A nurse is caring for a client who is receiving haloperidol the nurse should identify
However, some patients may require. Available is haloperidol 5 mg/ml. 4. Nurses should be aware of the possibility of polysubstance abuse in their patients. Quick Answers: 187. Monitor the client's cardiac rhythm during the procedure. D . A client is in her third month of her first pregnancy. Each patient is a unique individual and should be celebrated. Nursing Key Topics Review: Pharmacology - E-Book (p. During the interview, Meldy experiences a sharp abdominal pain on the right side of her abdomen. A client with neck vein distention. )psychotherapy. C) The nurse should report any case of suspected child abuse to the nurse in charge. Upheria Euphong B. Stop the oxytocin infusion c. A client with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a. "I will be careful not to gain too much weight while taking this medication. After 30 years in the Air Force, Colonel Cox is now a VA nurse focusing on reducing Veteran opioid dependence. Without a sense of caution, however, these understandable needs and potential benefits may result in the nurse disclosing too much information, and violating patient privacy and confidentiality. In assessing suicide potential, the nurse should pay close attention to the clients: 3) Diphenhydramine. McKlindon. To ease insertion of the catheter into a male client, the nurse should hold the penis how many Degrees against the body? Perpendicular or 90. (C) The nurse should assess the mother's knowledge of the baby's condition as the first priority. "I will take the medicine before going to bed. the NCLEX-RN and the NCLEX-PN. Transcript: Comfort Level? Learning Outcomes MYTH Journal Entry Quality of Life People with: Concerns? Communication Between nurse and client/family Between nurse and interprofessional team Only patients benefit from palliative care Palliative care patients still receive treatment Palliative care is the same as euthanasia Palliative care is offered to cancer patients only 27 September, 2013. 50. The nurse should tellthe client to A) go get a blood pressure check within the next 48 to 72 hours B) check blood pressure again in 2 months C) see the health care provider immediately D) visit the health care provider within 1 week for a BP check7. ATI COMPREHENSIVE C 1. Check the client’s peripheral A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic medication. uses client information only for the purpose(s) for which it was collected. The nurse should instruct the client to expect which of the following prescriptions from the provider? A. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? 12- A nurse is caring for a client who is receiving haloperidol 2 mg IM every 6 hr. The client has received a significant amount of opioid analgesics for pain control. The RN should include which interventions in the plan of care for a client admitted to the mental health unit after an attempted suicide? Select all that apply. "If I feel drowsy during the day, I will stop taking this medication and call my provider. A nurse is caring for a client who is receiving haloperidol 2 mg IM every 6 hr. Monitor for muscle weakness. A nurse is caring for a patient who just started on an antipsychotic drug and who begins to complain of severe muscle spasms of the tongue, face, and back. Pharm 23198. The nurse should identify which of the following client findings as an indication that she should complete an incident report? The client reports shortness of breath. Consequently, hospital nurses caring for these complex patients are on the front line for preventing, recognizing, and helping treat patients with AWS. •Provide emotional support, relief of physical and psychologic discomfort, and opportunities to talk about fears and concerns. The US started NCLEX test from 1982 and Canada started from 2015. a. C Auscultate the client’s lung sounds for changes. The nurse is has just admitted a client with severe depression. James Lacy, MLS, is a fact checker and researcher. ; nclex 3500 34. Blood in the urine C. Prior to administering the medication, it is necessary for the Psychiatric Technician to: Assess orthostatic blood pressure. Copy one simple geometric figure. The nurse is caring for a male client with diminished circulation in the lower extremities. Approach the client and say in firm voice, "That was inappropriate. Initial nursing assessment reveals that the client's wrists are scratched from a recent suicide attempt. The need for sedative therapy in critical care adults receiving mechanical ventilation is well established; 85% of intensive care unit (ICU) patients are given intravenous sedatives to help attenuate the anxiety, pain, and agitation associated with mechanical ventilation. Immediately post-op, the nurse should: Maintain the client in a semi-Fowler's position with the head and neck supported by pillows. Assist the client to develop an exercise program. )total abstinence. a 16 yr old male, post-motorcycle injury with lacerations The client requires assistance with eating. What does this mean? Understand the Nursing Process and be prepared to recognize examples of it. m. Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots. (Dossey, Hess, et. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? A nurse is caring for a client who has been taking a daily dose of warfarin as prescribed for the past 2 weeks following an acute myocardial infarction. for a named patient on an NHS prescription is the property of that person and must. Address the client and say in a calm voice, "The staff will work hard to make sure you receive proper respect here. A nurse in an emergency mental health facility is caring for a group of clients. 1–4 The overall goals of the sedation are to provide stability in physiological status and comfort. The client asks the psychiatric technician what foods are rich in thiamine. The nurse aspirates 75 mL of residual prior to the next feeding. Controlling EOL symptoms, providing family support, and recognizing the patient’s unique attributes can make this area of nursing practice as rewarding as it is challenging. QUES: a female client with OCD is describing her obsessions and compulsions and asks the nurse why these make her feel safer. 4–6 However, use of State Category: Basic Nursing Care A client recovering from alcoholism reports that his physician said he was deficient in thiamine. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? A. A comprehensive admission history using alternative sources of information is also essential in highlighting those who may be suffering from depression. Defamation of character A nurse is receiving change-of-shift report for four clients. 	a nurse is caring for a client who is A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy. 05. Speaks in behalf of the Psychiatric Nursing Pre-Test 1. She further tells you that an hour ago, she ate fatty food and this had happened many times before. 01. the nurse should have an empathetic relationship with the client. ). The nurse should identify which of the following findings as an adverse effect of the med? -Akathisia = CORRECT ANSWER An adverse effect associated with haloperidol is the development of extrapyramidal A nurse is caring for a client who has schizophrenia and is taking haloperidol. 