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 A

Explanation

A. Phenytoin suspension needs to be shaken well to ensure the medication is properly mixed and the correct dose is administered.
B. Mouth care is important for general health but is not specifically required before administering phenytoin.
C. Checking the child's blood pressure is not specifically required before administering phenytoin.
D. It is not necessary to ensure the child has not eaten within the hour before administering phenytoin.

A. Dystonia B. Tardive dyskinesia C. Akathisia D. Parkinsonism

Correct Answer is B

Explanation

A. Dystonia involves sustained muscle contractions, not involuntary movements of the tongue and face.
B. Tardive dyskinesia is characterized by involuntary movements of the tongue, face, and other body parts, often as a result of long-term antipsychotic use.
C. Akathisia involves restlessness and the urge to move, not involuntary movements.
D. Parkinsonism involves symptoms similar to Parkinson's disease, such as tremor and rigidity, but not involuntary movements of the tongue and face.

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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

A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

Correct Answer is A

Explanation

A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?

Correct Answer is B

Explanation

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