A client is prescribed haloperidol for the treatment of symptoms related to schizophrenia. What client statement suggests that the client needs further teaching?

I can stop taking the medication once my hallucinations stop.

I will discuss any use of alcohol with my health care provider before using it with the medication.

I should start seeing improvement of my symptoms within a few days.

I will avoid direct Sun exposure and use sunscreen if I have to be outdoors.

Answer and Explanation

The Correct Answer is A

This statement suggests that the client needs further teaching because haloperidol is a medication that needs to be taken regularly and consistently to prevent relapse of symptoms related to schizophrenia. Stopping the medication abruptly can cause withdrawal effects and worsen the condition.

Choice B is wrong because it shows that the client understands the potential interaction between alcohol and haloperidol, which can increase the risk of sedation, drowsiness, and low blood pressure.

Choice C is wrong because it indicates that the client has realistic expectations about the onset of action of haloperidol, which can take several days or weeks to show improvement of symptoms.

Choice D is wrong because it demonstrates that the client is aware of the possible side effect of photosensitivity caused by haloperidol, which can make the skin more prone to sunburn and damage.

Haloperidol is an antipsychotic drug that works by blocking dopamine receptors in the brain. It is used to treat symptoms such as hallucinations, delusions, paranoia, and disorganized thinking in schizophrenia and other psychotic disorders. The normal dosage range for haloperidol is 0.5 to 20 mg per day, depending on the severity of the condition and the response to treatment. Some of the common side effects of haloperidol include extrapyramidal symptoms (EPS), such as muscle stiffness, tremors, restlessness, and abnormal movements; neuroleptic malignant syndrome (NMS), which is a rare but serious condition characterized by fever, muscle rigidity, altered mental status, and autonomic instability; and tardive dyskinesia (TD), which is a chronic movement disorder that involves involuntary movements of the tongue, lips, face, and limbs. Haloperidol can also cause weight gain, dry mouth, blurred vision, constipation, dizziness, insomnia, and sexual dysfunction.

Haloperidol should be used with caution in patients with cardiovascular disease, liver disease, seizure disorder, diabetes mellitus, thyroid dysfunction

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Correct Answer is A

Explanation

This is the proper way to obtain a throat culture, which is a test to look for infections in the back of the throat.

Some possible explanations for the other choices are:

Choice B is wrong because there is no need to avoid eating or drinking after a throat culture.

The swab does not interfere with the normal function of the mouth or throat.

Choice C is wrong because coughing while swabbing the throat could contaminate the sample or cause discomfort to the client. The swab should be gently passed along the back area of the throat and tonsils.

Choice D is wrong because swabbing only the anterior tongue would not collect enough cells from the infected area. The swab should reach the back of the throat where bacteria or fungi may grow.

A. Straighten the auditory canal by pulling it down and toward the front. B. Gently pull the auricle up and back before instilling the drops. C. Ask the client to lower the head and take a deep breath during the instillation. D. Don sterile glove and gently insert one finger in the canal to promote the flow of the drops.

Correct Answer is B

Explanation

Gently pull the auricle up and back before instilling the drops. This technique straightens the auditory canal and allows the drops to reach the eardrum.

It also prevents contamination of the ear canal by the finger.

Choice A is wrong because pulling the auditory canal down and toward the front is the proper method for children, not adults.

This technique is used for children because their auditory canal is shorter and more curved than adults.

Choice C is wrong because lowering the head and taking a deep breath during the instillation has no effect on the administration of otic drops.

It may also cause discomfort or dizziness for the client.

Choice D is wrong because wearing sterile gloves and inserting one finger in the canal is unnecessary and potentially harmful.

It may introduce bacteria or damage the ear canal or eardrum.

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A client is prescribed haloperidol for the treatment of symptoms related to schizophrenia. What client statement suggests that the client needs further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instructions should a nurse give to a client prior to obtaining a throat culture?

Correct Answer is A

Explanation

Which technique is the proper method to administer otic drops to an adult client?

Correct Answer is B

Explanation

Which dessert choice by a client who is prescribed a low-fat diet indicates the client understands the dietary instructions?

Which age-related physiological change puts a client at higher risk for adverse medication complications?

A client with osteoarthritis of the hips and knees has received instructions on how to use a walker for ambulation. Which behavior observed by the nurse indicates the client understands the instructions?

A health care provider has ordered vital signs every 4 hours. The client’s 8:00 AM temperature was 99° F (37.2° C). At 10 AM, the client reported chills. A nurse takes the client’s temperature again. Which type of nursing action does this exemplify?

The client has diabetes Type I, a body mass index (BMI) of 17 and poor skin turgor. How should the nurse plan to administer the prescribed. Humulin R 7 units subcutaneously?

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When a client has a nursing diagnosis of Ineffective Coping, which nursing interventions would best meet the desired outcome of demonstrating appropriate coping strategies? (Select all that apply).