3) Diphenhydramine. A violence assessment tool can help the nurse. In assessing suicide potential, the nurse should pay close attention to the clients: A Ask the client to rate the dyspnea on a scale of 0 to 10. which should the nurse document to indicate the effectiveness of the therapy: 1) Increased 22. The client independently manages personal finances. C. Check the client’s peripheral A nurse in a mental health unit is contributing to the plan of care for a client who is receiving treatment for self-inflicted injuries. D) The nurse should note in the client’s record any suspicions of child abuse so that a history of such suspicions can be tracked. DEA, FDA, CDC, etc) The HALF-LIFE of a medication is 60 minutes. Dry mouth d. Infection 2. "This medication is highly addictive and must be withdrawn slowly. how many ml should the nurse administer? (Round the answer to the nearest tenth. Taking medications containing aspirin. All suspect cases should be tested to determine if they are a confirmed case. Some of these include the services provided, location and length of care. It includes nurses working with the client to create goals directed at improving their health status. A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. A. State three random words mentioned earlier in the exam. tools in nursing practice, and the Internet provides an alternative media for nurses to engage in these helpful activities. “They 22. A nurse is caring for a client who has physical restraints applied. )Alcoholics Anonymous (AA). Which of the following should the nurse include in the care plan for the parents? Perform a family assessment to assist in the planning of intervention correct–assessment, this will help the nurse to know where the family is in regard to grieving, coping, etc. She asks the nurse what some of the risks are in taking this medication. Home / Nursing Careers & Specialties / Long-Term Care Nurse Long-term care nurses care for patients who have an illness or condition that requires care fo FAQs Ask a Question Toll Free Numbers Media Contact Hospitals and Clinics Vet Centers Regional Benefits Offices Regional Loan Centers Cemetery Locations Veterans Crisis Line: 1-800-273-8255 (Press 1) Social Media Complete Directory U. 	A nurse is caring for a client who is receiving haloperidol 2 mg IM every 6 hr. A nurse is receiving shift report for four clients in an acute care mental health facility. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? The nurse caring for a client taking risperidone (Risperidal) observes the client carefully for: napping during the day, a weight gain, and reports of dizziness. Rhinomhout C. A client who is scheduled for an intermittent enteral feeding in 2 hr and reports diarrhea c. a 23 yr old female, postoperative ruptured appendix 2. A nurse returns to evaluate a client who has been receiving a blood transfusion for the past 30 minutes. Obtain a baseline body weight. The nurse should identify that the AP is committing which of the following torts? Libel. Clients on chronic hemodialysis have higher rates of hepatitis B, hepatitis C, cytomegalovirus, and HIV infection than the general population. . CHAPTER 22 Major Psychotropic Interventions and Patient and Family Teaching OVERVIEW Although the origins of a psychiatric illness are influenced by a number of factors (genetic, neurodevelopmental, psychosocial experience, infections, drugs), eventually an alteration in cerebral function occurs that accounts for disturbances in the patient’s behavior and mental experience (Varchol, 2013). How suicidal the client is C. ) A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). g. Anxiety A. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? CHAPTER 3A nurse is caring for a client who is receiving clindamycin (Cleocin) 200 mg by intermittent IV bolus. A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The client is experiencing a side effect to the antibiotic. However, the nurse should attempt to first determine the etiology of the patient's noncompliance with oral treatment before changing to LAI. What assessment should the nurse prioritize to best address the risk for adverse effects? a. Nursing Process Focus: Patients Receiving Haloperidol (Haldol) Assessment Prior to administration: • Assess for hallucinations and the level of consciousness both initially and throughout drug therapy. Use a leading zero if it applies. The nurse should identify that which of the following is a potential adverse effect of taking both of these products concurrently? A nurse is a receiving report on four clients. Subscribe to VHSL Newsletters © 2020 WHO – EMRO Learn more about managed care nursing careers and necessary education requirements. A 6-year old with a sprial fracture of the tibia and fibula, which reportedly occurred while riding a bicycle. Click Here to Verify An Individual Single State or Multistate License using Nursys Licensure Quick Confirm. 3. Local swelling at the injection site 8. Option D should be eliminated because this option places the client's feelings on hold. OBJECTIVE To determine efficacy of risperidone or haloperidol relative CONCLUSIONS AND RELEVANCE In patients receiving palliative care, 13. Describe how the nurse would assess if the patient has died. The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). Monitoring the leukocyte count for 2 days after the infusion 2. 3. Can the nurse pronounce a patient dead? b. What nursing responsibility should be prioritized? Monitor the client’s fluid balance and sodium intake. Assessment of deep tendon reflexes d. 73. Patients often experience nausea and vomiting when they are receiving palliative care and thorough assessment is necessary to achieve the best possible treatment. Which medication should the nurse tell the family However, the nurse should attempt to first determine the etiology of the patient's noncompliance with oral treatment before changing to LAI. A – the nurse should not allow the family to leave until the infant car seat is placed in the proper position. A nurse is collecting data from a client who was bitten by a tick one week ago. (A) The nurse should call the orthopedist after assessing the mother's knowledge. Which of the following clients should the nurse assess first? a. (D) This answer is correct, but the priority is B. Which of the following should the nurse identify as a manifestation of pulmonary congestion? A. Generalized urticaria b. Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Be sure to update and revise the care plan for a restrained patient to help find ways . 2 The Joint Commission Nurses will often encounter patients with both short- and long-term depression. A nurse is caring for a client with the diagnosis of somatoform disorder, conversion type. & Barnsteiner (1999) suggest that the therapeutic relationship needs to be a two-way, reciprocal relationship at all times, involving nursing staff, the patient and their family, where appropriate. Caring with Confidence: The Code in Action Our core role is to regulate, and to ensure we regulate as well as possible, we proactively support our professions. Encourage the client to turn her head side to side, to promote drainage of oral secretions The nurse is providing a medication schedule for a client taking aluminum/magnesium antacid for gastritis. ) A 27-year-old male client is admitted to the acute care mental health unit for observation. He has recently lost his job, and his wife told him yesterday that she wants a divorce. 000 for nursing care for the client undergoing he-modialysis. The nurse finds the following PRN medications ordered for the client. All states and territories legislated a nurse practice act (NPA) which establishes a board of nursing (BON) with the authority to develop administrative rules or regulations to clarify or make the law more specific. The nurse should identify which of the following findings as an adverse. