Nokea
Which nursing instruction is most appropriate when teaching a client who self-administers haloperidol (Haldol)?
- A. Take the pills on an empty stomach.
- B. Do not skip meals while taking the drug.
- C. Stop taking the drug if sedation occurs.
- D. Rise slowly from a sitting position.
Correct Answer: D
Rationale: Rising slowly prevents orthostatic hypotension, a common side effect.
You may also like to solve these questions
During the initial physical examination, the nurse is most likely to detect which finding related to anorexia?
- A. Growth of fine body hair
- B. Bruises over the upper torso
- C. Hyperactive bowel sounds
- D. Club-shaped fingertips
Correct Answer: A
Rationale: Lanugo (fine body hair) develops in anorexia due to malnutrition.
Which assessment finding is most indicative that the child is developmentally delayed?
- A. The child is being bottle-fed.
- B. The child is not toilet-trained.
- C. The child has no language skills.
- D. The child cannot draw a picture.
Correct Answer: C
Rationale: Lack of language skills at age 2 is a significant indicator of developmental delay.
Which information given to the teenage mother is most appropriate?
- A. Holding will not result in spoiling the baby.
- B. Grandparents usually spoil babies.
- C. Babies need to be spoiled.
- D. Toddlers are more likely to be spoiled.
Correct Answer: A
Rationale: Reassuring the mother that holding is beneficial promotes bonding and reduces unnecessary worry.
What advice is most appropriate to give the parents at this time?
- A. Tell the parents to disregard their son's behavior; it is normal grieving.
- B. Advise the parents to tell their son to snap out of it; his life is not over.
- C. Suggest transferring their son to another school.
- D. Advise the parents to ask their son about having thoughts of suicide.
Correct Answer: D
Rationale: Directly addressing suicidal thoughts is critical for safety.
If the adolescent benefits from therapy that focuses on growing up in an alcoholic household, the nurse is most likely to observe the adolescent developing an ability to do what?
- A. Keep promises
- B. Trust others
- C. Solve problems
- D. Honor commitments
Correct Answer: B
Rationale: Trust is a key area of growth for those from alcoholic households.