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 B
Explanation
A. Allow the client to pace alone until physically tired: While pacing can be a coping mechanism, leaving the client alone may not be the most therapeutic approach. It is important for the nurse to provide support and assess the client's emotional state.
B. Walk with the client at a gradually slower pace: This is the correct answer. Walking with the client at a gradually slower pace allows the nurse to offer support and engage in therapeutic communication. It provides a calming presence and can assist the client in self-regulating their anxiety.
C. Have a staff member escort the client to her room: Escorting the client to her room might be perceived as restrictive or punitive. It is generally more beneficial to engage in supportive interventions and encourage coping strategies.
D. Instruct the client to sit down and stop pacing: Giving direct orders to stop pacing may increase anxiety and may not be an effective approach. It is often better to engage in a supportive manner and explore ways to help the client manage their anxiety.
Correct Answer is A
Explanation
A. To emphasize that the client is capable of consuming food without purging: This is the correct purpose of the intervention. By recalling a time when the client was able to consume food without engaging in purging behaviors, the nurse aims to highlight the client's capability to eat without resorting to unhealthy practices.
B. To incorporate specific foods into the meal plan to reflect pleasant memories: While incorporating pleasant memories into the meal plan can be a positive aspect of treatment, the primary purpose of the intervention described is to focus on the client's ability to eat without purging.
C. To assist the client to become more compliant with the treatment plan: While promoting compliance with the treatment plan is important, the specific intervention described is more about exploring the client's past experiences with eating without purging to reinforce the possibility of achieving healthier eating habits.
D. To gain additional information about the progression of the disease process: The intervention is not primarily aimed at gaining information about the progression of the disease process. Instead, it is focused on emphasizing the client's capacity to eat without engaging in purging behaviors.
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