A nurse is planning to administer haloperidol to a client who has acute psychosis. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?

Dystonia

Diarrhea

Excess salivation

Increased agitation

Answer and Explanation

The Correct Answer is A

A. Dystonia, a type of extrapyramidal symptom (EPS), is a common adverse effect of haloperidol, especially during the early phase of treatment. It involves involuntary muscle contractions, often affecting the neck, face, or eyes.
B. Diarrhea is not a typical adverse effect of haloperidol; constipation is more likely due to its anticholinergic properties.
C. Excess salivation is more commonly associated with other medications such as clozapine. Haloperidol may cause dry mouth instead.
D. Increased agitation may occur in rare cases but is not a common or expected adverse effect; haloperidol is generally used to reduce agitation in acute psychosis.

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Correct Answer is A

Explanation

A. Drinking a glass of milk with each dose can help buffer the stomach lining and reduce gastrointestinal upset, which is a common side effect of chlorpromazine.

B. Lying down after taking the medication is not recommended, as it may increase the risk of esophageal irritation or reflux.

C. Taking chlorpromazine on an empty stomach can actually increase gastrointestinal irritation and worsen upset stomach.

D. While adjusting the dose is a provider’s responsibility, the nurse should first offer practical interventions to manage side effects before suggesting changes to the prescribed dosage.

A. "You've been feeling that your life has no meaning." B. "You have a great deal to live for." C. "It's not unusual for depressed people to feel that way." D. "Why do you feel you are worthless?"

Correct Answer is A

Explanation

A. "You've been feeling that your life has no meaning" is a therapeutic response. It acknowledges the client’s feelings and opens up space for further discussion. It validates their emotional state without reinforcing the negative belief of worthlessness. It also provides an opportunity for the nurse to explore the client's feelings more deeply.

B. "You have a great deal to live for" may be well-intentioned, but it minimizes the client’s feelings and can sound dismissive. The client is in a vulnerable state, and offering reassurance without addressing the underlying emotions might not be helpful at this moment.

C. "It's not unusual for depressed people to feel that way" might make the client feel as though their pain is being trivialized. It is important to acknowledge their feelings and not downplay their experience, especially in a suicidal crisis.

D. "Why do you feel you are worthless?" While it might seem like an appropriate question, it may be too confrontational or might put the client on the defensive. It is important to maintain a supportive and empathetic approach when the client is in crisis.

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A nurse is planning to administer haloperidol to a client who has acute psychosis. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports an upset stomach after taking chlorpromazine. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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