A nurse is planning to administer olanzapine pamoate 300 mg IM to a client. Which of the following actions should the nurse plan to take?

Instruct the client to drive home immediately after the injection.

Monitor the client for sedation after administration of the medication.

Educate the client that they may experience excessive salivation.

Administer the medication in the deltoid muscle.

Answer and Explanation

The Correct Answer is B

Choice A reason: Clients should not drive or operate machinery after receiving olanzapine pamoate due to the risk of post-injection syndrome and sedation.
Choice B reason: Monitoring for sedation is essential after administration due to the risk of post-injection syndrome, which can mimic olanzapine overdose symptoms.
Choice C reason: Excessive salivation is not a common side effect of olanzapine pamoate; sedation and delirium are more relevant concerns.
Choice D reason: Olanzapine pamoate should be administered via deep IM injection in the ventrogluteal site, not the deltoid, to reduce the risk of vascular entry and post-injection syndrome.

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Correct Answer is ["C","D"]

Explanation

Choice A reason: While reducing excessive fats and refined carbohydrates may support weight management, the statement lacks nuance. Healthy fats and complex carbohydrates are essential for brain function and mood regulation, especially in mental health contexts.

Choice B reason: Frequent weighing may contribute to obsessive behaviors and anxiety, particularly in clients with body image concerns or eating disorders. It is not universally recommended.

Choice C reason: Gastric acid exposure, especially in clients with purging behaviors or GERD, can damage tooth enamel and increase the risk of dental caries. This is a valid and evidence-based educational point.

Choice D reason: Music therapy is a recognized non-pharmacologic intervention that can support emotional regulation, reduce anxiety, and improve mood. It is appropriate for mental health education.

Choice E reason: Daily laxative use is not a safe or recommended method for weight loss. It can lead to electrolyte imbalances, dependency, and gastrointestinal damage.

A. Innocent murmur. B. Patent ductus arteriosus. C. Ventricular septal defect. D. Atrial septal defect.

Correct Answer is C

Explanation

Choice A reason: Innocent murmurs are typically soft, short, and systolic, and they do not present as harsh or pansystolic. They are also not localized to the lower left sternal border.
Choice B reason: Patent ductus arteriosus produces a continuous "machinery-like" murmur, usually heard best at the upper left sternal border, not the lower left.
Choice C reason: Ventricular septal defect (VSD) classically presents as a harsh, pansystolic murmur heard best at the lower left sternal border due to turbulent flow across the septal defect.
Choice D reason: Atrial septal defect typically produces a systolic murmur at the upper left sternal border and may be accompanied by a fixed split of the second heart sound, not a pansystolic murmur.

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A nurse is planning to administer olanzapine pamoate 300 mg IM to a client. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to the client. Select the 2 statements the nurse should include.

Correct Answer is ["C","D"]

Explanation

Auscultation of a 3-year-old child's heart reveals a pansystolic, harsh murmur heard loudest over the lower left sternal border. This finding is consistent with which of the following conditions?

Correct Answer is C

Explanation

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