A nurse is planning care for a client who takes haloperidol for the treatment of schizophrenia. Which of the following should the nurse include in the plan of care?
Monitor the client for hypothermia.
Screen the client for tardive dyskinesia.
Check the client's weekly potassium level
Schedule the client for a 24-hr urine collection.
The Correct Answer is B
A. Monitor the client for hypothermia: Hypothermia is not a typical adverse effect of haloperidol. The medication more commonly causes extrapyramidal symptoms and neuroleptic malignant syndrome, which may include hyperthermia rather than hypothermia.
B. Screen the client for tardive dyskinesia: Tardive dyskinesia is a serious, potentially irreversible extrapyramidal side effect associated with long-term use of antipsychotics such as haloperidol. Routine screening using tools like the Abnormal Involuntary Movement Scale (AIMS) is essential to detect early signs and adjust therapy as needed.
C. Check the client's weekly potassium level: Haloperidol does not typically affect potassium levels. Routine electrolyte monitoring is not indicated unless the client has other conditions or is taking medications that affect potassium.
D. Schedule the client for a 24-hr urine collection: A 24-hour urine collection is unrelated to haloperidol therapy. This test is used to assess kidney function or specific metabolic conditions and is not part of routine care for clients taking antipsychotics.
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Correct Answer is C
Explanation
A. Varenicline: Varenicline is used to aid smoking cessation by reducing cravings and withdrawal symptoms. It does not have efficacy in treating gambling disorder and is not indicated for behavioral addictions.
B. Disulfiram: Disulfiram is prescribed for alcohol use disorder to discourage alcohol consumption by causing unpleasant reactions when alcohol is ingested. It does not address the underlying behavioral or psychological aspects of gambling disorder.
C. Sertraline: Sertraline, a selective serotonin reuptake inhibitor (SSRI), can help reduce compulsive behaviors, impulsivity, and anxiety associated with gambling disorder. It may be used as part of a comprehensive treatment plan alongside therapy and behavioral interventions.
D. Clonidine: Clonidine is primarily used to treat hypertension, ADHD, and certain withdrawal symptoms. It does not target the compulsive behaviors or psychological aspects of gambling disorder and is not indicated for this purpose.
Correct Answer is D
Explanation
A. Candidiasis: Candidiasis is a common fungal infection and is not a nationally notifiable disease. Reporting to the CDC is not required for routine cases.
B. Pelvic inflammatory disease: PID is a complication of sexually transmitted infections, but it itself is not a reportable condition. The underlying infection, if it is a notifiable STI, may need to be reported instead.
C. Methicillin-resistant Staphylococcus aureus: MRSA infections acquired in the community or healthcare settings are not universally reportable to the CDC. Reporting requirements vary by state, but MRSA is generally monitored rather than mandatorily reported nationally.
D. Syphilis: Syphilis is a nationally notifiable sexually transmitted infection. Cases must be reported to local and state health departments, which then notify the CDC. This allows for public health tracking, contact tracing, and prevention of further transmission.
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