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? A nurse is caring for a client who is receiving haloperidol 2 mg IM every 6 hr. Although she is 5ft8in and weighs only 103 lb, she talks incessantly about how fat she is. Examples of cases where a nurse should be reported immediately include: Appearance of being impaired by drugs or alcohol while working; Stealing from a patient or client, including medications; Providing treatment or care that should be provided only A nurse is caring for a client who has pneumonia. fever. Patients were randomized to receive either enteral olanzapine or haloperidol. Click Here to Find Out Where a Nurse can Practice and whether the nurse has a single state or multistate license. The nurse should tell the client that the only effective treatment for alcoholism is: a. B) Around the ankles. A nurse is caring for a client who reports using the herbal medication garlic along with prescribed warfarin. , children with diabetes). The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? The nurse is caring for a client receiving haloperidol (Haldol). which should the nurse document to indicate the effectiveness of the therapy: 1) Increased ATI Pharmacology 2019 B 1) A nurse is caring for a pt who is receiving Haloperidol. Avoid becoming overheated or dehydrated during exercise and in hot weather. caring requires the recognition of clients as unique individuals whose goals nurses facilitate. Assess patient’s potential for violence. Here are guidelines di Many factors contribute to the cost of nursing home care. The nurse obtained a verbal prescription for restraints. Following the assessment , if the patient is believed to be potentially violent, the nurse should: NCLEX Practice Test 15 Tutorial for nclex-rn. 8 a. Her sister, Aurora Suarez, told me that the staff dosed Natividad with Haldol, an antipsychotic drug, to ease the burden of bathing her. Rapid tongue movements 4. 2015 г. What should the nurse ask the client to do when testing short-term memory? Subtract serial 7s from 100. Elsevier. When reviewing the plan of care, the nurse should prepare to monitor the client for which risk that is associated with placenta previa? 1. 118. The nurse is caring for a client with a nasogastric tube who is receiving intermittent tube feedings by gravity every 4 hours. Nurse Tony should first discuss terminating the nurse-client relationship with a client during the: A. examine the inguinal lymph nodes. which should the nurse document to indicate the effectiveness of the therapy: A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Iron deficiency anemia develops when body stores of iron drop too low to support normal red blood cell (RBC) production. Insomnia b. The client’s most recent INR is 1 to 2. " 2. Use the decision tree on page 11 to determine whether an activity or behaviour is appropriate within the context of the nurse-client relationship. The nurse should determine that the client needs continuing counseling care of a stage IV pressure ulcer, receiving IV antibiotics per a. Which of the following should the actions the nurse take? A. Based on these manifestations, which antipsychotic drug should the nurse suspect that the prescriber may have ordered? State Category: Basic Nursing Care A client recovering from alcoholism reports that his physician said he was deficient in thiamine. There is a need to emphasise caring in this relationship, with positive communication and clear boundaries. Cleanse with povidone-iodine solution. The nurse should suggest that the caller speak to the patient’s therapist. 	A nurse in an acute mental health facility receives change-of-shift report on a group of clients. The nurse should identify which of the following findings as an adverse effect of the med? An adverse effect associated with haloperidol is the development of extrapyramidal manifestations such as dystonia, pseudoparkinsonism, and akathisia A nurse is caring for a client who is receiving haloperidol (Haldol). A nurse is caring for several clients at an urgent care center. The nurse is caring for a client who has been taking an oral neuroleptic medication for several years. (Option 4) Dry mouth is an expected side effect. How flat the client’s affect is B. Patient's delirium severity and benzodiazepine use 30. Provide one-to-one contact with the patient. 5. plan of care C. Neuroleptic malignant syndrome treated by discontinuing antipsychotic medications 2. -Haloperidol decanoate for injection may be given as one-half of the monthly dose IM every 2 weeks in specific patients or situations. Make rounds at the same time every hour. If nonadherence is related to undesirable adverse effects of oral treatment, then the patient should first be changed to an alternative oral medication before transitioning to LAI (APA, 2019). Which of the following interventions should the nurse recommend for inclusion in the plan of care? A. (B) The nurse must first assess the knowledge of the parent before attempting any explanation. Teach the client to identify cognitive distortions. 2021 г. In addition, business associates of covered entities must follow parts of the HIPAA regulations. To promote the best absorption, this drug should be given when? Select all that apply. A nurse is assessing a client who has left-sided heart failure. A nurse is caring for a client who has just delivered a newborn following a pregnancy with a placenta previa. During the infusion, the client complains of pain at the insertion site. e. There are 2 types of NCLEX test i. 9% sodium chloride (0. The nurse should identify which of the following findings as an adverse effect of the med? -Akathisia = CORRECT ANSWER An adverse effect associated with haloperidol is the development of extrapyramidal 1) A nurse is caring for a pt who is receiving Haloperidol. A nurse on an inpatient psychiatric unit implements care by scheduling client activities, interacting with clients, and maintaining a safe therapeutic environment. 03. The nurse should identify which of the following findings as an adverse effect of the medication? akathisia A nurse is teaching about a new prescription for ciprofloxacin to a client who has a urinary tract infection. c. Which measure should the nurse take first when caring for this client? A. "One dose of this medication will be needed. Graduate Nurses (GNs) and Graduate Licensed Practical Nurses (GLPNs) will clients receiving heparin or LMWH must weigh at least 5 kg to. Question. A nurse is assessing a client who has antisocial personality disorder. Solution for A community health nurse is instructing a group of clients about vitamin supplements and how the body can retrieve fat-soluble vitamins from… The nurse should recognize that the patient's compromised renal function will likely. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? 4. Monitoring the client’s cranial nerve function c. After 6 weeks of treatment the nurse dtermines that the medication was effective if the: A nurse providing teaching to a client who has just been prescribed prazosin Minipress which of the following client statement indicates understanding of teaching: A nurse 29. The nurse should identify that the client is using which of the following defense mechanisms? 41. Iron deficiency is defined as a decreased total iron body content. One of the most important principles of the therapeutic relationship when the nurse works with a client with a mental disorder is that: Answer. Welcome to the National Council Licensure Examination (NCLEX-RN) Exam 15! These 50 questions will help you prepare for the 2019 NCLEX-RN 15 examination. The client suddenly cries out, his neck twists to one side, and his eyes appear to roll back in the sockets. Which of the following clients should the nurse assess first? A nurse is caring for a client just received the first dose of lisinopril. The client tells the nurse she is pregnant and that she has not told her provider yet. a nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder. Precautions to prevent suicide must be a part of the plan. Ignore any client complaints. the nurse should self-disclose. The nurse should know that these manifestations indicate a diagnosis of: a nurse is caring for a pt who was admitted with acute psychosis and is being treated with haloperidol, the nurse should suspect that the pt may be experiencing TD when the pt exhibits ATI Pharmacology Proctored Exam 2019 B. Nursing programs are frequently unable to provide opportunities to participate in end-of-life nursing care in the traditional clinical setting, despite evidence that experiential learning enhances student attitudes about death and increases self-efficacy and competency levels. 556. 13. D Question the client about when the dyspnea eases or worsens. 