When a client for whom haloperidol has been prescribed tells the nurse, "I'm burning up and my muscles are stiff and sore," the nurse suspects neuromuscular malignant syndrome and recognizes the possibility that the physician may order:
1. Olanzapine (Zyprexa)
2. Benztropine (Cogentin)
3. Venlafaxine (Effexor)
4. Dantrolene (Dantrium)
ANS: 4
Dantrolene, a direct-acting skeletal muscle relaxant, is a drug often used to treat NMS. The other drugs mentioned would have no therapeutic effect on NMS.
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The medical-surgical nurse working with patients who has a somatoform disorder will find planning is facilitated by the understanding that the patients will probably:
a. be resistant to seeking psychiatric help. b. be interested in seeing the consulting psychiatrist. c. attend psychotherapy sessions without encouragement. d. be eager to discover the true reasons for their physical symptoms.
A client is having traction applied to a fractured left lower extremity prior to surgery. What outcomes does the nurse expect from the application of the traction for the client? Select all that apply
A) Surgery will not be required. B) Muscle spasms will be relieved. C) The bones of the left leg will be aligned. D) Immobilization of the left leg will be maintained. E) Less pain medication will be required.
A toddler is in the sensorimotor, tertiary circular reactions stage of cognitive development. What behavior should the nurse expect to assess? (Select all that apply.)
a. Refers to self by pronoun b. Gestures "up" and "down" c. Able to insert round object into a hole d. Can find hidden objects but only in the first location e. Uses future-oriented words, such as "tomorrow"
The nurse routinely cares for non-English-speaking clients. Which of the following must the nurse do to develop cultural competence? (Select all that apply.)
1. Learn a foreign language. 2. Identify own cultural beliefs related to health and health care. 3. Engage in cross-cultural interactions with people from diverse cultural backgrounds. 4. Become knowledgeable about the predominant cultural groups within one's own geographic area. 5. Relocate to another country to learn the culture. 6. Become skilled at cultural data assessments.