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A nurse in a mental health clinic is caring for a client who has bipolar disorder and a prescription for an antipsychotic medication. The provider and nursing staff suspect the client is not adhering to his medication therapy. Which of the following interventions should the staff use to encourage the client's adherence? (Select all that apply.)

Rotate staff that administer the medications.

Engage the client in conversation following medication administration.

Use sustained-release forms.

Provide for once-daily dosing.

Perform mouth checks following the administration of the medication.

Answer and Explanation

Correct Answer : C,D,E

Answer:C, D, E

Rationale:

A) Rotate staff that administer the medications: Rotating staff can lead to inconsistency in communication and rapport with the client. A consistent nursing team is more likely to build trust and encourage adherence to medication therapy. Therefore, this intervention may not effectively promote adherence.

B) Engage the client in conversation following medication administration: While engaging the client in conversation can help build rapport and create a supportive environment, it may not be the most effective intervention for encouraging medication adherence. The priority should be focused on ensuring the client takes the medication as prescribed, rather than focusing on conversation after administration.

C) Use sustained-release forms: Sustained-release formulations can help with adherence by providing a more consistent therapeutic effect and reducing the number of doses a client needs to take throughout the day. This can simplify the medication regimen, making it easier for the client to adhere.

D) Provide for once-daily dosing: Once-daily dosing is beneficial for improving adherence because it reduces the complexity of the medication regimen. Clients are more likely to remember to take their medication if they only need to do so once a day.

E) Perform mouth checks following the administration of the medication: Performing mouth checks can help ensure that the client has actually taken the medication, especially if there is suspicion of non-adherence. This intervention can confirm that the medication is ingested and can serve as a prompt for adherence in future doses.

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Correct Answer is ["0.25"]

Explanation

To calculate the volume of haloperidol solution needed, we can use the formula:

Volume(mL)=Dose(mg)/Concentration(mg/mL)

Given: Dose of haloperidol = 5 mg

Concentration of haloperidol solution = 20 mg/mL

Substituting the given values into the formula:

Volume(mL)=5 mg/20 mg/mL

Volume(mL)=5/20

Volume(mL)=0.25 mL

Rounded to the nearest hundredth, the nurse should administer 0.25 mL of haloperidol solution.

A. Tap the top of the ampule. place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body. B. Tap the bottom of the ampule, place a gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body. C. Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion. D. Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side.

Correct Answer is A

Explanation

When opening a glass ampule, it's essential to use the correct technique to prevent injury and ensure sterility. Here's the rationale for each option:

A. Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body: This technique is correct. Tapping the top of the ampule helps dislodge any medication that may be trapped in the neck. Placing a sterile gauze pad around the neck provides a barrier to protect against injury from glass shards. Breaking off the top by bending it toward the body helps prevent spillage of the medication.

B. Tap the bottom of the ampule, place a gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body: Tapping the bottom of the ampule is unnecessary and may increase the risk of breakage. Breaking off the bottom with a forward motion away from the body is not the recommended technique for opening a glass ampule.

C. Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion: This technique does not involve the use of a gauze pad to protect against injury, which is essential for safe medication administration.

D. Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side: Breaking off the neck with a single snap to the right side is not a recommended technique. Additionally, using sterile gloves alone may not provide sufficient protection against injury from glass shards.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer haloperidol 5 mg IM to a client. The amount available is haloperidol 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.25"]

Explanation

A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?

Correct Answer is A

Explanation

A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed?

A nurse is caring for a client who has Wernicke-Korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following interventions should the nurse anticipate?

A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid excess? (Select all that apply)(Select All that Apply.)

A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)