A client with schizophrenia is prescribed antipsychotic therapy. When developing the plan of care for the client, the nurse integrates understanding that the client is at risk for extrapyramidal syndrome
The nurse would expect to assess the client for this adverse reaction at which time?
A) Once a week
B) At the initiation of therapy
C) When the dose is reduced
D) Every 3 months
E) When the dose is increased
Ans: B, C, E
Feedback:
The nurse should assess for EPS during initial therapy and whenever the dosage is increased or decreased.
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A goal of care for a client with congestive heart failure (CHF) is for serum sodium levels to be within normal limits. Which information documented in the medical record would indicate that the client is not meeting this goal?
A) The client is experiencing dependent edema. B) The client experiences joint pain. C) The client is constipated. D) The client is experiencing wheezing respirations.
A client with a history of rheumatoid arthritis will be starting drug therapy with etanercept (Enbrel). What is most important for the nurse to teach the client?
a. The correct technique for subcutaneous injections b. How to self-monitor blood glucose levels c. How to set up and prime the IV tubing d. How to calculate the dosage based on symptoms
A nurse has been investigating how health care policy is made and believes that the system is too complicated and difficult to navigate. Which statement best justifies this position? Health care policy is
a. created at many governmental levels and affected by multiple variables. b. enacted mostly by federal law, which requires compromise by both parties. c. funded by appropriations bills, making additional policies hard to enact. d. politicized with the current administration's party views taking priority.
The nurse is collecting a 24-hour urine specimen from a client with an indwelling urinary catheter. How should the nurse collect this specimen?
1. Empty the catheter bag once a shift and place the urine in a collection container on ice. 2. Disconnect the catheter from the tubing and drain the urine directly into the collection container. 3. Aspirate urine from the tubing port with a sterile needle every hour and place in a collection container on ice. 4. Place the catheter bag on ice and empty regularly into the collection bottle, which is also kept on ice.