Practice Exercise 3

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Total Questions : 10

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Question 1:

Case scenario to use for the questions:

A patient with a known diagnosis of schizophrenia was admitted to the psychiatric area of the hospital after an episode of psychotic behavior.

 

 

The nurse knows that extrapyramidal effects may be seen with antipsychotic medications; what other adverse effects should be monitored for? Select all that apply.

Answer and Explanation

A
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Question 2:

The nurse is discussing with the patient in the scenario being treated for psychoses with antipsychotic medications what to expect. Which statement by the nurse needs to be revised?

Answer and Explanation

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Question 3:

The nurse reviewing a patient’s medication list recognized which one as the antipsychotic?

Answer and Explanation

A
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Question 4:

The nurse knows that the patient in the scenario who has schizophrenia will need to have their medication dose adjusted if they develop which of the following?

Answer and Explanation

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Question 5:

The nurse is caring for a patient who has been taking clozapine (Clozaril) for 2 months. Which laboratory test(s) should be performed regularly while the patient is taking this medication?

Answer and Explanation

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Question 6:

Which of the following second-generation antipsychotics is considered most effective for treatment-resistant schizophrenia and requires strict hematologic monitoring?

Answer and Explanation

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Question 7:

A patient with a feeding tube will be receiving risperidone (Risperdal) 8 mg in two divided doses via the feeding tube. The medication is available in a 1 mg/mL solution. How many milliliters will the nurse administer for each dose?

Answer and Explanation
Correct Answer: "4" mL

Explanation

Determine the dose for each administration:

The total daily dose is 8 mg, which is to be divided into two equal doses.

8mg divide by 2 is 4mg

Calculate the volume to be administered for each dose:

The concentration of the medication is 1 mg/mL. To find the volume in milliliters (mL) for the 4 mg dose, you can use the following formula:

Volume to be administered = Prescribed dose ÷ Concentration of the solution

The prescribed dose is 4 mg.

The concentration is 1 mg/mL.

Calculation: 4 divide by 1 is 4

The volume to be administered is 4 mL.

Take-home points:

  • Always determine the individual dose to be given at each administration time.
  • Use the "Prescribed dose ÷ Concentration of the solution" formula to calculate the Volume.
  • Double-check the total dose, the number of divided doses, and the medication's concentration to avoid any errors.

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Question 8:

Nursing implications of the administration of haloperidol (Haldol) to a client exhibiting psychotic behavior include which of the following? Select all that apply.

Answer and Explanation

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Question 9:

A nurse is preparing to perform a follow-up assessment on a client who takes chlorpromazine (Thorazine) for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? Select all that apply.

Answer and Explanation

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Question 10:

An atypical antipsychotic is prescribed for a patient with psychosis. The nurse understands that this category of medications includes which drugs? Select all that apply.

Answer and Explanation

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