A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

White blood cell count.

24-hour urinary output.

Blood sugar level.

Current vital signs.

Answer and Explanation

The Correct Answer is D

A.   White blood cell count might be relevant for other conditions but is not specific to NMS.
B.   24-hour urinary output might help evaluate kidney function but is not specific to NMS.
C.   Blood sugar level might be important but is not the primary indicator of NMS.
D.   Vital signs, such as temperature, blood pressure, heart rate, and respiratory rate, are crucial in assessing for NMS as it typically presents with changes in these parameters.

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Correct Answer is D

Explanation

A. Discussing alternative strategies is important but might not be the initial priority without first assessing the client's physical health.
B. Providing a supportive environment for meals is crucial, but assessing the client's physical status should take precedence.
C. Monitoring for vomiting after meals is important, but a comprehensive assessment of physical health should come first.
D. Assessing weight, vital signs, and electrolytes is crucial in determining the client's current physical health status and any potential risks associated with bulimia.

A. Mail education items to the home for batterer treatment options B. Provide referrals from the physician for mental health services C. Follow up with the client in a few weeks D. Call the police as a mandatory reporter E. Document verbatim statements about the abuse

Correct Answer is ["B","C","E"]

Explanation

A. Mailing education items to the home for batterer treatment options might not be appropriate without the client's consent or discussion.
B. Providing referrals for mental health services aligns with addressing the client's needs.
C. Following up with the client in a few weeks ensures continuity of care and monitoring of the client's progress.
D. Calling the police as a mandatory reporter might be necessary if there's an immediate threat, but it's not mentioned in the scenario.
E. Documenting verbatim statements about the abuse is crucial for accurate record-keeping and legal purposes.

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A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client with bulimia is admitted to the mental health unit after she disclosed to a friend that she purges after meals. Which intervention should the nurse implement first?

Correct Answer is D

Explanation

Following the visit, what are appropriate actions for the nurse? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

The nurse is assessing a client who reports using cocaine several times in the past week.Which observations should the nurse expect on assessment?

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