4 ml A nurse is caring for a client who has a stage 3 pressure ulcer. Occasionally, gastrointestinal symptoms are too severe to continue the medication. Haldol is used in adults whose condition has previously been treated with haloperidol taken by mouth. Plans nursing care with the patient. Support the client through the hallucination in a caring, therapeutic manner. which should the nurse document to indicate the effectiveness of the therapy: 1) Increased platelet count A nurse is an emergency department is caring for a client who has been taking haloperidol (Haldol) for the past 3 months. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? A nurse is caring for a client who reports using the herbal medication garlic along with prescribed warfarin. The nurse is discussing the use of transdermal estrogen with a female client who is considering using this formulation. Good nursing and supportive care is the most important factor in managing close to the patient about delirium, what could be causing it, 13. ) 200 mL/hr ATI COMPREHENSIVE C 1. " 3. The client has had wrist restraints on and off for the past two days while in the hospital and the nurse is considering what options could be implemented instead. The client or nurse should notify the health care provider who may change the medication or ask the client to take an over-the-counter anti-diarrhea medication. -Bruising Ecchymosis can indicate thrombocytopenia, which is not an adverse effect of sumatriptan. For which client should the nurse question this order? Client A, who is G1P0 and 41 weeks gestation. 2020 г. A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). The questions are based on the categories that are included in the exam. A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The client should be weighed three times daily in light clothing to ensure accuracy. RT 26. Clients’ values and choices are of primary consideration when planning and providing care, and a nurse’s own personal values must never interfere with the clients’ right to receive care. the client states that he grinds his teeth during the night, which causes pain in his mouth. 2016 г. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? The type of nurse-patient relationship determines the making-decision of patients. The nurse only makes decisions about basic care and, in some cases, after consulting the doctor. The nurse notes early deceleration on the fetal heart rate monitor. Which statement(s) would be important in a contingency contract? (Select all that apply. 4) Docusate ____ 15. Available is haloperidol 5 mg/mL. "I will drink 6 to 8 glasses of water a day. QUES: a young adult male client, diagnosed with paranoid schizophrenia, believes that the world is trying to poison him. A client who is 4 hr postoperative following a hernia repair and has pitting edema of the right leg b. The nurse should identify which of the following findings as an adverse effect of the medication? Akathisia A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. A physician writes an order for a client to receive an albuterol (Proventil) HFA inhaler with the directions that read to inhale 2 puffs every 4 to 6 How does a nurse know a client is experiencing an adverse reactions or allergic reaction? What are the roles of the different regulating bodies for medications? (i. 1 Healthcare organizations include community pharmacies, practitioners’ offices, hospitals, nursing homes, home care agencies, clinics, and others. Identify the client. Accurately identify the client by asking his or her name and birthdate; Explain the reason for the test and procedure to the client. ATI Questions and Answers Exam (elaborations) SOPHIA Milestone TEST BANK HESI NCLEX-PN GIZMOS SOAP NOTE HESI MED SURG AQA Questions and Marking Scheme RN VATI ADULT MEDICAL SURGICAL Text Book Notes Summary Capstone Simulation Case Study Discussion Post Essay Exam Review VATI PN Study Notes VSIM for NURSING FUNDAMENTALS INSTRUCTOR MANUAL JOURNAL A patient comes to the emergency department 30 minutes after an insect bite to the leg. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? 15. The nurse is providing care for a 72-year-old female client whose diagnosis of bipolar disorder is treated with lithium. Aim. The nurse should recognize that which of the following client medications is contraindicated when taken with selegilin The nurse is caring for a male client with diminished circulation in the lower extremities. The nurse should focus on the client's feelings, rather than the content of the hallucination. Respuesta 0. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of informed consent in order to: Identify an appropriate person to provide informed consent for the client (e. However, there are times when even the best care is not successful in preventing an episode of aggression. Provide the client with insight as to why he is experiencing the hallucination. Hemorrhage 3. Measurements. A client who has manifestations of depression and attempted suicide a year ago C. The nurse should continually reorient the client to time and place as he wakes up from the procedure. Today, the nurse notices that the client is holding his head to one side and complaining of neck and jaw spasms. Because the client has a history of noncompliance with medication administration, the health care provider prescribes azithromycin (Zithromax). " 6. A nurse is planning care for a client who has generalized anxiety disorder. The National Council Licensure Examination i. Home / Nursing Careers & Specialties / Nurse Care Coordinator A nurse care coordinator is a nurse who specializes in organizing patient care and treatment Learn more about long-term care nursing careers and necessary education requirements. Tell the client that the nurse would like to give a PRN injection because the behavior is disrupting others. which client is at the highest risk of developing hypotension , respiratory depression, and mental confusion? 1. Participate with the team in performing nursing intervention. Yvonne D’Arcy is a pain and palliative care nurse practitioner at Suburban Hospital in Bethesda, Maryland. Which of the following clients should the nurse assess first? 35. perform an Allen's test. A nurse is caring for a client who has pneumonia. 48. A nurse is caring for a client who is receiving haloperidol (Haldol). Identify some possible ethical legal issues that can arise once the patient dies (family A violence assessment tool can help the nurse. -Treatment should be periodically reevaluated to ensure that the lowest possible effective dose is used. This means creating resources that are useful throughout your career as a nurse, midwife or nursing associate, helping you to deliver our standards and address future challenges. Which of the four clients should the nurse see FIRST? 1. Positives Chvostek's sign D. Dangerous side effects could occur. 1. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? 1. Which of the following findings indicates that the medication is effective? A nurse is caring for a client who has pneumonia. The hospital has sounded the call for a disaster drill on the evening shift. 25 mg PO daily. Click Here to Verify A List Licenses and Receive Real Time Notifications using Nursys e-Notify. check the pulses proximal to the wound. A partnership is formed between nurse and client. Which of the following nursing actions should the nurse take? p. Which of the following nursing diagnoses should receive priority? The nurse should provide client education about healthy food choices and proper exercise and/or provide for a dietary consult. H1 blockade has the potential to produce sedation, weight gain, and hypotension. identify the most appropriate nurse diagnosis for her heath problem 12. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? A nurse should use how many methods to identify the client before administering the medication? 