A 28-year-old woman with schizoaffective disorder (combination of mood and psychotic symptoms) reports difficulty falling asleep. Which of the following would be most beneficial in this patient?

Correct Answer: D

Rationale: Paliperidone, a second-generation antipsychotic, treats schizoaffective disorder's psychotic and mood symptoms via D2 and 5HT2 antagonism. Its moderate sedative effect, less than chlorpromazine's, can aid sleep onset without excessive drowsiness, fitting her insomnia complaint. Lithium stabilizes mood but doesn't sedate or address psychosis directly. Chlorpromazine, a sedating first-generation antipsychotic, risks oversedation and EPS. Haloperidol, non-sedating, controls psychosis but not mood or sleep. Ziprasidone lacks strong sedation. Paliperidone's balanced profile manages her condition holistically, improving sleep while targeting core symptoms, per evidence.

Correct Answer: A

Rationale: The correct answer is A) "When you inhale the drug the blood supply in your lungs picks it up rapidly, resulting in quicker effects." This response is the best because it accurately explains the pharmacokinetics of inhaled albuterol. By inhaling the medication, it is directly delivered to the lungs where it can quickly enter the bloodstream and start working, providing faster relief for respiratory symptoms like bronchospasm. Option B is incorrect because pills can also be effective in treating various illnesses, but in the case of albuterol for respiratory conditions, inhaled medications are preferred due to their faster onset of action and targeted delivery to the lungs. Option C is incorrect because the route of administration (inhaled vs. oral) does not necessarily determine the number of side effects. Side effects are more related to the specific medication and individual patient factors rather than the route of administration. Option D is incorrect because the effectiveness of a medication is not solely determined by the route of administration. Both inhaled and oral forms of albuterol can be effective, but inhaled albuterol is preferred for conditions requiring rapid relief of bronchospasm. Educational Context: Understanding the pharmacokinetics and rationale behind selecting a specific route of medication administration is crucial for nurses to provide safe and effective care to their patients. In the case of inhaled albuterol, the rapid onset of action and localized effects in the lungs make it the preferred route for treating acute respiratory conditions like asthma or COPD exacerbations.

Correct Answer: C

Rationale: Potassium chloride corrects hypokalemia but is caustic IV, risking phlebitis or tissue damage if it infiltrates. Monitoring the IV site prevents complications, a key precaution. Undiluted or rapid infusion causes burns or arrhythmias'standard is diluted, <10 mEq/hour. A syringe pump isn't required'IV pumps suffice. Site monitoring aligns with potassium's administration risks, critical in hypokalemia where cardiac effects (e.g., arrhythmias) are at stake, making C the nurse's priority to ensure safe delivery.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.