A client is diagnosed with schizophrenia. A physician orders haloperidol (Haldol), 50 mg bid: benztropine (Cogentin), 1 mg prn: and zolpidem (Ambien). 10 mg HS. Which client behavior would warrant the nurse to administer benztropine?
Tactile hallucinations
Reports of hearing disturbing voices
Hypotension
Restlessness and muticle rigidity
The Correct Answer is D
A. Tactile hallucinations: Benztropine is not typically indicated for the treatment of tactile hallucinations. It is primarily used to manage extrapyramidal symptoms (EPS) associated with antipsychotic medications.
B. Reports of hearing disturbing voices: Benztropine is not the first-line treatment for auditory hallucinations in schizophrenia. Antipsychotic medications, such as haloperidol, are more commonly used for this purpose.
C. Hypotension: Benztropine is not used to treat hypotension. It is used to manage extrapyramidal symptoms, such as rigidity and restlessness, that may result from antipsychotic medication use.
D. Restlessness and muticle rigidity: This is the correct answer. Benztropine is an anticholinergic medication that can help alleviate extrapyramidal symptoms (EPS) caused by antipsychotic drugs like haloperidol. Restlessness and muticle rigidity are symptoms of EPS, and benztropine can be used to counteract these side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Teaching clients about their illness: This function is within the scope of practice for both registered nurses and advanced practice psychiatric nurses. Registered nurses often provide education to clients about their illnesses, medications, and overall care.
B. Maintaining safety on the milieu: Both registered nurses and advanced practice psychiatric nurses are responsible for maintaining safety on the milieu. This includes monitoring the environment, assessing potential risks, and intervening to ensure the safety of clients and staff.
C. Prescribing medications: This function is exclusive to advanced practice psychiatric nurses, such as psychiatric nurse practitioners. Registered nurses do not have the authority to prescribe medications. Advanced practice psychiatric nurses receive additional education and training that allows them to prescribe medications as part of their role.
D. Administering medications: Registered nurses, including those specializing in psychiatric nursing, are authorized to administer medications. This is a common nursing function and does not require advanced practice authorization.
Correct Answer is D
Explanation
A. Concern for others: Individuals with antisocial personality disorder typically lack genuine concern for others and may exploit or manipulate them for personal gain.
B. Actively engaged in all unit activities: While engagement in activities can vary, the key feature of antisocial personality disorder is not a high level of engagement but rather a disregard for rules and the rights of others.
C. Mindful of following all of the unit rules: Individuals with antisocial personality disorder often have a history of rule-breaking and may not be consistently mindful of following societal or institutional rules. They may engage in behaviors that violate rules or laws.
D. Manipulative: This is the correct answer. Antisocial personality disorder is characterized by manipulative behaviors, where individuals exploit others for personal gain or pleasure. Manipulation is a key feature of this disorder.
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