdrawal symptoms such as nausea, headache, and dizziness.

The patient should consult with their provider before stopping or changing their medication.

Choice B is wrong because Increase the dose of the medication is wrong because increasing the dose of an SNRI can increase the risk of adverse effects such as high blood pressure, anxiety, and sexual dysfunction.

The patient should follow the prescribed dose and not adjust it without medical advice.

Choice D is wrong because Administer a stimulant medication is wrong because stimulant medications can interact with SNRIs and cause serious problems such as serotonin syndrome, which is a potentially life-threatening condition characterized by agitation, confusion, fever, and muscle rigidity. The patient should avoid taking any other medications without consulting their provider.

Lamotrigine can cause a serious and potentially life-threatening skin reaction called Stevens-Johnson syndrome, which causes flu-like symptoms, followed by a red or purple rash that spreads and forms blisters.This is more likely to happen in the first 8 weeks of starting lamotrigine, or when the dose is increased too quickly. Therefore, the nurse should instruct the client to report any signs of rash immediately and stop taking the medication until further evaluation.

Choice B is wrong because lamotrigine can be taken with or without food. Taking it with food does not affect its absorption or effectiveness.

Choice C is wrong because lamotrigine does not affect hormonal contraceptives, and vice versa.However, the nurse should advise the client to inform their doctor if they are pregnant or planning to become pregnant, as lamotrigine may have some risks for the fetus.

Choice D is wrong because lamotrigine may take several weeks or months to show therapeutic effects, depending on the condition being treated. The nurse should encourage the client to be patient and adhere to the prescribed regimen.

Choice E is wrong because lamotrigine does not interact with grapefruit juice.However, the nurse should advise the client to avoid alcohol, as it may increase the risk of side effects such as drowsiness, dizziness, and seizures.