Blockade of D2 receptors (Dopaminergic) causes which of the following adverse effects of antipsychotic medications? 

A PMHNP is evaluating an effective medication choice for a client who has schizophrenia and exhibits lack of grooming and a flat affect. The PMHNP should prescribe which of the following medications? 

Which of the following is NOT information you will need to give to emergency medical personnel in the case of accidental exposure to anesthetics? 

Answer the following question based on the case study below:  What is the top priority for the PMHNP?  Casey is a 23 yo client who has been recently diagnosed with schizophrenia. He experienced his first psychotic break at age 22 while serving in the military. Casey lives at home with his parents and is reluctant to accept his diagnosis, stating “I got bad weed” in the service and “will be fine once the weed leaves my body.” He has been adherent with appointments but only intermittently takes his Risperdal (3mg po) twice a day. His parents are threatening to kick him out of the house is he does not start accepting treatment.  Casey has a history of juvenile-onset diabetes and has struggled to maintain a diabetic diet and to control his weight. When asked to identify his current goals, Casey wishes to find a good wife, have children, and settle down to a normal life. There are many issues to consider in planning care for this client. 

When assessing for metabolic syndrome in a client currently taking an antipsychotic medication, what item should be assessed? 

Please answer the following question based on the case study below:  What referral would be most appropriate for this client? The patient is a 29 year old, single, white female who works as a registered nurse and lives with her family. She is self referred to your office.  CC: “Increasing anxiety and obsessive thoughts.”  HPI: The patient reports feeling overwhelmed and “lost”, has a lack of energy, and a lack of interest in things she used to enjoy. She is tired all the time. She has been dealing with OCD for most of her life, but it has become increasingly harder to manage. She is checking the stove and the doors more compulsively. Whenever she drives over. bump in the road she has to go around the block to make sure she did not run someone over. Subsequently, she has been getting to work late and avoiding driving other than going to work and back. She is socially isolated. Additionally, she has obsessional fears that someone she loves is going to die.  Past Psychiatric History: Anxious as a child, often checking, diagnosed with anxiety in high school. Placed on sertraline but it made her feel “uncomfortable” so she switched to fluvoxamine and later fluoxetine. She does not know why it was switched. She stopped medication last year because she “was fine.” 

Why does the health care provider prescribe furosemide 40 mg twice a day by mouth for a patient with a history of renal insufficiency?

When caring for a patient with angina pectoris, the nurse would question a prescription for a non-cardioselective beta blocker in a patient with which pre-existing condition?

While assessing the patient, the nurse notes severe edema of the hands and feet from third spacing. The patient is having signs and symptoms of intravascular dehydration, and the total protein laboratory result is 4.6 g/dL (normal value is 6.0 to 8.3 g/dL). The nurse anticipates the health care provider will prescribe which IV solution for this patient? 

A patient is admitted with severe hypertensive crisis. The nurse will anticipate administering which medication?