What is an appropriate step in the initial management of the seven patients receiving atypical antipsychotics?- Nurselytic

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Question 1 of 5

What is an appropriate step in the initial management of the seven patients receiving atypical antipsychotics?

A. No action is necessary, because one potential indication for atypical antipsychotic use is refractory behavioral disturbance in persons with significant dementia. B. Taper to discontinue the atypical antipsychotic; after a 2-week washout, begin therapy with zolpidem. C. Taper to discontinue the atypical antipsychotic, and create day programs that allow patients to develop a sleep deficit/need through the morning/afternoon/early evening. D. Start modafinil or a similar short-acting stimulant to minimize daytime sleepiness.

Correct Answer: C

Rationale: Creating day programs that help establish a sleep deficit and discontinuing antipsychotics is appropriate for managing the patients’ sleep issues.

Question 2 of 5

Snellen chart evaluation indicated that the patient vision is 20/30. What is the proper description of this result?

A. At 20 feet, this patient can see what a person with normal vision can see at 30 feet B. At 30 feet, this patient can see what a person with normal vision can see at 20 feet C. At 20 feet, this patient can see what few people can see at 30 feet D. This patient has sight abilities that are worse than a patient with 20/40 vision

Correct Answer: A

Rationale: 20/30 means that at 20 feet, the patient can see what someone with normal vision sees at 30 feet.

Question 3 of 5

Which of the following statements is true?

A. Decision-making capacity can be determined only by a psychiatrist. B. A diagnosis of dementia precludes competent decision making. C. Lack of decision-making capacity should not be presumed if the patient goes against medical advice. D. Expression of a choice is sufficient to indicate decision-making capacity.

Correct Answer: C

Rationale: A patient's decision-making capacity cannot be assumed to be absent solely based on their refusal of medical advice.

Question 4 of 5

Rapid Human Immunodeficiency virus (HIV) testing would be appropriate for a patient with complaints of:

A. Painful bowel movement, anal itching, and painful or swollen testicles or abnormal menstrual bleeding B. Painful urination, dyspareunia, and vaginal or penile discharge C. Fever, headache, and lymphadenopathy D. None of the above

Correct Answer: C

Rationale: Acute HIV symptoms may include fever, headache, sore throat, and lymphadenopathy.

Question 5 of 5

During an acute attack of gout, the nurse practitioner knows NOT to prescribe:

A. Colchicine (Colcrys) B. Allopurinol (Zyloprim) C. Steroids D. NSAIDs

Correct Answer: B

Rationale: Allopurinol should not be used during an acute gout attack as it may worsen symptoms.

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