2 1 3 4 A nurse should use two methods to identify the client before administering the medication. One hour before meals ; First thing in the morning ; Immediately after meals Describe nursing care for the client who is experiencing phantom pain after amputation. Particular care must be taken in determining drug doses when prescribing from an acute hospitalization to a skilled nursing facility, 19. , client, parent, legal guardian) Provide written materials in the client's spoken language, when Nurse coaching is a skilled, purposeful, results-oriented and structured client interaction that is provided by Registered Nurses for the purpose of promoting achievement of client goals. If a nurse falls short of expected obligations, she may be charged with neglige Here are the types of oncology nurses you may encounter during cancer treatment, including registered and oncology nurses, LPNs, APNs, and others. Based on this finding, the nurse should formulate a nursing diagnosis of: A. Blood samples should be drawn in a sitting position and the client should remain in that position for at least 5 minutes before the blood collection. A nurse is caring for a client who is receiving phenytoin for management of grand mal. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? The nurse should instruct the client to report which of the following findings immediately to the provider? a. Parkinson’s disease is a degenerative disease caused by depletion of dopamine, which interferes with the inhibition of excitatory impulses. The nurse is caring for a client with a long leg cast. b. The nurse should identify which of the following findings as an adverse effect of the med?-Akathisia = CORRECT ANSWER An adverse effect associated with haloperidol is the development of extrapyramidal manifestations such as dystonia, pseudoparkinsonism, and A nurse is caring for a client who is receiving haloperidol. The nurse over hears an assistive personnel tell the client that if she does not remain in bed he will place her in restraints. Implement the plan of care. The nurse is caring for a client who always must be first. The nurse is supervising the staff caring for four clients receiving blood transfusions. To meet the client’s need for a safe milieu, the nurse will instruct staff to monitor the client: For attempts at eating inedible objects. Home health care provides skilled care in the form of nursing services, social services, and/or rehabilitation services. Following electroconvulsive therapy, the nurse should monitor the client's vital signs every 15 minutes for the 1st hour. 2003 г. Client: A client is a person or persons with whom 50. Identify significant adverse effects caused by the atypical The patient who is receiving an atypical antipsychotic should be informed What is the most important information I should know about haloperidol? Haloperidol is not approved for use in older adults with dementia-related psychosis. Client C, who is G2P1 at 39 weeks gestation and had a c-section for breech. The nurse is caring for a client who has been taking fluphenazine (Prolixin) for 2 days. Perform a vaginal examination d. " D. which should the nurse document to indicate the effectiveness of the therapy: Increased platelet count A nurse is caring for a client who has pneumonia. The following guidelines will help you understand the various pricing and care plans for nursing homes. Which of the following clients should the nurse care for first? a. The psychiatric technician responds by stating: Meats, fish, poultry, dried peas and beans, fruits, green leafy vegetables and nuts. Which of the following symtoms might the nurse identify in a client who is a chronic cocaine user? (select all that apply) A. Administer medications and watch the patient swallow them. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? Nurses caring for patients in Rosella that require opioids should be familiar with the PICU pain and sedation guideline and protocol Patients receiving IV opioid boluses that are also on continuous cardiorespiratory monitoring in the intensive care environment with 1:1 nursing are not required to document following the bolus as per Table 4. 	A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated prn for agitation with haloperidol. Teach the client to identify sources of anxiety. The nurse should observe the client for signs of hypoglycemia at: 3 p. The nurse should identify which best goal for a client experiencing hallucinations? 1. Although the terms are often interchanged, there is a significant difference in these levels of care. Mild temperature elevation d. Therapeutic Nurse-Client Relationship, Revised 2006 includes four standard statements with indicators that describe a nurse’s accountabilities in the nurse-client relationship. Department of Veterans Affairs Posted on Thursday, October 15, Learn more about nurse care coordinator careers and necessary education requirements. the client is the primary focus of the interaction. Calm demeaner 17. The client is experiencing an adverse reaction to rifampin. Monitoring: 13. ParesthesiaC. Based on these manifestations, which antipsychotic drug should the nurse suspect that the prescriber may have ordered? The RN should include which interventions in the plan of care for a client admitted to the mental health unit after an attempted suicide? Select all that apply. Checking the frequency and consistency of bowel movements 3. Client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. As a care provider, The nurse should do first: Provide direct nursing care. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? Haloperidol and related agents are available for oral, intramuscular, and IV administration. which should the nurse document to indicate the effectiveness of the therapy: 1) Increased platelet A nurse is caring for a client who is at 41 week of gestation and is receiving oxytocin for labor induction. Go to your room immediately. When teaching the child's parents about potential adverse effects, the nurse should instruct the parents to immediately report: a. Identify appropriate nursing interventions that should be included in the plan of care. A nurse is caring for a pt who is 2 hr post op following surgical creation of a tracheostomy, which of the following actions should the nurse take to help promote the client recovery Keep suction equipment at bedside A nurse in a mental health unit is contributing to the plan of care for a client who is receiving treatment for self-inflicted injuries. January 25, 2019 Hung Justin. The client has bladder incontinence. Propanolol (Inderal), 20 mg PO d. 3 In this document professional practice is defined as the care and/or services that nurses provide to clients. Question 3 of 166. The client wants food served to him first, to be called upon first in the group setting, and to get first choice of what activity to pursue. A nurse should ensure that it remains secure within the health care team. Which of the following should. Informed Consent: NCLEX-RN. A client complaining of itching. From which focus should the nurse identify a prioriy nursing diagnosis? A) Nutrition B) Elimination C) Activity D) Safety The correct answer is D: Safety Safety is a priority of care for the depressed client. In 1952, Hildegard Peplau defined the psychiatric nurse’s role as: Select one of the following: professional who helps patients with attitude adjustment needs. Working phase when the client shows some progress. Haloperidol (Haldol), 5 mg PO b. The nurse should monitor the client for which of the following adverse effects? Start your trial now! First week only $4. Rules and regulations must be consistent with the NPA and cannot go beyond it. 12. The nurse should observe for which of the following findings as an adverse effect of the medication?A. The nurse should complete a thorough assessment of the client, including information collected from the client, significant others, and health-care providers. A nurse is preparing a plan of care for a client diagnosed with acute mania. Following ECT, the nurse should monitor the client's vital signs every 15 minutes for the 1st hour. The nurse is educating the family of a patient who is receiving hospice care due to a terminal illness. 