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Questions and Answers
What type of symptom is Risperidone (Risperdal) expected to address in a client diagnosed with schizophrenia?
Which medication would a physician most likely order to address tactile hallucinations in a client diagnosed with schizophrenia?
If a client reports hearing disturbing voices, which medication is most appropriate for addressing this symptom?
In the context of schizophrenia treatment, what would benztropine (Cogentin) typically be used for?
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Which symptom would Clozapine (Clozaril) most likely address in a client diagnosed with schizophrenia?
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When a client presents in an emergency department with uncontrollable tongue movements, stiff neck, and difficulty swallowing, which condition and treatment would a physician most likely recognize?
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What is the most appropriate treatment for extrapyramidal symptoms caused by antipsychotic medications?
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After taking chlorpromazine (Thorazine) for a month, a client presents with severe muscle rigidity, tachycardia, and a high temperature. What condition is the client likely experiencing?
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A client with schizophrenia taking antipsychotic medication daily has a temperature of 104F. What should a nurse do?
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What would be the appropriate action if a client presents with excessive salivation while taking an antipsychotic agent?
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What is the best course of action if a client exhibits weight gain while on antipsychotic medication?
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Which action would be most appropriate for a nurse when an aging client diagnosed with chronic schizophrenia takes both an antipsychotic and a beta-blocker for hypertension?
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Study Notes
Treatment of Schizophrenia
- Risperidone (Risperdal) is primarily used to address positive symptoms of schizophrenia, such as hallucinations and delusions.
- Clozapine (Clozaril) is effective for treatment-resistant schizophrenia and is known for its ability to reduce violent behavior and address negative symptoms.
- Antipsychotic agents like olanzapine or risperidone are likely prescribed to treat auditory hallucinations, particularly when clients report hearing disturbing voices.
- For tactile hallucinations in schizophrenia, a physician may prescribe a medication such as risperidone or olanzapine.
Management of Side Effects
- Benztropine (Cogentin) is typically used to manage extrapyramidal symptoms (EPS) resulting from antipsychotic medications, such as tremors or rigidity.
- Severe muscle rigidity, tachycardia, and high temperature after taking chlorpromazine (Thorazine) indicate the possible development of neuroleptic malignant syndrome (NMS), a life-threatening condition.
- The most appropriate treatment for extrapyramidal symptoms tends to be the administration of anticholinergic medications like benztropine.
Emergency Responses in Schizophrenia Treatment
- If a client presents with uncontrollable tongue movements, stiffness, and difficulty swallowing, these may indicate acute dystonia or EPS, commonly treated with benztropine.
- When a client on antipsychotic medication has a high fever (e.g., 104°F), the nurse should assess for signs of NMS and report the condition promptly.
- In cases of excessive salivation while on antipsychotics, the nurse should consult a physician for possible anticholinergic medication or adjust treatment.
- Weight gain is a common side effect of antipsychotic medications; a lifestyle modification plan focusing on diet and exercise should be initiated.
Considerations for Aging Clients
- For elderly patients taking both antipsychotics and beta-blockers, it is crucial to monitor for interactions and adjust dosages as necessary to maintain safety and efficacy.
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Description
Test your knowledge on schizophrenia medications by answering a question about addressing specific symptoms in a client diagnosed with schizophrenia. Learn about the use of different medications in schizophrenia treatment.
