Laboratory results reveal elevated levels of prolactin in a client diagnosed with Schizophrenia. Which symptoms should the nurse expect to observe? Select all that apply.
Galactorrhea
Gynecomastia
Social withdrawal
Apathy
Anhedonia
Correct Answer : A,B
Choice A reason: Elevated prolactin levels can lead to galactorrhea, which is the production of breast milk in individuals who are not breastfeeding.

Choice B reason: Gynecomastia, the enlargement of breast tissue in males, can also be a symptom associated with high prolactin levels.
Choice C reason: Social withdrawal is a symptom of Schizophrenia but is not directly related to elevated prolactin levels.
Choice D reason: Apathy can be a symptom of Schizophrenia but is not directly related to elevated prolactin levels.
Choice E reason: Anhedonia is a symptom of Schizophrenia but is not directly related to elevated prolactin levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement shows that the client is willing to ground their decisions in reality, which is a key step in managing paranoid personality disorder.
Choice B reason: Trusting others is important, but it does not indicate that the client has learned to validate their ideas before acting.
Choice C reason: Differentiating true suspicions is part of managing the disorder, but it does not demonstrate an understanding of the need to validate ideas with others.
Choice D reason: Understanding the origins of paranoid thinking is insightful, but it does not show that the client has learned to validate their ideas before taking action.
Correct Answer is D
Explanation
Choice A reason: Seclusion may be considered for an adult client following a suicide attempt if they are a danger to themselves or others, but it must be used with caution and as a last resort.
Choice B reason: Seclusion could be used for a school-age client who attempts to repeatedly bite staff as a means to prevent harm to others.
Choice C reason: An adolescent client who throws objects at other clients may also be secluded to prevent harm to others, but again, it should be a last resort.
Choice D reason: Seclusion is contraindicated for an older adult client who is manic and crying due to overstimulation as it may exacerbate their distress and agitation.
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