A 60-year-old client diagnosed with schizophrenia spectrum disorder presents in an ED with uncontrollable tongue movements, stiff neck, and difficulty swallowing
Which medical diagnosis and treatment should a nurse anticipate when planning care for this client? 1. Neuroleptic malignant syndrome treated by discontinuing antipsychotic medications
2. Agranulocytosis treated by administration of clozapine (Clozaril)
3. Extrapyramidal symptoms treated by administration of benztropine (Cogentin)
4. Tardive dyskinesia treated by discontinuing antipsychotic medications
4
Rationale: The nurse should expect that an ED physician would diagnose the client with tardive dyskinesia and discontinue antipsychotic medication. Tardive dyskinesia is a condition of abnormal involuntary movements of the mouth, tongue, trunk, and extremities that can be a side effect of typical antipsychotic medications.
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An older adult male who paints houses for a living has had a myocardial infarction (MI). Which intervention should the nurse implement to prevent adverse health effects from his occupational history?
a. Provide low-cholesterol diet meals. b. Avoid substances that are hepatotoxic. c. Promote coughing and deep breathing. d. Analyze the electrocardiogram's rhythm.
After receiving the hand-off report from the day shift charge nurse, which patient should the evening charge nurse assess first?
a. A patient with meningitis complaining of photophobia b. A mechanically ventilated patient with a GCS of 6 c. A patient with bacterial meningitis on droplet precautions d. A patient with an intracranial pressure ICP of 20 mm Hg and an oral temperature of 104° F
A patient has begun taking dimethyl fumarate [Tecfidera] to treat relapsing MS and calls the clinic to report flushing of the skin with itching and burning sensations. What will the nurse recommend to this patient?
a. "Take a non–enteric-coated aspirin 30 minutes before each dose." b. "The provider will order an antihistamine to treat this symptom." c. "Try taking the medication on an empty stomach." d. "You should notify the provider imme-diately."
A nurse assesses a terminally ill patient with a DNR order, with findings of decreased blood pressure, urinary and bowel incontinence, loss of reflexes, and Cheyne-Stokes respirations
Based on these findings, the nurse recognizes which of the following? A) These are signs of impending death. B) These signs do not indicate any abnormality. C) The client requires immediate resuscitation. D) The client's family should be asked to leave.