A nurse is preparing to administer the monthly injection of haloperidol decanoate to a client who has schizophrenia. Which of the following actions should the nurse plan to take?

Monitor the client for bradycardia following the injection.

Have the client lie down for 30 min after the medication is injected

Administer the medication using a tuberculin syringe.

Assess the client for a sudden relapse of manifestations.

Answer and Explanation

The Correct Answer is B

A. Bradycardia is not a typical immediate concern following haloperidol decanoate injection.
B. Clients may experience orthostatic hypotension following the injection; having them lie down can prevent falls.
C. Haloperidol decanoate should be administered using a larger syringe, not a tuberculin syringe, as it is a depot injection.
D. A sudden relapse of manifestations is not typically immediate; monitoring for effectiveness and side effects is more relevant.

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Correct Answer is C

Explanation

A. Returning the medication to the pharmacy is not the immediate appropriate action.
B. Giving expired medication can be unsafe and ineffective.
C. Discarding the medication is the correct action to ensure patient safety.
D. Notifying the provider is unnecessary for the immediate action needed to ensure patient safety; discarding the expired medication is the correct step.

A. Administer the medication 2 hr before exercise. B. Give the medication at the onset of wheezing. C. Administer the granules mixed with 20 oz of water. D. Give the medication in the morning daily.

Correct Answer is A

Explanation

A. Montelukast should be administered daily in the evening due to its side effects such as drowsiness. However, when used to relieve exercise-induced bronchospasms it should be administered 2 hours before exercise.
B. Montelukast should be taken regularly as a maintenance medication, not for acute symptoms.
C. The granules can be mixed with a small amount of soft food, but not with 20 oz of water.
D. Montelukast is usually given once daily in the evening for the prevention of asthma symptoms.

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A nurse is preparing to administer the monthly injection of haloperidol decanoate to a client who has schizophrenia. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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