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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encourage client input in the treatment plan. While it is important to involve clients in their care, individuals with histrionic personality disorder may have difficulty with objectivity and may focus more on their own needs or dramatic expressions rather than contributing to a well-balanced treatment plan. This might not be the priority intervention.
B. Communicate with the client using concrete language. This is the priority intervention. Clients with histrionic personality disorder often engage in dramatic, vague, or exaggerated expressions, and using concrete, clear, and direct communication can help manage their tendencies toward confusion or manipulation. Clear communication helps set boundaries and reduce the potential for misinterpretation or emotional overreaction.
C. Demonstrate assertive behavior. While assertiveness is important in dealing with clients who may exhibit manipulative behaviors, the priority at this stage is ensuring clear communication to avoid the potential for escalation. Assertiveness can be developed over time but isn't the first action when establishing boundaries and clear communication.
D. Promote appropriate behavior during group therapy sessions. While promoting appropriate behavior is essential, it’s important to first establish effective communication and address immediate concerns, such as the client's ability to follow the conversation and maintain realistic self-perception, before focusing on group dynamics.
Correct Answer is A
Explanation
A. Atropine is an anticholinergic commonly administered before ECT to decrease secretions and reduce the risk of bradycardia during the procedure.
B. Diphenhydramine is an antihistamine used for allergies or mild sedation but is not indicated in the ECT pre-procedure protocol.
C. Fluoxetine is an SSRI used for depression but should typically be held or managed carefully in clients receiving ECT, as some antidepressants can interfere with seizure threshold.
D. Epinephrine is used in emergency situations such as anaphylaxis or cardiac arrest and is not part of the routine pre-ECT medication regimen.
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