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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Nurses have a legal and ethical duty to warn identifiable third parties if a client poses a serious threat. Avoiding this warning may result in liability.
Choice B reason: Discussing treatment with a partner without consent violates confidentiality, regardless of admission status. Involuntary admission does not waive privacy rights.
Choice C reason: Clients retain the right to refuse medications unless a court order or emergency situation overrides this. Involuntary status does not eliminate this right.
Choice D reason: Clients admitted via emergency commitment retain legal rights, including access to counsel. Denying this violates due process protections.
Correct Answer is A
Explanation
Choice A reason: Lorazepam, a benzodiazepine, is the first-line treatment for moderate to severe alcohol withdrawal. It reduces CNS hyperactivity, prevents seizures, and stabilizes vital signs.
Choice B reason: Disulfiram is used for long-term abstinence by inducing aversive reactions to alcohol. It is contraindicated during acute withdrawal due to risk of worsening symptoms.
Choice C reason: Naltrexone is used for relapse prevention by reducing cravings. It is not appropriate during withdrawal and may precipitate symptoms if opioids are present.
Choice D reason: Haloperidol may be used for agitation or hallucinations but does not address the autonomic instability of withdrawal. It is not a primary treatment for tremors or elevated vitals.
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