An acutely violent patient diagnosed with schizophrenia receives several doses of haloperidol (Haldol). Two hours later the nurse notices the patient's head rotated to one side in a stiffly fixed position, the lower jaw thrust forward, and drooling
Which intervention by the nurse is indicated?
a. Administer diphenhydramine (Benadryl) 50 mg IM from the PRN medication administration record.
b. Reassure the patient that the symptoms will subside. Practice relaxation exercises with the patient.
c. Give trihexyphenidyl (Artane) 5 mg orally at the next regularly scheduled medication administration time.
d. Administer atropine sulfate 2 mg subcut from the PRN medication administration record.
ANS: A
Diphenhydramine, trihexyphenidyl, benztropine, and other anticholinergic medications may be used to treat dystonias. Swallowing will be difficult or impossible; therefore, oral medication is not an option. Medication should be administered immediately, so the intramuscular route is best. In this case, the best option given is diphenhydramine.
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A nurse is caring for a group of clients with antisocial and borderline personality disorders. In planning care for these clients, the nurse should remember that:
Select all that apply. A) These clients are very motivated to change. B) Personality traits are deeply ingrained and difficult to modify. C) Medications are available to treat the underlying physiological disturbance. D) Use of manipulation by the clients makes treatment difficult. E) Poor impulse control hinders compliance with plan of care. F) Secondary diagnoses of substance abuse and depression are common.
The first recorded history of nursing began with Biblical women who cared for the sick and injured. What contribution did Roman Matron Saint Helena make to the origins of nursing?
A) Established first gerontological facility B) First deaconess and visiting nurse C) Established inns and hospitals for pilgrims D) Namesake of the first free hospital in Rome in 390 AD
The nurse giving an intramuscular (IM) dose of 2 mL to a 6-month-old child should:
a. Inject the entire amount in the ventrogluteal muscle b. Give the medication in divided doses in each deltoid c. Inject 1 mL into each vastus lateralis d. Divide the dose, and give 1 mL injections 1 hour apart
A researcher conducts research on optimism. The researcher is calculating a multiple regression equation to predict levels of optimism and wishes to consider religious affiliation as one of the predictor variables
The researcher creates several dummy variables for this purpose. Why must this be done? (Select all that apply.) a. It is safer to create more variables than fewer, since they may each contribute. b. Multiple regression requires that the researcher enter numerical values, not names such as Lutheran, Orthodox Jewish, Buddhist, Islamic, and so forth. c. Reducing nominal or categorical data to one or a series of dichotomous values allows mathematical computation of the regression equation. d. Religious affiliation is a protected entity under HIPAA and must be coded before it is used in calculations. e. The researcher's aim is to develop a formula with which to calculate optimism, given certain other variables, so these must all be represented as numbers.