Psychotic Disorders no. 4054

Psychotic Disorders no. 4054

QUESTION: A client has a history of chronic undifferentiated schizophrenia. Because she has a history of noncompliance with antipsychotic therapy, she'll receive fluphenazine decanoate (Prolixin Decanoate) injections every 4 weeks. Before discharge, what should the nurse include in her teaching plan?

✘O a.) Asking the physician for droperidol (Inapsine) to control any extrapyramidal symptoms that occur
✓O b.) Sitting up for a few minutes before standing to minimize orthostatic hypotension
✘O c.) Notifying the physician if her thoughts don't normalize within 1 week
✘O d.) Expecting symptoms of tardive dyskinesia to occur and to be transient

RATIONALE

RATIONALE: The nurse should teach the client how to manage common adverse reactions, such as orthostatic hypotension and anticholinergic effects. Antipsychotic effects of the drug may take several weeks to appear. Droperidol increases the risk of extrapyramidal effects when given in conjunction with phenothiazines such as fluphenazine. Tardive dyskinesia is a possible adverse reaction and should be reported immediately.
NURSING PROCESS STEP: Planning
CLIENT NEEDS CATEGORY: Physiological integrity
CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapies
COGNITIVE LEVEL: Application