The nurse is providing discharge instructions to the client being prescribed antipsychotic medications. Which discharge instruction(s) should be included? Select all that apply.

Take all antipsychotic medications as directed.

Notify the health care provider if you have hypertension or severe muscle stiffness.

Double the next dose if you forget one dose.

Stop the medication for any side effects.

Report any rhythmic, involuntary movements of the tongue, face, mouth, jaw, or extremities immediately.

Answer and Explanation

Correct Answer : A,B,E

A. Take all antipsychotic medications as directed: Adherence is critical for managing symptoms and preventing relapse. Antipsychotics must be taken consistently and exactly as prescribed to maintain therapeutic effectiveness and minimize side effects.
B. Notify the health care provider if you have hypertension or severe muscle stiffness: These symptoms may indicate serious adverse effects, such as neuroleptic malignant syndrome. Prompt reporting allows for early intervention and prevention of life-threatening complications.
C. Double the next dose if you forget one dose: Doubling the dose increases the risk of overdose and severe side effects. Clients should be instructed to take the next dose as scheduled and never compensate for missed doses.
D. Stop the medication for any side effects: Suddenly stopping antipsychotics can lead to symptom rebound or withdrawal effects. Side effects should be discussed with the provider, who can adjust the dose or switch medications safely.
E. Report any rhythmic, involuntary movements of the tongue, face, mouth, jaw, or extremities immediately: These are signs of tardive dyskinesia, a potentially irreversible side effect of long-term antipsychotic use. Early detection is essential to prevent progression and guide changes in therapy.

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

Explanation

A. Eroded teeth enamel: Frequent vomiting in bulimia nervosa exposes teeth to stomach acid, leading to enamel erosion. This is a classic physical sign associated with purging behavior.
B. Younger onset than anorexia nervosa: Bulimia nervosa typically has a later onset than anorexia nervosa, often emerging in late adolescence or early adulthood. This statement is inaccurate for distinguishing between the two disorders.
C. Denial of abnormal eating habits: Clients with bulimia nervosa are often aware of their disordered eating behaviors and may express guilt or shame. Denial is more characteristic of anorexia nervosa.
D. Overweight or normal weight: Unlike individuals with anorexia, those with bulimia usually maintain a normal or slightly above-average weight, due to cycles of binge eating and purging rather than extreme caloric restriction.
E. Admits to purging and binging: Admission of binging and purging episodes is a key behavioral characteristic of bulimia nervosa. Clients may describe eating large amounts of food followed by self-induced vomiting or use of laxatives.
F. Appears thin but feels fat: This perception is more commonly associated with anorexia nervosa, where body image distortion is profound despite extreme thinness. Bulimia clients often have less severe weight loss.

A. Pasta B. Coffee C. Peanut butter D. Angel food cake

Correct Answer is C

Explanation

A. Pasta: While pasta may contain small amounts of potassium, it is not considered a significant source. It is primarily a carbohydrate and not beneficial for potassium replacement in clients on diuretics like furosemide.
B. Coffee: Coffee contains minimal potassium and may have diuretic properties of its own, which could further contribute to fluid and electrolyte loss. It is not an appropriate choice for potassium supplementation.
C. Peanut butter: Peanut butter is a good dietary source of potassium. Including potassium-rich foods like peanut butter helps prevent hypokalemia, a common side effect of furosemide due to increased urinary potassium excretion.
D. Angel food cake: Angel food cake is low in potassium and mainly composed of sugar and egg whites. It does not offer nutritional value for managing electrolyte balance in clients taking loop diuretics.

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The nurse is providing discharge instructions to the client being prescribed antipsychotic medications. Which discharge instruction(s) should be included? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A client is being evaluated for an eating disorder. Which nursing assessment finding(s) is most indicative of a client with bulimia nervosa? Select all that apply.

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

Explanation

A client is taking furosemide for the treatment of heart failure. What food should the nurse suggest that is rich in potassium?

Correct Answer is C

Explanation

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