10 a. Excess tear productionD. Dep According to According to "A Dictionary of Nursing" cited on Encyclopedia. An adverse effect associated with haloperidol is the development of extrapyramidal manifestations such as dystonia, pseudoparkinsonism, and akathisia. D. 67. Which statement by a client with a seizure disorder taking topiramate (Topamax) indicates the client has understood the nurse's instruction? 1. Cleanse with saline solution. )aversion therapy. , therapy), community (e. The nurse is caring for a child who has just been immunized. 9 C (102 F), a blood pressure of 150/110 mm Hg, and tachycardia. Establish a therapeutic alliance with the patient. The wound is erythematous, swollen, and indurated. a nurse who is extensively trained to care for psychiatric patients. ATI Pharmacology Proctored Exam 2019 B 1) A nurse is caring for a pt who is receiving Haloperidol. Benztropine (Cogentin), 2 mg PO c. 02. , standard electronic format or data content), or vice versa. the nurse should identify which of the following interventions as possible measures to manage the client’s bruxism? (select all that apply. B. During discharge teaching about appropriate exercises for the affected extremity, the nurse should recommend A) Isometric B) Range of motion C) Aerobic D) Isotonic 68. The debilitation can result in 5. 04. . Health care providers also have an obligation to ensure that personal health information used by the health care team or disclosed outside the team is as accurate, complete and up-to-date as possible. Goals are centered on the client's values, beliefs and needs. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The client continues to pull at the tube in an attempt to take it out. Praising the client for looking better could signal a power struggle with the client and the nurse's unconscious means of exerting control. To help ensure a restraint is applied safely, nurses should receive hands-on training on safe, appropriate application of each type of restraint before they’re required to apply it. The nurse's best response is: p. The client can also be a group (e. For some clients, radiation therapy is a last chance for cure or even just for relief of The client cannot recall the attack. The nurse should identify which of the following interventions as the priority for this client. 08. Identify the most common non-pain symptoms associated with patients nearing It could show the nurse if the patient is under or over medicated and if a Key words: Haloperidol, benztropine, antipsychotic, neuroleptic drug, adverse drug effect, infusions are safe and efficient in reducing nursing care. What should the nurse teach the client to avoid while taking this medication? 1. Dizziness or drowsiness can cause falls, accidents, or severe injuries. d. 72. The nurse should state that the patient has been seen at the center but should give no further information. When older adults with dementia receive care in hospital, in caring for clients with responsive behaviors of dementia, nurses report 2. The nurse obtains subjective and objective data in a number of ways: talking to clients, observing clients and/or significant others, taking a health history, performing a physical examination, evaluating lab results, and collaborating with other members of the health care team. When writing an assessment of a client with mood disorder, the nurse should specify A. The nurse is caring for a client with Alzheimer’s disease who exhibits behaviors associated with hyperorality. Psychiatric Nursing Pre-Test 1. The nurse should state that he or she is unable to give any information to the caller. The nurse should identify that which of the following clients requires a temporary emergency admission? A. Chronic hypertension 4. For which of the following clients should the nurse suspect physcial abuse? A. Clients with renal failure may need additional support services to help them adapt to and live with their disease. RATIONALE: Total abstinence is the that a nurse has provided incompetent, negligent or unsafe care. The NCLEX-RN test for registered nurses and the NCLEX-PN for practical nurses (or licensed vocational nurse (LVN)). NCLEX is a nationwide examination for the licensing of nurses in the US and Canada. The nurse is caring for a client following removal of the thyroid. Confirm the request. 3 p. A nurse who is working in the recovery room is caring for a client who has recently had cardiac surgery. Care/services is the process The nurse is caring for a client with a diagnosis of Chlamydia. 1) A nurse is caring for a pt who is receiving Haloperidol. Alteration in Health Care Clearinghouses—entities that process nonstandard health information they receive from another entity into a standard (i. Pharmacology – Proctored Review A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine Synthroid 0. She has also now developed hypertension and has been prescribed a new medication to decrease her blood pressure. " 4. To determine whether the client is experiencing akathisia as an adverse effect of the medication, what should the nurse observe the client for? 1. The nurse should observe the client for signs of hypoglycemia at: A. 2009 г. Which of the following clients should the nurse assess first? command hallucinations. al, 2013) Nurse coaches promote and facilitate the growth, healing and wellbeing of the whole person by using coaching principles and Question 3 of 166. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? State Category: Basic Nursing Care Haloperidol (Haldol) is ordered for agitation for a client. C – the nurse should have the parents change the position of the car seat before leaving the hospital. James received a Master of Library Science If signs and symptoms of tardive dyskinesia appear in a patient on antipsychotics, drug discontinuation should be considered. Ringing in the ears Which of the following actions should the nurse include in the plan? 21. A 14-month old with many bruises over prominences, in various stages of healing. 99! arrow_forward. ) How does a nurse know a client is experiencing an adverse reactions or allergic reaction? What are the roles of the different regulating bodies for medications? (i. Ingesting aged cheeses 4. ATI MENTAL HEALTH C 2019 PROCTORED EXAM -REVISION GUIDE 1. A client complaining of a headache. One hour before meals ; First thing in the morning ; Immediately after meals B) The nurse should confirm any suspicions of child abuse with the healthcare provider before reporting to the authorities. Also, the facility would still need to make sure the registered nurse had not which was otherwise not identified in the baseline care plan, It should therefore be used with caution in this patient group. Learn about the possible side effects of the medication Haldol A person who is taking Haldol and their loved one should be aware of the 5. Home Health Care: Home health care is not the same as "home care" (shift care/attendant care). Patients receiving haloperidol decanoate long-acting injection may notice some pain at the site of the injection. S. A nurse is caring for an 86-year-old client receiving enteral nutrition through an NG tube. Administer phenytoin 30 min prior to the procedure. As a first step in successful response to aggression the clinician needs to assess the impact on safety: the person’s, caregiver’s and others. Strategy: Determine the least stable client. Request a renewal of the prescription every 8 hr. Bradypnea . evaluate inspiratory and expiratory breath sounds. which should the nurse document to indicate the effectiveness of the therapy: A nurse is caring for a client who is receiving haloperidol (Haldol). Staying in the sun 3. A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic medication. a resource person, a teacher, a leader, and a counselor to patients. Continue the warfarin at the same dosage. See p. 22. Clinicians should note that since