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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Low tolerance for frustration is a significant risk factor for becoming a perpetrator of child abuse. Individuals who have difficulty managing their frustration may be more likely to react impulsively and aggressively when faced with challenging situations. This inability to cope with frustration can lead to abusive behaviors, especially if the individual has not developed healthy coping mechanisms. The stress and demands of parenting can exacerbate these tendencies, increasing the risk of child abuse.
Choice B reason: Being involved in community activities is generally considered a protective factor rather than a risk factor. Participation in community activities can provide social support, reduce isolation, and offer positive role models. These factors can help individuals develop healthier coping strategies and reduce the likelihood of abusive behaviors. Therefore, involvement in community activities is not typically associated with an increased risk of becoming a perpetrator of child abuse.
Choice C reason: A submissive personality is not typically identified as a risk factor for becoming a perpetrator of child abuse. Submissive individuals are more likely to be passive and avoidant rather than aggressive and abusive. While personality traits can influence behavior, a submissive personality does not inherently increase the risk of perpetrating abuse. Other factors, such as a history of abuse, stress, and lack of support, are more relevant in assessing the risk of abusive behavior.
Choice D reason: The absence of impulsive behaviors is not a risk factor for becoming a perpetrator of child abuse. In fact, impulsivity is often associated with a higher risk of abusive behaviors. Individuals who lack impulsive behaviors are generally more capable of controlling their actions and responding to stress in a measured and thoughtful manner. Therefore, the absence of impulsive behaviors is not linked to an increased risk of child abuse.
Correct Answer is C
Explanation
Choice A reason: Setting limits is not typically the primary behavioral management technique for clients with delirium. Delirium is an acute and often reversible state of confusion that requires addressing the underlying medical cause. Management strategies for delirium focus on reorientation, ensuring safety, and treating any underlying conditions rather than setting behavioral limits.
Choice B reason: Clients with depression may benefit from supportive and empathetic interactions rather than strict behavioral limits. While structure and routine can be helpful, the primary approach for managing depression involves therapeutic communication, medication management, and cognitive-behavioral strategies rather than setting limits on behavior.
Choice C reason: Setting limits is an essential behavioral management technique for clients with antisocial personality disorder. Individuals with this disorder often exhibit manipulative, deceitful, and aggressive behaviors. Clear and consistent limits help establish boundaries and prevent the exploitation of others. This approach promotes accountability and helps manage inappropriate behaviors in a therapeutic setting.
Choice D reason: Generalized anxiety disorder is characterized by excessive and persistent worry. Behavioral management techniques for anxiety disorders typically include cognitive-behavioral therapy, relaxation techniques, and sometimes medication. Setting limits is not a primary intervention for managing anxiety; rather, the focus is on reducing anxiety symptoms through therapeutic strategies.
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