The medication protocol the nurse should use to provide immediate intervention for an angry
psychotic client whose aggressive behavior continues to escalate despite verbal intervention is
a. lithium.
b. trazodone.
c. valproic acid.
d. haloperidol.
D
Haloperidol is a short-acting antipsychotic that is useful in calming angry, aggressive clients
regardless of diagnosis. The other drugs listed require long-term use to reduce anger. Option A:
Lithium would be used for bipolar clients. Option B: Trazodone would be used for clients with
dementia. Option C: Valproic acid would be ordered for bipolar or borderline clients.
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A nurse is preparing to discharge a patient with an immunodeficiency. When preparing the patient for self-infusion of IVIG in the home setting, what education should the nurse prioritize?
A) Sterile technique for establishing a new IV site B) Signs and symptoms of adverse reactions C) Formulas for calculating daily doses D) Technique for adding medications to the IVIG
The nurse is caring for a male client of Japanese descent who is experiencing urinary retention. The client asks the nurse if it is possible that he is experiencing benign prostatic hyperplasia (BPH). Which response by the nurse is the most appropriate?
A) "No, you are not old enough to have BPH." B) "Your symptoms are not consistent with BPH." C) "Your provider will run some tests; however, you are considered low-risk for BPH" D) "Where did you get an idea that you might have BPH?"
The nurse has reviewed the functions of the peripheral vascular system with a client. Which statement made by the client indicates further teaching is needed?
A. "Produces red blood cells that transport oxygen." B. "Deliver oxygen and nutrients to tissues of the body." C. "Transports carbon dioxide and waste products from the tissues." D. "Lymphatic system removes pathogens from the body fluid."
The results from the blood glucose meter reveal
A) the level of the blood sugar. B) the amount of glucose spilling into the urine. C) the amount of insulin the patient received. D) the amount of food to serve at the next meal.