A client is prescribed haloperidol for the treatment of symptoms related to schizophrenia. What client statement suggests that the client needs further teaching?

I can stop taking the medication once my hallucinations stop.

I will discuss any use of alcohol with my health care provider before using it with the medication.

I should start seeing improvement of my symptoms within a few days.

I will avoid direct Sun exposure and use sunscreen if I have to be outdoors.

Answer and Explanation

The Correct Answer is A

This statement suggests that the client needs further teaching because haloperidol is a medication that needs to be taken regularly and consistently to prevent relapse of symptoms related to schizophrenia. Stopping the medication abruptly can cause withdrawal effects and worsen the condition.

Choice B is wrong because it shows that the client understands the potential interaction between alcohol and haloperidol, which can increase the risk of sedation, drowsiness, and low blood pressure.

Choice C is wrong because it indicates that the client has realistic expectations about the onset of action of haloperidol, which can take several days or weeks to show improvement of symptoms.

Choice D is wrong because it demonstrates that the client is aware of the possible side effect of photosensitivity caused by haloperidol, which can make the skin more prone to sunburn and damage.

Haloperidol is an antipsychotic drug that works by blocking dopamine receptors in the brain. It is used to treat symptoms such as hallucinations, delusions, paranoia, and disorganized thinking in schizophrenia and other psychotic disorders. The normal dosage range for haloperidol is 0.5 to 20 mg per day, depending on the severity of the condition and the response to treatment. Some of the common side effects of haloperidol include extrapyramidal symptoms (EPS), such as muscle stiffness, tremors, restlessness, and abnormal movements; neuroleptic malignant syndrome (NMS), which is a rare but serious condition characterized by fever, muscle rigidity, altered mental status, and autonomic instability; and tardive dyskinesia (TD), which is a chronic movement disorder that involves involuntary movements of the tongue, lips, face, and limbs. Haloperidol can also cause weight gain, dry mouth, blurred vision, constipation, dizziness, insomnia, and sexual dysfunction.

Haloperidol should be used with caution in patients with cardiovascular disease, liver disease, seizure disorder, diabetes mellitus, thyroid dysfunction

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Correct Answer is C

Explanation

The proper length of the needle to administer a subcutaneous injection depends on the amount of adipose tissue over the muscle.

The needle should be long enough to reach the subcutaneous layer but not so long that it penetrates the muscle. The needle gauge and length vary depending on the patient’s size and the injection site

Choice A is wrong because the age of the client does not determine the needle length.

However, age may affect the amount of adipose tissue and muscle mass, which are factors to consider when choosing a needle length.

Choice B is wrong because the viscosity of the solution does not determine the needle length. However, viscosity may affect the needle gauge, which is the diameter of the needle.

Thicker solutions may require larger gauge needles to allow easier flow.

Choice D is wrong because the quantity of the solution does not determine the needle length.

However, quantity may affect the syringe size, which is the volume of medication that can be held by the syringe.

The syringe size should match the prescribed dose as closely as possible to ensure accuracy and ease of measurement.

A. I will avoid excessive amounts of cheese and caffeine. B. My spouse will just have to put up with any new irritability. C. I will change positions slowly, as dizziness may occur. D. My spouse will check my blood pressure if I experience a headache.

Correct Answer is B

Explanation

My spouse will just have to put up with any new irritability. This statement indicates that the client requires further educational reinforcement about the medication because phenelzine is an antidepressant that should improve the mood and reduce irritability. The client may also need to be assessed for possible adverse effects of phenelzine, such as agitation, insomnia, or hypomania.

Choice A is wrong because it is a correct statement. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with foods that contain tyramine, such as cheese and caffeine, and cause a hypertensive crisis.

The client should avoid excessive amounts of these foods while taking phenelzine.

Choice C is wrong because it is also a correct statement. Phenelzine can cause orthostatic hypotension, which is a drop in blood pressure when changing positions.

The client should change positions slowly, as dizziness may occur.

Choice D is wrong because it is partially correct. Phenelzine can cause headaches, which may be a sign of a hypertensive crisis.

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A client is prescribed haloperidol for the treatment of symptoms related to schizophrenia. What client statement suggests that the client needs further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which criterion should a nurse use to determine the proper length of the needle to administer a subcutaneous (subcut) medication?

Correct Answer is C

Explanation

A client has been recently started on phenelzine, a monoamine oxidase inhibitor (MAOI) for depression. Which statement indicates that the client requires further educational reinforcement about the medication?

Correct Answer is B

Explanation

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