A client who has received haloperidol (Haldol) for a day tells the nurse that he feels jittery and unable to sit or stand still. He prefers to pace the hallway. The nurse can hypothesize this com-plaint is related to:
1. Dystonia
2. Akathisia
3. Serotonin syndrome
4. Neuroleptic malignant syndrome
ANS: 2
Akathisia, an extrapyramidal side effect, is characterized by restlessness, inability to sit still, and the need to pace. It usually occurs early in the course of treatment with a typical antipsychotic drug. Option 1 is characterized by increased muscle tone of a group of muscles in the region of the head and neck. Option 3 occurs with SSRI therapy. Option 4 is characterized by hyperther-mia.
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A nurse is caring for a patient with a pulmonary artery catheter who has been diagnosed with pulmonary hypertension. The nurse knows that pulmonary hypertension is related to which of the following rheumatic diseases?
A) Fibromyalgia B) Gout C) Scleroderma D) Systemic lupus erythematosus
A multisystem healthcare organization is implementing an electronic health record (EHR). Which situation could affect the integrity of the data?
A) Data mining B) Data analysis C) System failure D) Data downloading
The parent of an adopted infant tells the nurse, "Our baby was abused before the adoption. I read an article online that said this experience causes problems as a child grows up. What we should be watching for?" Select the nurse's best response
a. "Early trauma sometimes causes learning difficulties, anxiety, and difficulty handling stress later in life." b. "Early abuse causes the myelin covering of the nerves to overgrow, which leads to high anxiety and mood instability." c. "Many individuals who experience early trauma and abuse develop symptoms of schizophrenia." d. "Your child will be normal. Information in online articles is not reliable."
Home care nurses are required to complete the Outcome and Assessment Information Set (OASIS) according to:
A) Medicare. B) Medicaid. C) third-party payer. D) insurance.