The treatment team has decided that the emotional distress of an elderly client who experiences
threatening auditory hallucinations warrants the use of haloperidol (Haldol). As a result, the nursing
staff must take action to reduce the risk of
a. falls.
b. seizures.
c. dehydration.
d. fecal impaction.
A
The incidence of falls increases when chemical restraint with neuroleptics or anxiolytics is used to
reduce emotional distress. Medication does not place the client at great risk for the other options.
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An oncology patient will begin a course of chemotherapy and radiation therapy for the treatment of bone metastases. What is one means by which malignant disease processes transfer cells from one place to another?
A) Adhering to primary tumor cells B) Inducing mutation of cells of another organ C) Phagocytizing healthy cells D) Invading healthy host tissues
The nurse is caring for a 3-year-old client on the pediatric unit who was in an automobile accident. The client's mother was killed in the accident and the client has just been told. How should the nurse expect the client to react to this information?
A) The client will ask if mommy will cook her favorite meal when she wakes up. B) The client will cry and be depressed. C) The client will ask for her toys and ignore what has been said. D) The client will react with anger and may be violent.
Parents tell the nurse that their toddler eats little at mealtime, only sits at the table with the family briefly, and wants snacks "all the time." What should the nurse recommend?
a. Give her nutritious snacks. b. Offer rewards for eating at mealtimes. c. Avoid snacks so she is hungry at mealtimes. d. Explain to her in a firm manner what is expected of her.
If a client is diagnosed with benign prostatic hyperplasia (BPH), the nurse recognizes that the major concern with this condition is that:
a. without treatment, it may progress to prostatic cancer b. urinary outlet obstruction, infection, and kidney damage may result c. impotence occurs in the majority of clients d. symptoms will worsen