During a multidisciplinary meeting, the group discussed potential signs of tardive dyskinesia noted sporadically in a client. Following the meeting, symptoms progressed for the client. Which medical order does the nurse anticipate?

Provide an adjunct medication.

Begin alternate treatments.

Discontinue the medication.

Reduce the medication dose.

Answer and Explanation

The Correct Answer is C

A. Provide an adjunct medication: Adjunctive treatments may help manage side effects, but in the case of progressing tardive dyskinesia, continuing the causative drug poses further risk. Adjuncts are more appropriate for mild or early symptoms.
B. Begin alternate treatments: While starting alternative therapies may be considered later, the immediate priority is to stop the offending agent causing the worsening movement disorder. Substitutions should follow once symptoms are stabilized.
C. Discontinue the medication: Tardive dyskinesia is a potentially irreversible side effect of long-term antipsychotic use. Progression of symptoms warrants prompt discontinuation of the offending drug to prevent further neurologic damage.
D. Reduce the medication dose: Dose reduction may help with some side effects, but in the presence of worsening tardive dyskinesia, stopping the medication altogether is the safer and more effective approach.

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Correct Answer is B

Explanation

A. Skin around tube is pink: Pink, healthy-appearing skin suggests normal circulation and lack of infection or irritation. This is an expected finding and does not indicate a complication related to chest tube placement or function.
B. The tissues give a crackling sensation when palpated: This is indicative of subcutaneous emphysema, a complication where air leaks into the subcutaneous tissue. It feels like bubble wrap under the skin and may signal a chest tube malfunction or air leak in the system.
C. Absence of bloody drainage in the anterior/upper tube: The anterior/upper chest tube typically drains air, not fluid or blood. The absence of bloody drainage here is expected and not cause for concern unless paired with respiratory distress.
D. Bloody drainage is observed in the collection chamber: Bloody drainage may be expected postoperatively, especially after thoracic surgery. It should be monitored for amount and rate, but its presence alone is not necessarily a complication.

A. Allows the nurse to express their feelings B. Allows for the nurse to facilitate the grieving process C. Allows for the nurse to take the client through in the appropriate order D. Allows for the nurse to understand when the grieving process should be concluded

Correct Answer is B

Explanation

A. Allows the nurse to express their feelings: While nurses may also experience emotional responses, the primary focus in client care is on supporting the client’s grief. Personal expression should not take precedence in the therapeutic relationship.
B. Allows for the nurse to facilitate the grieving process: Understanding the stages and individual nature of grief enables the nurse to provide empathetic, nonjudgmental support. This helps the client process emotions in a healthy way and move through grief at their own pace.
C. Allows for the nurse to take the client through in the appropriate order: Grief is not a linear process. Clients may move back and forth between stages or skip some entirely. The nurse's role is to support, not control or direct the sequence of emotions.
D. Allows for the nurse to understand when the grieving process should be concluded: Grief does not follow a fixed timeline. Expecting it to end by a specific point is unrealistic and may create pressure or invalidate the client’s experience. Compassionate care requires flexibility and patience.

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During a multidisciplinary meeting, the group discussed potential signs of tardive dyskinesia noted sporadically in a client. Following the meeting, symptoms progressed for the client. Which medical order does the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a chest tube. Which nursing assessment would alert the nurse to a possible complication?

Correct Answer is B

Explanation

All nurses care for clients who are grieving. It is important for the nurse to understand the grieving process for which reason?

Correct Answer is B

Explanation

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