A patient being medicated with haloperidol for over 4 weeks has started to display symptoms of involuntary movements of the mouth that resemble chewing. Of the following extrapyramidal adverse reactions, the client is showing signs of:
A.
Dystonia.
B.
Akathisia.
C.
Drug-induced Parkinsonism.
D.
Tardive dyskinesia.
ANS: D
Protrusion of the tongue and movements of the mouth are the common symptoms of tardive dyskinesia.
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While in the dayroom, one of the patients becomes very agitated and begins to threaten to harm the other patients and is directing violence at the other patients and staff. What is the most ap-propriate nursing implementation?
a. Decrease the stimuli and use restraints if all other measures fail. b. Offer to call the physician and ask another staff member to call security. c. Remove harmful objects and try to per-form relaxation exercises with the patient. d. Restrain the patient and do not allow him or her to eat or drink anything by mouth.
Which of the following statements reflects just culture within an organization (select all that apply)?
a. Just culture is a punitive reaction to patient errors. b. Just culture occurs when the organization is transparent about its mistakes. c. Interpersonal learning is balanced with personal accountability and discipline. d. Expectations for system and individual learning are apparent. e. Serious safety events are reported to se-nior leadership and kept confidential.
Hypercalciuria is primarily attributable to which alteration?
a. Defective renal calcium reabsorption b. Intestinal hyperabsorption of dietary calcium c. Bone demineralization caused by prolonged immobilization d. Hyperparathyroidism
The nurse has just received change-of-shift report about the following four patients which patient will the nurse assess first:
a) The patient who has multiple black wounds on the feet and ankles b) The newly admitted patient with a stage IV pressure ulcer on the coccyx c) The patient who needs to be medicated with multiple analgesics before a scheduled dressing change d) The patient who has been receiving immunosuppressants medications and has a temp of 102' F