The nurse is providing a psychotropic medication to an older client. Which findings are most concerning to the nurse? Select all that apply.
1. Intermittent, repetitive muscle movements
2. Frequent crossing and uncrossing of legs
3. Belief that a hooded figure is watching
4. Continual lip smacking and tongue movements
5. Disorganized speech and catatonic behavior
1. Intermittent, repetitive muscle movements
2. Frequent crossing and uncrossing of legs
4. Continual lip smacking and tongue movements
Explanation: 1. Dystonia is an extrapyramidal symptom that can occur at any time from the first few days of treatment to years later.
2. Akathisia is an extrapyramidal symptom that can occur at any time from the first few days of treatment to years later.
3. Delusional disorder is one indication for the use of antipsychotic medication. This is not most concerning but may indicate a need to switch medications or increase the dose.
4. Tardive dyskinesia is recurrent, involuntary movements that may be irreversible and is associated with antipsychotic medication.
5. Schizophreniform disorder is one indication for the use of antipsychotic medication. This is not most concerning but may indicate a need to switch medications or increase the dose.
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Select all that apply. 1. "Change positions slowly." 2. "Dizziness and fainting are expected adverse effects of this medication." 3. "You may have a headache when starting this medication, but it will subside." 4. "Notify the healthcare provider if you have chest pain while taking this medication." 5. "Do not take medications to treat erectile dysfunction while taking this medication."
The nurse is preparing to administer eardrops to a 28-month-old child. Nursing care is appropriate if which technique is used by the nurse?
a. Warm the eardrops in a microwave oven on low. b. Pull the pinna down and straight back. c. Apply the eardrops to a cotton ball and insert in the affected ear. d. Instruct the child to lie with the affected ear on a warm compress.
A client taking menotropins and human chorionic gonadotropin who experiences indications of ovarian hyperstimulation syndrome should be:
a. told to rest in bed. c. reassured that this is common. b. hospitalized. d. given uterine relaxants.
A client is prescribed metronidazole (Flagyl) for trichomoniasis. The nurse's instructions to the client should include:
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