A client was admitted for psychosis and aggressive behavior. The client has been noncompliant with the antipsychotic medication because the client says it makes the client's jaw tight and neck stiff

The client is becoming increasingly agitated and needs a quick-acting medication. Which medication would the nurse expect to give? 1. Benztropine (Cogentin)
2. Fluphenazine (Prolixin)
3. Risperidone (Risperdal)
4. Zolpidem (Ambien)


3
Rationale: An antipsychotic is the treatment for acute agitation. Zolpidem and benztropine are not antipsychotics. Given the client's prior symptoms of dystonia, it would be appropriate to try an atypical antipsychotic (risperidone) over the conventional (fluphenazine).

Nursing

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When asking an older person to make environmental changes in the home to improve safety, which nursing strategy has the highest priority?

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A patient who has sustained a hemorrhagic stroke is placed on a protocol of 60 mg of calcium channel blocker (nimodipine) every 4 hours. The patient's pulse is 82 beats/min before the ad-ministration of the prescribed dose

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Nursing

Which of the following would be considered to be a system barrier to the birth of prenatal care?

a. Adolescent pregnant client b. Inability to schedule an appointment with the health care provider because of a busy medical practice c. Pregnant client has no health insurance d. Having to sign in for the initial appointment and complete health history records

Nursing

When carrying out the order for morphine 2 mg IV every 3 hours prn, the nurse recognizes that which intervention is most appropriate?

1. The nurse should wait until the previous dose of morphine has worn off before administering more. 2. For best results, the patient should receive the morphine every 3 hours. 3. The nurse should assess pain every hour and routinely offer the drug. 4. The nurse should wait until the patient requests the morphine to administer the drug.

Nursing