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 B

Explanation

A. Urinary output might be important in some contexts but is not the priority related to the use of MAO inhibitors.
B. MAO inhibitors like phenelzine can affect blood pressure significantly; monitoring BP is crucial due to the risk of hypertensive crisis when certain foods or medications are taken.
C. Respiratory rate might be a consideration in some situations but is not directly affected by MAO inhibitors.
D. Temperature is not typically a primary concern related to MAO inhibitor use; blood pressure monitoring is more crucial due to potential interactions.

A. Invite for a walk when the client's energy is high. B. Engage the client in competitive activities. C. Assign the client to a single room. D. Provide television programs with suspense to keep attention engaged. E. Give concise and firm directions for hygiene and dressing.

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

Explanation

A. Inviting for a walk when the client's energy is high can help channel excess energy and reduce restlessness.
B. Engaging the client in competitive activities might escalate the situation and isn't suitable for managing hyperactivity in bipolar disorder.
C. Assigning the client to a single room can reduce external stimuli and potentially decrease overstimulation that might contribute to the behavior.
D. Providing television programs with suspense might not effectively engage the client or address their needs.
E. Giving concise and firm directions for hygiene and dressing can help provide structure and guidance during times of excessive energy or impulsivity.

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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

In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications include the monoamine oxidase (MAO) inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the nurse to monitor?

Correct Answer is B

Explanation

The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

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

Explanation

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

A client is admitted to the hospital with suicidal ideation. When completing the health history and admission assessment interview, which client comment is most important for the nurse to document?

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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The nurse plans to use role-playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?

A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?