A physician orders 100 mg of chlorpromazine (Thorazine?) twice daily and 2 mg of benztropine (Cogentin?) twice daily as needed (prn) for a client with paranoid schizophrenia
Under which circumstance should a nurse administer a prn dose of benztropine?
A) When the client becomes aggressive
B) When the client needs to be calmed down before bedtime
C) When the client exhibits tremors and shuffling gait
D) When the client complains of constipation
C
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Following a recent exacerbation of her congestive heart failure, an 80-year-old widow is investigating several assisted living facilities
Which of the following characteristics of one of the facilities she is considering would most likely be considered atypical? A) A program is in place whereby each resident checks up on a designated neighbor once per day. B) The organization of the bathroom is modified to accommodate physical disabilities. C) The facility prioritizes self-care over medical treatment. D) Twenty-four-hour, on-site nursing care is provided at the facility.
The nurse in a pain clinic is assessing a palliative patient. The patient indicates that he has been saving his analgesics until the pain is intense because the pain control has been poor
What teaching does the nurse knows should be done with this patient? A) Medication should be taken when pain levels are low so the pain is easier to reduce. B) Pain medication can be increased when the pain is intense. C) It is difficult to control chronic pain, so little can be done. D) Instruct the patient to lie still and think of something else during intense pain.
Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point?
a. 10% c. 30% b. 20% d. 50%
The nurse is assessing an infant with congestive heart failure (CHF). The nurse hears rales and rhonchi, observes nasal flaring and restlessness, and finds that the oxygen saturation is falling. What does the nurse most suspect?
a. The infant has been over-medicated or undermedicated. b. There is an increase in lung fluid or a congenital heart defect. c. The infant has experienced a spontaneous pneumothorax. d. There is an electrolyte imbalance and probably respiratory acidosis.