A nurse is preparing to administer the monthly injection of haloperidol decanoate to a client who has schizophrenia. Which of the following actions should the nurse plan to take?

Monitor the client for bradycardia following the injection.

Have the client lie down for 30 min after the medication is injected

Administer the medication using a tuberculin syringe.

Assess the client for a sudden relapse of manifestations.

Answer and Explanation

The Correct Answer is B

A. Bradycardia is not a typical immediate concern following haloperidol decanoate injection.
B. Clients may experience orthostatic hypotension following the injection; having them lie down can prevent falls.
C. Haloperidol decanoate should be administered using a larger syringe, not a tuberculin syringe, as it is a depot injection.
D. A sudden relapse of manifestations is not typically immediate; monitoring for effectiveness and side effects is more relevant.

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Correct Answer is B

Explanation

A. An allergic response typically presents with symptoms such as rash, itching, and swelling, not severe nausea and vomiting.
B. Disulfiram causes severe nausea and vomiting when alcohol is consumed, as part of its mechanism to deter drinking.
C. Severe nausea and vomiting are not common side effects unless alcohol is consumed.
D. Overdose might cause more severe systemic effects, not just nausea and vomiting.

A. The client developed a tolerance to the medication B. The client is experiencing episodes of confusion C. The client not been taking the medication properly. D. The client has become addicted to the medication.

Correct Answer is A

Explanation

A. Tolerance to opioids like morphine means that over time, the client needs higher doses to achieve the same level of pain relief.
B. Episodes of confusion do not explain the need for increased doses of morphine.
C. Improper medication administration could lead to underdosing, but this is less likely than tolerance in the context of terminal cancer pain management.
D. Addiction is characterized by compulsive use despite harm, but increased dosing for pain relief in a terminally ill client is more likely due to tolerance.

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A nurse is preparing to administer the monthly injection of haloperidol decanoate to a client who has schizophrenia. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

Correct Answer is A

Explanation

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