章节:Schizophrenia, Other Psychoses, and Cognitive Disorders

SC
正确指数:0% 正确的次数:0 错误的次数:1 7384---A client diagnosed with schizophrenia gained 50 lb (22.7 kg) in 6 months while taking olanzapine. After a prescription change from olanzapine to ziprasidone, the client tells the nurse, “I do not want to take this ziprasidone either. I cannot gain any more weight.” Which response by the nurse is most appropriate for this client?

Saunders Comprehensive Review for the NCLEX-RN® Examination, 7e (Saunders Comprehensive Review for Nclex-Rn)

1. “Ziprasidone causes less weight gain than do the other atypical antipsychotics.”
2. “We can give it to you as an injection rather than in capsule form.”
3. “Abnormal movements are not as common with ziprasidone.”
4. “You can take it just before bedtime, so you will not need a snack.”

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正确答案:
1. “Ziprasidone causes less weight gain than do the other atypical antipsychotics.”
解释 :
Most clients experience less weight gain when taking ziprasidone. Although ziprasidone can be administered intramuscularly, it can be used only on an as-needed basis by this route. Ziprasidone has fewer extrapyramidal side effects, but that is not this client’s major concern. Ziprasidone is better absorbed when taken with food, so a bedtime snack is needed.