Exam #2 Question&answer

A patient is treated for psychosis with fluphenazine. What drug will the nurse anticipate may be given to prevent the development of acute dystonia? 1. Benztropine (Cogentin) 2. Diazepam (Valium) 3. Haloperidol (Haldol) 4. Lorazepam (Ativan) {Ans: Answer 1. Rationale: Benztropine (Cogentin), an anticholinergic, may be given to suppress the tremor and rigidity that may be caused by fluphenazine or other phenothiazine antipsychotic drugs. Options 2, 3, and 4 are incorrect. Diazepam (Valium) and lorazepam (Ativan) are benzodiazepines and will not prevent acute dystonia. Haloperidol (Haldol) is an antipsychotic drug and may increase the risk for acute dystonia.}Levodopa (Larodopa) is prescribed for a client with Parkinson's disease. At discharge, which of the following teaching points should the nurse include? 1. Monitor BP every 2 hours for the first 2 weeks 2. Report the development of diarrhea 3. Take the pill on an empty stomach or 2 hours after a meal containing protein 4. If tremors seem to worsen, take a double dose for two doses and call the provider {Ans: Answer 3. Rationale: Taking dopamine replacement drugs such as levodopa with meals containing protein significantly impairs absorption. The drug should be taken on an empty stomach on 2