Podcast
Questions and Answers
What type of symptom is Risperidone (Risperdal) expected to address in a client diagnosed with schizophrenia?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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.