antipsychotics can lower the seizure threshold, their use during alcohol withdrawal should be undertaken with great care and close supervision of the patient is required. Which of the following nursing diagnoses should receive priority? A. A nurse is caring for a client who reports that the television set in the room is really a two-. How grandiose the client is D. The nurse is monitoring the client’s vital signs and notes the following: HR 68bpm, RR 6/min, BP 90/60 mmHg. a nurse is caring for a client who refuses to follow the providers prescription for bed rest. Administer Diazepam (Valium) to obtain sedation. In male clients, where should the nurse tape the catheter? The nurse is also agreeing with the client, which should be avoided. Early recognition of the client’s needs. Develop a plan of care. Prevent aggression and violence in the milieu. Frothy, pink sputum. The client should report chest pressure or heavy arms to the provider. Until proven negative, all suspected This guideline does not cover opioid delivery via patient controlled analgesia (PCA) delivery. provide solutions to her immediate health concern D. Parkinson’s disease is a slow, progressive disease that results in a crippling disability. , public health) or population (e. -Paresthesia A nurse is caring for a client who is receiving haloperidol (Haldol). This pain should resolve after a few days. the client may also include family members and/or substitute decision-makers. The nurse administers an A nurse is caring for a client who has pneumonia. A provider order must be obtained for patient restraint. The nurse should position the client on his side after the procedure to reduce the risk of aspiration. vascular access site. So, it is important to determine the likelihood of withdrawal from other substances as well. 9. Which medical diagnosis and treatment should a nurse anticipate when planning care for this client? 1. Which response by the nurse is best? There are some people here who are laughing but I do not think they are laughing at you. Which of the following client behaviors should the nurse expect? 42. 101). The client has a temperature of 38. Avoid drinking alcohol. Assessment of bowel pattern and stool character b. Make the client role-play the panic attack. Because of the client’s rapid weight loss, the nurse should prioritize interventions to ensure proper nutrition and physical health. What are common characteristic of girls with this disorder that the nurse should identify when obtaining a health history and performing a physical assessment? Select all that apply. The nurse assisting in caring for the client should take which action to monitor the effectiveness of treatment? 1. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? Residents with this profile should receive care aimed at prevention. Iron equilibrium in the body normally is regulated carefully to ensure that sufficient iron is absorbed in order to compensate for body losses of iron. 31. com, a nurse's duty of care is the obligation to avoid causing harm towards a patient. How the client is behaving Rationale: D. A nurse is caring for a client who has an anxiety disorder and displays obsessive-compulsive behavior. The nurse is also agreeing with the client, which should be avoided. Termination phase when discharge plans are being made. Which of the following complications should the nurse identify as the greatest risk to the client? 1) Hypothermia 2) Hyponatremia 3) Fluid imbalance 4 ) Airway obstruction. 36. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? A nurse is planning care for four clients. A nurse is conducting a mini-mental status examination on an older client. For which of the following adverse effects should the nurse be observing: Vomiting Akathesia. Palliative Care. -Paresthesia A nurse is caring for a client who has pneumonia. 9% NaCl)to infuse over 30 min. akathisia A nurse is caring for a client who is receiving haloperidol (Haldol). Massage reddened areas with dressing changes. Of the following PRN medications, whch would the nurse administer? a. The following is an appropriate nursing intervention? A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. which should the nurse document to indicate the effectiveness of the therapy: 1) Increased A nurse is caring for a client who is receiving haloperidol. To provide medical and nursing staff at the Royal Children's Care at home is where you receive a service in your own home. The client is placed on suicide precautions. For which of the following adverse effects should the nurse be observing: A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? A nurse is caring for a client who is receiving haloperidol (Haldol). 6. effect of the med?-Akathisia = CORRECT ANSWER. Peer appetite poor D. A nurse is caring for a client who has a stage 3 pressure ulcer. Which of the following tasks should the nurse delegate to a licensed practical nurse (LPNIE O Assess a client's postoperative abdominal incision Provide discharge teaching for a client who had a laparoscopic cholecystectomy O Perform a wet to dry dressing change for a client who has a pressure ulcer Verbal orders should be documented in the patient's medical record, reviewed, and countersigned or authenticated by the prescriber in accordance with organizational policy. B – placement should be based on infant safety rather than parent preference. Puffing of the cheeks 3. Abstract. A client who has schizophrenia with delusions of grandeur B. Take apical pulse for one full minute. Teach the client about nutrition, calories, and a balanced diet. Question 12A nurse is caring for a patient who has had part of her small intestine removed due to cancer. Place the client in seclusion. The amount available is clindamycin injection 200 mg in 100 mL 0. Following the assessment , if the patient is believed to be potentially violent, the nurse should: A 27-year-old male client is admitted to the acute care mental health unit for observation. Initiate an A nurse is caring for a client who was admitted with major burns to the head, neck, and chest. "I will be able to stop the medication as soon as I feel better. Vomiting B. Discuss the nurses’ role/responsibilities when the patient dies (for the deceased patient and the family, organ donation, funeral home, etc. COVID-19 care pathway. The nurse should ask why the information is being sought. 47 Local authorities should help people who fund their own services or receive direct payments, to ‘micro-commission’ care and support services and/or to pool their budgets, and should clients receiving radiation for metastases to the spine will show improved neurologic functioning as tumor size diminishes. Instruct the client to expect a headache following the procedure. A nurse is caring for a client with schizophrenia who tells her he believes that everyone else in the inpatient unit is secretly laughing at him behind his back. " B. 2. As the urine begins to flow, how many inch should the nurse further insert the tube before Inflating the balloon? 1-2 inches. akathisiaB. 2. -White patches on the tongue White patches on the tongue can indicate a fungal infection, which is not an adverse effect of sumatriptan. Restlessness or constant generalized movement 34. Apply a heat lamp twice a day. The nurse should identify that which of the following is a potential adverse effect of taking both of these products concurrently? Altered renal perfusion Elevated blood pressure Increased ecchymosis Decreased immune function 7. The client complains of restlessness, cannot sit still, and has muscle stiffeness. Care planning for this client should include: Rationale: The nurse should identify that the priority nursing diagnosis for this client is altered nutrition: less than body requirements R/T hyperactivity AEB weight loss. During an inspection of the site, the nurse notes redness and swelling and that the rate of infusion of the medication has slowed. 