A client with marked cognitive impairment is combative and difficult to manage. He has pulled out
his nasogastric tube, his intravenous line, and his indwelling urinary catheter.
He had climbed out of
bed over the side rails while the nurse tried to calm and restrain him. The nurse notifies the doctor on
call and can anticipate that the physician will order a
a. small dose of a selective serotonin reuptake inhibitor.
b. large dose of a benzodiazepine.
c. maintenance dose of buspirone.
d. small dose of a high-potency antipsychotic.
D
Aggressive behavior can be safely managed by antipsychotic medication. Initial dosing should be
small and raised cautiously until behavior is controlled. Option A: Selective serotonin reuptake
inhibitors are not indicated for aggressive behavior. Option B: If a benzodiazepine is used, the initial
dose should be low. Option C: Buspirone is not effective if given on an as-needed basis. It is
administered in small divided doses daily to control agitation.
You might also like to view...
A client who is 38 weeks pregnant reports increased urinary frequency. Based on this data, which response by the nurse is indicated?
1. "Your reports are consistent with a urinary tract infection." 2. "I will need to check your blood sugar as excessive urination is associated with gestational diabetes." 3. "Reducing your fluid intake will be helpful to manage this problem." 4. "This is normal occurrence in the later stages of pregnancy."
A 15-year-old boy is brought to the emergency department with symptoms of hyperglycemia. Following diagnostic testing, a diagnosis of diabetes mellitus is made
What classification will be used to describe a 15-year-old with diabetes who requires daily insulin injections? A) Type 1 diabetes B) Type 2 diabetes C) Juvenile diabetes D) Prediabetes
The postpartum client has chosen to bottle-feed her infant. Nursing actions that aid in lactation suppression include:
1. Warm showers b.i.d. 2. Pumping milk t.i.d. 3. Ice packs to the axillary area of each breast q.i.d. 4. Avoiding wearing a bra for 5–7 days.
A client is diagnosed with a mild brain injury. Which of the following is an example of a mild injury?
1. Coma 2. Locked-in syndrome 3. Vegetative state 4. Concussion