A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?

Diphenhydramine

Naloxone

Valbenazine

Fluoxetine

Answer and Explanation

The Correct Answer is C

C. Tardive dyskinesia (TD) is a movement disorder characterized by involuntary, repetitive movements of the face, tongue, lips, and extremities, often as a side effect of long-term use of antipsychotic medications such as fluphenazine. Valbenazine is a medication approved for the treatment of tardive dyskinesia in adults

A. Diphenhydramine is an antihistamine medication with anticholinergic properties used in acute dystonia

B Naloxone is an opioid antagonist used to reverse opioid overdose by blocking the effects of opioids on opioid receptors. It is not indicated for the treatment of tardive dyskinesia.

D. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant

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Correct Answer is B

Explanation

A. While it's important to gather relevant information about the assault, asking open-ended questions about the perpetrator may not be the most appropriate approach initially.

B. Speaking softly helps to convey empathy and can make the client feel more comfortable and less threatened.

C. Direct eye contact can be perceived as intrusive or threatening, especially for individuals who have experienced trauma such as sexual assault.

D. Sitting next to the client rather than directly across can create a more relaxed and less intimidating atmosphere. This approach can help establish a sense of partnership and support, making the client feel more at ease.

A. Visual field cuts B. Decreased CD4 counts C. Shuffling gait D. Chorea

Correct Answer is C

Explanation

C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.

A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.

B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.

D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication

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A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?

Correct Answer is B

Explanation

A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?

Correct Answer is C

Explanation

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