7. Therapeutic use of self. A nurse is caring for a client who is in labor and requires augmentation of labor. The clinical criteria stated 'the patient must have failed to respond nurse practitioners may prescribe this medicine when the care of a 28. A nurse is caring for a client who is receiving haloperidol. While drying the client’s feet, the nurse should emphasize the need to thoroughly dry which area of the feet? A) Between the toes. Home / Nursing Careers & Specialties / Managed Care Nurse Managed care nurses act as liaisons between patients, healthcare providers, insurance companies an Mar 1957 Call 800-232-4636 Sherry Cox always wanted to be a nurse. Upon assessment, the nurse auscultates the presence of crackles in the lung bases and an apical heart rate of 110 beats per minute. Which medication should the nurse tell the family Facility leaders should focus on reducing restraint use by supporting ongoing monitoring and quality-improvement projects. 47. Clinical assessment and observation should identify existing depression. (Saunders, 2nd Edition) A nurse is caring for a client who has pneumonia. The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Official Blog of the U. Nursing students, and many practicing nurses, lack self-efficacy and competence in providing quality end-of-life care. The client refuses the treatment and will discuss why with the healthcare team. Orientation phase when a contract is established. The nurse should identify that which of the following is a potential adverse effect of taking both of these products concurrently? Altered renal perfusion Elevated blood pressure Increased ecchymosis- The nurse should identify that ecchymosis occurs when there is bleeding The nurse is caring for several clients who are receiving opioids for pain releif. Alteration in 1)A nurse receives orders from a health care provider for an elective induction of labor. • Obtain a complete health and psychological history especially in regards to cardiovascular and neurological disorders. what intervention should the nurse include in this clients plan of care. It works by correcting the chemical imbalances in the brain, which may cause mental illness. Ineffective individual coping related to feelings of guilt. Particular care should also be taken in those patients with a Learning Disability. Situational low self-esteem related to feelings of loss of control. Nurses with fewer years of professional experience believe that physicians should make the last decision about care. For which of the following adverse effects should the nurse be observing: 1) vomiting. A nurse is caring for an underweight adolescent girl who is diagnosed with anorexia nervosa. The emergency nurse should first . 21. The nurse should assess the client for which of the following adverse effects? 22. The nurse is assigned to work with the parents of a retarded child. As a manager, the nurse should: Initiates nursing action with co workers. Sexual dysfunction c. Which of the following interventions should the nurse initially implement when caring for a client with panic disorder? a. ) Nurse Practice Act Toolkit. A client diagnosed with bipolar disorder is to be discharged home in 48 hours. What action should the nurse take next? A patient comes to the emergency department 30 minutes after an insect bite to the leg. For which of the following adverse effects should the nurse be observing: 1) vomiting 2) Akathesia. Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. A therapeutic nurse-client relationship is established for the benefit of the client. Weight gain. Not only does this mean they’re losing their independence but it also means we have to admit they’re getting older. The client cannot recall the attack. The patient is confused, has fever, and develops “lead pipe” rigidity. 6. Select all that apply. Proper position. Rationale: The nurse should identify that the priority nursing diagnosis for this client is altered nutrition: less than body requirements R/T hyperactivity AEB weight loss. Use a firm and calm approach. 24. seizures and has a new prescription for isoniazid and rifampin. Nausea and vomiting in patients with advanced disease are debilitating symptoms that reduce the quality of life for patients, their families and carers. A client with a personality disorder exhibits manipulative behavior. The client washes his feet in the shower, but is unable to bend safely to dry his feet. Elsevier Health A nurse is caring for a client with schizophrenia who tells her he believes that everyone else in the inpatient unit is secretly laughing at him behind his back. Pain at the injection site c. 2 The Joint Commission As the nurse caring for the patient, you should inform the rest of the clinical team about your suspicions for alcohol withdrawal, and the patient should receive prompt treatment, which may eliminate the need for physical restraints. ; nclex 3500 A nurse in an emergency mental health facility is caring for a group of clients. Disseminated intravascular coagulation A health care provider prescribes haloperidol (Haldol) for a client. 27. " C. What should I avoid while receiving haloperidol? Avoid driving or hazardous activity until you know how haloperidol will affect you. The nurse should not request the client to provide explanations. The nurse should make sure the IV pump delivers how many mL/hr? (Round the answer to the nearest whole number. 2) Akathesia . RATIONALE: Total abstinence is the Question 2. 5 a. Detailed Answer: 194. Lip smacking 2. To prevent hypokalemia, the client should increase intake of potassium-rich foods, such as potatoes, spinach, dried fruit, and nuts. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? Haldol is a long-acting antipsychotic. 6 (Kunyk & Olson, 2001) A 60-year-old client diagnosed with schizophrenia spectrum disorder presents in an ED with uncontrollable tongue movements, stiff neck, and difficulty swallowing. Driving at night 2. B Have the client state if the dyspnea is mild, moderate, or severe. About half-way through your shift, the triage nurse brings you a How Should an Agitated Patient Be Approached in the Emergency Setting? Haloperidol must be used with caution because it has a variety of adverse effects, including dystonias, neuroleptic malignant syndrome, extrapyramidal effects, The patient should be given the surgeon's wound care instructions both verbally and in written format for their future reference at the time of discharge, and When I protested and asked why she wasn't waking up, the hospice nurse Hospice care includes counseling and supportive services for the patient's family 19. When educating the client about azithromycin, the nurse should make which statement? 1. 2019 г. Facilitate the client's awareness that the hallucination is not the reality of the world. The client is able to identify the names of family members. A client vomiting. An adverse effect of the medication is the development of electrolyte imbalances such as hyponatremia, hypochloremia, and hypokalemia. 2018 г. Parkinson’s disease results in a dysfunction of the extrapyramidal system. The nurse should provide client teaching about measures to counteract this side effect (eg, ice chips, sugarless gum or candy, drinking plenty of water). The client is observed to be dyspnic. The nurse is providing a medication schedule for a client taking aluminum/magnesium antacid for gastritis. what information should Client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. 88 ch 13 maternity. Name two common objects when the nurse points to them. the nurse conclude if the client develops ataxia and incoordination? a. -There is considerable variability in the amount of medication needed to achieve optimum levels. Jugular vein distention. It is used for illnesses affecting the way you think, feel or behave. The provider orders dinoprostone (Cervidil) for cervical ripening. Option C uses the word “Why,” which should be avoided in communication. Place the client in four point restraints prior to the procedure.
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