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1. Since the summer weather began, a patient taking lithium for manic
episodes has been walking daily. What important instruction should the nurse
provide to this patient?
Ans: Maintain hydration
2. A patient with bipolar disorder is being treated with tricyclic medications.
What should the nurse inform the patient to expect when teaching information
concerning side effects?
Ans: Orthostatic Hypotension
3. A patient is receiving large doses of chlorpromazine (Thorazine) and be-
gins to exhibit extrapyramidal signs of involuntary muscle movement. Which
classification of drugs should the nurse anticipate will be added to the pa-
tient's protocol?
Ans: Anti-parkinsonian
4. A long
Ans: time patient with schizophrenia in the inpatient unit has developed
involuntary movements of his tongue. What has this patient developed?
, - Tardive Dyskinesia
5. A nurse is caring for a client who has paranoid schizophrenia and a new
prescription for risperidone. The client asks the nurse what the medicine is
supposed to do. Which of the following responses should the nurse make?
Ans: - "This medication will help to clear your thinking."
6. A nurse is caring for a client who has paranoid schizophrenia and is taking
quetiapine. The nurse should observe the client for which of the following
adverse effects?
Ans: Drowsiness
7. A nurse is collecting data from a client who has schizophrenia and recent-
ly stopped taking chlorpromazine after 8 years. The nurse notes choreiform
movements, lip smacking, and spastic facial distortions. The nurse should
document these findings as indicating which of the following conditions?
Ans: - Tardive dyskinesia
8. A nurse is caring for a client who has schizophrenia and is receiving
clozapine. For which of the following findings should the nurse monitor to
determine if the medication is having a therapeutic effect?
Ans: Decreased auditory hallucinations
9. A nurse is administering risperidone to a client who has schizophrenia.
For which of the following adverse effects should the nurse monitor?
Ans: In- creased triglyceride levels
10. A nurse is caring for a client who has schizophrenia and taking
haloperidol. The nurse observes that the client has developed a stooped
posture and shuffling gait. The nurse should document these findings as
which of the following extrapyramidal side effects of haloperidol?
Ans: Pseudo parkinsonism