A nurse is monitoring a client who is receiving haloperidol. Which of the following findings is the priority to report to the provider?

Hypoactive bowel sounds in all four quadrants.

Client report of dry mouth.

Constant opening and closing of mouth.

Client report of photosensitivity.

Answer and Explanation

The Correct Answer is C

Choice A reason: Hypoactive bowel sounds can indicate a variety of gastrointestinal issues, but they are not typically associated with haloperidol use. While it is important to monitor bowel sounds, it is not the priority in this context.

Choice B reason: Dry mouth is a common side effect of many medications, including haloperidol. While it can be uncomfortable for the client, it is not usually a serious concern and can be managed with hydration and other supportive measures.

Choice C reason: Constant opening and closing of the mouth, also known as tardive dyskinesia, is a serious side effect of haloperidol and other antipsychotic medications. This condition involves involuntary muscle movements and can be irreversible. It is crucial to report this finding to the provider immediately for assessment and potential adjustment of the medication regimen.

Choice D reason: Photosensitivity is not a common side effect of haloperidol. While it is important to monitor for any new or unusual symptoms, photosensitivity is not typically associated with this medication.

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Correct Answer is B

Explanation

Choice A reason: Serum creatinine levels are commonly used to assess kidney function. While kidney function is important, it does not specifically evaluate nutritional status. Chronic alcohol use can impact multiple organs, but thiamine deficiency is a more direct concern related to nutritional status in these patients.

Choice B reason: Thiamine (vitamin B1) deficiency is a well-known complication of chronic alcohol use disorder. Alcohol interferes with the absorption and utilization of thiamine, leading to deficiencies that can cause severe neurological problems, such as Wernicke's encephalopathy and Korsakoff's syndrome. Monitoring thiamine levels is crucial in assessing and managing the nutritional status of clients with chronic alcohol use disorder.

Choice C reason: Urinalysis is a basic test that can provide information about kidney function and the presence of infections, among other things. However, it is not specifically useful in evaluating the nutritional status of a client with chronic alcohol use disorder. Nutritional deficiencies would not be directly assessed through a routine urinalysis.

Choice D reason: Erythrocyte sedimentation rate (ESR) is a non-specific marker of inflammation and is used to detect inflammatory conditions. While it can provide information on inflammatory processes, it does not directly assess nutritional status. The nutritional impact of chronic alcohol use disorder is more accurately evaluated by specific nutrient levels, such as thiamine.

A. "Drink 5 ounces of red wine roughly 30 minutes before bed." B. "Limit caffeine to one or two servings during daytime hours." C. "Exercise 1 hour before bedtime." D. "Stay in bed for 1 hour before getting up if you are unable to sleep."

Correct Answer is B

Explanation

Choice A reason: Drinking alcohol, such as red wine, before bed is not recommended for improving sleep. While alcohol may initially make a person feel drowsy, it can disrupt the sleep cycle, leading to poor sleep quality and frequent awakenings during the night. It is better to avoid alcohol close to bedtime to promote better sleep hygiene.

Choice B reason: Limiting caffeine intake to one or two servings during daytime hours is a beneficial recommendation for improving sleep. Caffeine is a stimulant that can interfere with the ability to fall asleep and stay asleep. By reducing caffeine consumption and avoiding it in the late afternoon and evening, individuals can enhance their chances of achieving restful sleep.

Choice C reason: Exercising 1 hour before bedtime is not advisable as vigorous physical activity close to bedtime can be stimulating and may make it harder to fall asleep. It is generally recommended to finish exercise at least a few hours before bedtime to allow the body to wind down and prepare for sleep.

Choice D reason: Staying in bed for 1 hour before getting up if unable to sleep can lead to frustration and anxiety about not being able to sleep. It is more effective to get out of bed and engage in a quiet, relaxing activity until feeling sleepy, then return to bed. This approach helps associate the bed with sleep rather than wakefulness.

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A nurse is monitoring a client who is receiving haloperidol. Which of the following findings is the priority to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A nurse is monitoring a client who is receiving haloperidol. Which of the following findings is the priority to report to the provider?