A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

White blood cell count.

24-hour urinary output.

Blood sugar level.

Current vital signs.

Answer and Explanation

The Correct Answer is D

A.   White blood cell count might be relevant for other conditions but is not specific to NMS.
B.   24-hour urinary output might help evaluate kidney function but is not specific to NMS.
C.   Blood sugar level might be important but is not the primary indicator of NMS.
D.   Vital signs, such as temperature, blood pressure, heart rate, and respiratory rate, are crucial in assessing for NMS as it typically presents with changes in these parameters.

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Correct Answer is B

Explanation

A. Both the nurse and therapist took action to ensure safety; therefore, reprimanding might not be appropriate.
B. The best outcome is an educational approach for the team to understand appropriate information sharing in cases of potential harm to others while maintaining patient confidentiality.
C. The nurse's immediate notification was based on safety concerns, which may take precedence over obtaining informed consent.
D. The therapist's action aimed at ensuring safety but might have breached confidentiality without explicit consent.

A. Take the medication with at least 8 ounces (240 mL) of water and limit alcohol consumption while taking this medication. B. Begin taking the medication immediately and take it daily, regardless of whether or not you drink alcohol. C. Take the medication at bedtime and avoid consuming any more than one ounce of alcohol daily. D. Take the medication each morning beginning 48 hours after your last drink of alcohol.

Correct Answer is D

Explanation

A. Take the medication with at least 8 ounces (240 mL) of water and limit alcohol consumption while taking this medication is incorrect. Alcohol must be completely avoided while taking disulfiram, as even small amounts can cause a severe reaction (e.g., nausea, vomiting, headache, flushing, hypotension).

B. Begin taking the medication immediately and take it daily, regardless of whether or not you drink alcohol is incorrect. Disulfiram should not be started until at least 12–48 hours after the last drink to prevent an acute reaction.

C. Take the medication at bedtime and avoid consuming any more than one ounce of alcohol daily is incorrect. Alcohol must be strictly avoided in any amount.

D. Take the medication each morning beginning 48 hours after your last drink of alcohol is correct. Disulfiram should be initiated at least 12–48 hours after the last alcohol consumption to prevent adverse reactions. The medication is usually taken in the morning to promote adherence.

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A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?

Correct Answer is D

Explanation

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